Plan year 2027 · Medicare AdvantageCMS files of Sept. 22 and Oct. 1, 2026
VIVA Medicare Extra Care, 2027
H0154Contract019Plan
HMO D-SNP · special needs plan, dual-eligible · 5 counties in Alabama
Run by Viva Health, Inc. (contract H0154), sold as VIVA Medicare, owned by Triton Health Systems, L.L.C.
VIVA Medicare Extra Care (H0154-019) costs $13.70 a month in 2027, down $14 from 2026, with an in-network out-of-pocket limit of $6,750.
What changes from 2026 to 2027?
| What you pay or get | 2026 | 2027 | Change |
|---|---|---|---|
| Monthly premium | $27.70 | $13.70 | ▼down $14 |
| Drug deductible | $615 | $700 | ▲up $85 |
| Hospital stay, in network | $400 a day for days 1–6, then $0 a day for days 7–90 | $330 a day for days 1–6, then $0 a day for days 7–90 | ▼down $350for a 5-day stay |
| Over-the-counter items, yearly | $780 a year | $840 a year | ▲up $60 |
| 12 lines do not change | |||
| In-network out-of-pocket limit | $6,750 | $6,750 | no change |
| Part B premium reduction, monthly | none | none | no change |
| Primary care visit | $0 copay | $0 copay | no change |
| Specialist visit | $0 copay | $0 copay | no change |
| Emergency room | $130 copay | $130 copay | no change |
| Medical deductible, in network | none | none | no change |
| Skilled nursing facility, in network | $10 a day for days 1–20, then $218 a day for days 21–51, then $0 a day for days 52–100 | $10 a day for days 1–20, then $218 a day for days 21–51, then $0 a day for days 52–100 | no change |
| Ground ambulance, in network | $335 copay | $335 copay | no change |
| Comprehensive dental, yearly limit | not offered | not offered | no change |
| Eyewear, yearly limit | $200 a year | $200 a year | no change |
| Hearing aids, yearly limit for both ears | not offered | not offered | no change |
| Counties served | 5 | 5 | 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.
How does it compare with plans sold where it is?
In the counties it serves, 21 dual-eligible special needs plans are sold for 2027, this one included. Against the others, 2 plans have a lower out-of-pocket limit, 18 a higher one. On the premium, 17 plans have a lower premium, 3 the same.
Out-of-pocket limits of the 21 dual-eligible special needs 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 5 counties: $13.70 a month and $6,750.
Alabama
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
- H0154-019
- Legal name of the contract
- Viva Health, Inc.
- Sold as
- VIVA Medicare
- Parent company
- Triton Health Systems, L.L.C.
- Plan type
- HMO D-SNP
- 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
- 851
- 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 Madison, 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.