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

UHC Dual Advantage WI-V2, 2027

H0294Contract027Plan

PPO D-SNP · special needs plan, dual-eligible · 70 counties in Wisconsin

Run by UnitedHealthcare Insurance Company (contract H0294), sold as UnitedHealthcare, owned by UnitedHealth Group, Inc.

Renews in fewer counties

2026 star rating, contract H0294: 3.5 of 5

UHC Dual Advantage WI-V2 (H0294-027) costs $6.30 a month in 2027, down $2.70 from 2026, with an in-network out-of-pocket limit of $9,850 ($9,250 in 2026). In 2026 it was called UHC Dual Complete WI-D001. It leaves 2 counties it served in 2026, where 205 of its members lived; they choose another plan for 2027 (the counties are listed below).

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.
What you pay or get20262027Change
Plan nameUHC Dual Complete WI-D001UHC Dual Advantage WI-V2renamed
Monthly premium$9$6.30down $2.70
In-network out-of-pocket limit$9,250$9,850up $600
Drug deductible$615$700up $85
Hospital stay, in network$1,830 a stay$1,920 a stayup $90for a 5-day stay
Counties served7270down 2
16 lines do not change
Part B premium reduction, monthlynonenoneno change
Primary care visit0% of the cost0% of the costno change
Specialist visit0% of the cost0% of the costno change
Emergency room$115 copay$115 copayno change
Medical deductible, in networknonenoneno change
Skilled nursing facility, in networknot filednot filedno change
Ground ambulance, in network20% of the cost20% of the costno change
Comprehensive dental, yearly limitnot offerednot offeredno change
Eyewear, yearly limit$200 a year$200 a yearno change
Hearing aids, yearly limit for both ears$1,100 a year$1,100 a yearno change
Over-the-counter items, yearlynot offerednot offeredno change
Drug tier 1, preferred generic$0$0no change
Drug tier 2, generic25% of the cost25% of the costno change
Drug tier 3, preferred brand25% of the cost25% of the costno change
Drug tier 4, non-preferred drug25% of the cost25% of the costno change
Drug tier 5, specialty tier25% of the cost25% of the costno 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
TierWhat the tier holds20262027
Tier 1Preferred Generic$0$0
Tier 2Generic25% of the cost25% of the cost
Tier 3Preferred Brand25% of the cost25% of the cost
Tier 4Non-Preferred Drug25% of the cost25% of the cost
Tier 5Specialty Tier25% of the cost25% 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, 17 dual-eligible special needs plans are sold for 2027, this one included. Against the others, 3 plans have a lower out-of-pocket limit, 13 the same. On the premium, 12 plans have a lower premium, 4 the same.

Out-of-pocket limits of the 17 dual-eligible special needs plans

$0 to under $2,0000 plans
$2,000 to under $4,0000 plans
$4,000 to under $6,0002 plans
$6,000 to under $8,0000 plans
$8,000 to $10,000 (this plan)15 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?

It stops serving 2 counties it served in 2026 (listed in the next section).

The premium and the out-of-pocket limit are the same in all 70 counties: $6.30 a month and $9,850.

Wisconsin

AdamsAshlandBarronBayfieldBrownBuffaloBurnettCalumetChippewaClarkColumbiaCrawfordDaneDodgeDoorDouglasDunnFlorenceFond du LacForestGrantGreenGreen LakeIowaIronJacksonJeffersonJuneauKenoshaKewauneeLafayetteLangladeLincolnManitowocMarathonMarinetteMarquetteMenomineeMilwaukeeMonroeOcontoOneidaOutagamieOzaukeePepinPiercePolkPortagePriceRacineRichlandRockRuskSaukSawyerShawanoSheboyganSt. CroixTaylorTrempealeauVernonVilasWalworthWashburnWashingtonWaukeshaWaupacaWausharaWinnebagoWood

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

What if you live in a county it leaves?

Its 2026 members in the 2 counties listed below cannot stay in it for 2027; each county page lists the 2027 plans sold there.

Your coverage
This plan ends for you on December 31, 2026, because it is no longer 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, and because you have Medicaid, Medicare enrolls you in a drug plan.
If you choose Original Medicare
You have a guaranteed right to buy Medigap Plan A, B, C, D, F, G, K or L sold in your state by any insurance company; if you were new to Medicare on or after January 1, 2020, Plans D and G take the place of C and F. Apply from 60 days before to 63 days after the plan ends; the policy starts once your Medicare Advantage coverage ends. Other Medigap plans are not covered by this right.
If you have Medicaid or Extra Help
You can switch to a different drug plan, or leave a Medicare Advantage plan for Original Medicare with a drug plan, once a calendar month; the change starts the first day of the next month.
The 2 counties it leaves, most members first
CountyMembers, Sept. 2026
La Crosse, WI110
Eau Claire, WI95

Source: CMS plan crosswalk from 2026 to 2027 (Oct. 1, 2026); CMS monthly enrollment by plan and by county, September 2026 (CMS hides counts under 11); Medicare.gov, “Special enrollment periods” and “When can I buy Medigap?” (read Oct. 7, 2026).

Who runs this plan?

Plan ID
H0294-027
Legal name of the contract
UnitedHealthcare Insurance Company
Sold as
UnitedHealthcare
Parent company
UnitedHealth Group, Inc.
Plan type
PPO D-SNP
2026 star rating of the contract
3.5 of 5 overall; health plan 3.5 of 5, drug plan 3 of 5
Members, September 2026
3,460
Plan website, as filed with CMS
UHC.com/CommunityPlan

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?

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.