Plan year 2027 · Medicare AdvantageCMS files of Sept. 22 and Oct. 1, 2026

VIVA Medicare Plus, 2027

H0154Contract015Plan

HMO · 35 counties in Alabama

Run by Viva Health, Inc. (contract H0154), sold as VIVA Medicare, owned by Triton Health Systems, L.L.C.

Renews for 2027

2026 star rating, contract H0154: 4.5 of 5

VIVA Medicare Plus (H0154-015) costs $0 a month in 2027, the same as in 2026, with an in-network out-of-pocket limit of $9,250.

What changes from 2026 to 2027?

The changed lines are marked and come first. In-network amounts; members keep paying the Part B premium unless the plan reduces it. The plan files its benefits in parts for different counties, so lines marked ◆ show the most generous part of its area and some counties get less: the plan's Evidence of Coverage gives your county's amounts.
What you pay or get	2026	2027	Change
Drug deductible	$350	$450	up $100
Part B premium reduction, monthly (best in its area)	$20	$9	down $11
Hospital stay, in network (best in its area)	$375 a day for days 1–6, then $0 a day for days 7–90	$400 a day for days 1–6, then $0 a day for days 7–90	up $125for a 5-day stay
Ground ambulance, in network (best in its area)	$290 copay	$285 copay	down $5
Over-the-counter items, yearly (best in its area)	$120 a year	$140 a year	up $20
Drug tier 3, preferred brand	$47	20% of the cost	changed
Drug tier 4, non-preferred drug	42% of the cost	40% of the cost	down 2 points
Drug tier 5, specialty tier	29% of the cost	27% of the cost	down 2 points
13 lines do not change
Monthly premium	$0	$0	no change
In-network out-of-pocket limit	$9,250	$9,250	no change
Primary care visit (best in its area)	$0 copay	$0 copay	no change
Specialist visit (best in its area)	$0 copay	$0 copay	no change
Emergency room (best in its area)	$115 copay	$115 copay	no change
Medical deductible, in network (best in its area)	none	none	no change
Skilled nursing facility, in network (best in its area)	$0 a day for days 1–20, then $218 a day for days 21–63, then $0 a day for days 64–100	$0 a day for days 1–20, then $218 a day for days 21–63, then $0 a day for days 64–100	no change
Comprehensive dental, yearly limit (best in its area)	not offered	not offered	no change
Eyewear, yearly limit (best in its area)	$100 a year	$100 a year	no change
Hearing aids, yearly limit for both ears (best in its area)	not offered	not offered	no change
Counties served	35	35	no change
Drug tier 1, preferred generic	$0	$0	no change
Drug tier 2, generic	$12	$12	no change

Source: 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; CMS plan crosswalk from 2026 to 2027 (Oct. 1, 2026). Plan details can change during the year; confirm on Medicare Plan Finder.

What will prescriptions cost?

Your share for a 30-day supply at a retail pharmacy, as filed with CMS; tiers whose share changes are marked
Tier	What the tier holds	2026	2027
Tier 1	Preferred Generic	$0	$0
Tier 2	Generic	$12	$12
Tier 3	Preferred Brand	$47	20% of the cost
Tier 4	Non-Preferred Drug	42% of the cost	40% of the cost
Tier 5	Specialty Tier	29% of the cost	27% of the cost

Source: CMS plan benefit package files, 2027 and 2026. Insulin is capped at $35 a month by law. A drug's tier is set by the plan's formulary.

How does it compare with plans sold where it is?

In the counties it serves, 57 plans open to everyone are sold for 2027, this one included. Against the others, 48 plans have a lower out-of-pocket limit, 2 the same, 6 a higher one. On the premium, 39 the same, 17 a higher one.

Out-of-pocket limits of the 57 plans open to everyone

$0 to under $2,0001 plan

$2,000 to under $4,0002 plans

$4,000 to under $6,00016 plans

$6,000 to under $8,00026 plans

$8,000 to $10,000 (this plan)12 plans

Source: CMS Medicare Advantage and Part D landscape files for 2027 (Sept. 22, 2026, revised Sept. 30) and 2026 (Sept. 2, 2026 revision).

Where is it sold, and what does it cost there?

The premium and the out-of-pocket limit are the same in all 35 counties: $0 a month and $9,250.

Alabama

Autauga Baldwin Bibb Blount Bullock Calhoun Chambers Cherokee Chilton Colbert Crenshaw Cullman Dale Dallas Elmore Etowah Fayette Franklin Geneva Henry Houston Jefferson Lauderdale Lee Lowndes Macon Mobile Montgomery Pike Shelby St. Clair Talladega Tallapoosa Tuscaloosa Walker

Source: CMS Medicare Advantage and Part D landscape files for 2027 (Sept. 22, 2026, revised Sept. 30) and 2026 (Sept. 2, 2026 revision).

Who runs this plan?

Plan ID: H0154-015
Legal name of the contract: Viva Health, Inc.
Sold as: VIVA Medicare
Parent company: Triton Health Systems, L.L.C.
Plan type: HMO
2026 star rating of the contract: 4.5 of 5 overall; health plan 4.5 of 5, drug plan 3 of 5
Members, September 2026: 29,782
Plan website, as filed with CMS: www.vivahealth.com/Medicare

Source: CMS Medicare Advantage and Part D landscape files for 2027 (Sept. 22, 2026, revised Sept. 30) and 2026 (Sept. 2, 2026 revision); CMS 2026 Star Ratings (October 2025); CMS monthly enrollment by plan and by county, September 2026 (CMS hides counts under 11). CMS publishes the 2027 Star Ratings in October 2026.

What else should you check?

Other 2027 plans in Jefferson, ALWhere most of its members live; premiums and limits side by side
Every VIVA Medicare plan for 2027Its contracts, counties and plans that end
The other 7 plans of contract H0154Same company, same contract
Is your prescription covered?Coverage share and tier for 2,259 drugs

Data, not advice. These are the plan's filed amounts, not a quote for you; confirm on Medicare Plan Finder or call the plan before you enroll.