Plan year 2026 · coverage ends Dec. 31, 2026CMS crosswalk of Oct. 1, 2026
Paramount Elite Enhanced is not offered under this ID in 2027
H3653Contract004Plan
HMO-POS · served 10 counties in Michigan, Ohio in 2026
Run by Paramount Care, Inc. (contract H3653), sold as Paramount Elite Medicare Plans, owned by MEDICAL MUTUAL OF OHIO
CMS crosswalk: renews as H6723-007 in 5 of its 10 counties; in the others the plan ends
Paramount Elite Enhanced (H3653-004) is not offered under this ID in 2027. The CMS plan crosswalk of October 1, 2026 moves its members into MedMutual Advantage Elite Enhanced (H6723-007) (the plan renews under a new ID), in the 5 counties where that plan is sold (3,780 members in September 2026). In its other 5 counties (731 members) there is no plan to move into: coverage ends December 31, 2026, and members there need to choose a new plan (counties with fewer than 11 members are not counted).
What changes for its members in MedMutual Advantage Elite Enhanced?
| What you pay or get | 2026 | 2027 | Change |
|---|---|---|---|
| Plan name | Paramount Elite Enhanced | MedMutual Advantage Elite Enhanced | renamed |
| Monthly premium | $74 | $75 | ▲up $1 |
| In-network out-of-pocket limit | $3,700 | $4,000 | ▲up $300 |
| Specialist visit | $30 copay | $35 copay | ▲up $5 |
| Hospital stay, in network | $225 a day for days 1–5, then $0 a day for days 6–90 | $250 a day for days 1–5, then $0 a day for days 6–90 | ▲up $125for a 5-day stay |
| Skilled nursing facility, in network | $0 a day for days 1–20, then $218 a day for days 21–100 | $0 a day for days 1–20, then $221 a day for days 21–100 | ▲up $30for a 30-day stay |
| Eyewear, yearly limit | $200 a year | $130 a year | ▼down $70 |
| Over-the-counter items, yearly | $540 a year | $240 a year | ▼down $300 |
| Counties served | 10 | 5 | ▼down 5 |
| Drug tier 1, preferred generic | $0 | $6 | ▲up $6 |
| Drug tier 2, generic | $0 | $8 | ▲up $8 |
| Drug tier 4, non-preferred drug | 40% of the cost | 37% of the cost | ▼down 3 points |
| 10 lines do not change | |||
| Drug deductible | $55 | $55 | no change |
| Part B premium reduction, monthly | none | none | no change |
| Primary care visit | $0 copay | $0 copay | no change |
| Emergency room | $150 copay | $150 copay | no change |
| Medical deductible, in network | none | none | no change |
| Ground ambulance, in network | $260 copay | $260 copay | no change |
| Comprehensive dental, yearly limit | not offered | not offered | no change |
| Hearing aids, yearly limit for both ears | not offered | not offered | no change |
| Drug tier 3, preferred brand | 21% of the cost | 21% of the cost | no change |
| Drug tier 5, specialty tier | 32% of the cost | 32% of the cost | no change |
Source: CMS plan crosswalk from 2026 to 2027 (Oct. 1, 2026); CMS Medicare Advantage and Part D landscape files for 2027 (Sept. 22, 2026, revised Sept. 30) and 2026 (Sept. 2, 2026 revision); CMS plan benefit package files, 2027 and 2026. Your plan's Annual Notice of Change is the letter that confirms your 2027 plan; confirm on Medicare Plan Finder.
What can members do, and by when?
If you live in Fulton (OH), Lucas (OH), Ottawa (OH), Sandusky (OH), Wood (OH)
- If you do nothing
- You are moved into MedMutual Advantage Elite Enhanced on January 1, 2027.
- October 15 to December 7, 2026
- Open enrollment: choose another Medicare Advantage plan, or Original Medicare with a drug plan, instead.
If you live in Branch (MI), Hillsdale (MI), Lenawee (MI), Monroe (MI), Washtenaw (MI)
- Your coverage
- Ends December 31, 2026: MedMutual Advantage Elite Enhanced is not sold where you live.
- October 15 to December 7, 2026
- Open enrollment: join another Medicare Advantage plan, or Original Medicare with a drug plan. Coverage starts January 1, 2027.
- December 8, 2026 to the end of February 2027
- A special enrollment period because the plan is leaving: you can still join a plan, but coverage starts the first day of the month after you join, so choose by December 31 to have no gap.
- If you do nothing
- You are enrolled in Original Medicare when the plan ends, without a drug plan unless you join one (with Extra Help or full Medicaid, Medicare enrolls you in one).
- Without a drug plan
- Going 63 days or more in a row without drug coverage can mean a late enrollment penalty if you join a drug plan later; joining by the end of February keeps a January and February gap under 63 days, waiting longer does not.
Source: Medicare.gov, “Special enrollment periods” and “Joining a plan” (read Oct. 7, 2026).
Where did its members live?
Where its members lived in September 2026; each county and state page lists the 2027 plans sold there.
| County | Members, Sept. 2026 | For 2027 |
|---|---|---|
| Lucas, OH | 2,897 | moves into H6723-007 |
| Monroe, MI | 634 | plan ends here |
| Wood, OH | 580 | moves into H6723-007 |
| Fulton, OH | 152 | moves into H6723-007 |
| Ottawa, OH | 102 | moves into H6723-007 |
| Lenawee, MI | 97 | plan ends here |
| Sandusky, OH | 49 | moves into H6723-007 |
| Branch, MI | fewer than 11 | plan ends here |
| Hillsdale, MI | fewer than 11 | plan ends here |
| Washtenaw, MI | fewer than 11 | plan ends here |
Source: CMS monthly enrollment by plan and by county, September 2026 (CMS hides counts under 11).
What else should you check?
- 2027 plans in Lucas, OHThe plans you can join instead
- Paramount Elite Medicare Plans plans for 2027Plans the same company still offers
- Every plan not offered in 2027764 Medicare Advantage and drug plans