Plan year 2027 · Medicare AdvantageCMS files of Sept. 22 and Oct. 1, 2026
MetroPlus UltraCare, 2027
H0423Contract007Plan
HMO D-SNP · special needs plan, dual-eligible · 5 counties in New York
Run by Metroplus Health Plan, Inc. (contract H0423), sold as MetroPlus Health Plan, owned by New York City Health and Hospitals Corporation
MetroPlus UltraCare (H0423-007) costs $40.50 a month in 2027, down $18.30 from 2026, with an in-network out-of-pocket limit of $9,850 ($9,250 in 2026).
What changes from 2026 to 2027?
| What you pay or get | 2026 | 2027 | Change |
|---|---|---|---|
| Monthly premium | $58.80 | $40.50 | ▼down $18.30 |
| In-network out-of-pocket limit | $9,250 | $9,850 | ▲up $600 |
| Drug deductible | $615 | $700 | ▲up $85 |
| Hearing aids, yearly limit for both ears | $500 a year | $2,000 a year | ▲up $1,500 |
| 12 lines do not change | |||
| Part B premium reduction, monthly | none | none | no change |
| Primary care visit | 20% of the cost | 20% of the cost | no change |
| Specialist visit | 20% of the cost | 20% of the cost | no change |
| Emergency room | 20% of the cost | 20% of the cost | no change |
| Medical deductible, in network | none | none | no change |
| Hospital stay, in network | not filed | not filed | no change |
| Skilled nursing facility, in network | not filed | not filed | no change |
| Ground ambulance, in network | 20% of the cost | 20% of the cost | no change |
| Comprehensive dental, yearly limit | not offered | not offered | no change |
| Eyewear, yearly limit | $500 a year | $500 a year | no change |
| Over-the-counter items, yearly | 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, 29 dual-eligible special needs plans are sold for 2027, this one included. Against the others, 1 plan has a lower out-of-pocket limit, 27 the same. On the premium, 15 plans have a lower premium, 13 the same.
Out-of-pocket limits of the 29 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: $40.50 a month and $9,850.
New York
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
- H0423-007
- Legal name of the contract
- Metroplus Health Plan, Inc.
- Sold as
- MetroPlus Health Plan
- Parent company
- New York City Health and Hospitals Corporation
- Plan type
- HMO D-SNP
- 2026 star rating of the contract
- 4 of 5 overall; health plan 3.5 of 5, drug plan 3.5 of 5
- Members, September 2026
- 844
- Plan website, as filed with CMS
- www.metroplusmedicare.org
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 Bronx, NYWhere most of its members live; premiums and limits side by side
- Every MetroPlus Health Plan plan for 2027Its contracts, counties and plans that end
- The other 2 plans of contract H0423Same 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.