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

Wellcare Specialty Simple, 2027

H0562Contract092Plan

HMO C-SNP · special needs plan, chronic or disabling condition · 6 counties in California

Run by Health Net of California, Inc. (contract H0562), sold as Wellcare, owned by Centene Corporation

Renews for 2027

2026 star rating, contract H0562: 3.5 of 5

Wellcare Specialty Simple (H0562-092) costs $0 a month in 2027, the same as in 2026, with an in-network out-of-pocket limit of $1,000 ($2,400 in 2026).

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 get	2026	2027	Change
In-network out-of-pocket limit	$2,400	$1,000	down $1,400
Drug deductible	$615	$700	up $85
Emergency room	$150 copay	$125 copay	down $25
Hospital stay, in network	$50 a day for days 1–5, then $0 a day for days 6–90	$75 a stay	changed
Skilled nursing facility, in network	$0 a day for days 1–20, then $218 a day for days 21–40, then $0 a day for days 41–100	$0 a day for days 1–20, then $50 a day for days 21–40, then $0 a day for days 41–100	down $1,680for a 30-day stay
Ground ambulance, in network	$200 copay	$50 copay	down $150
Hearing aids, yearly limit for both ears	$500 a year	$350 a year	down $150
Drug tier 1, generic	$5	$10	up $5
Drug tier 2, preferred brand	$10	25% of the cost	changed
Drug tier 3, non-preferred drug	25% of the cost	50% of the cost	up 25 points
Drug tier 4, injectable drugs	39% of the cost	1% of the cost	down 38 points
11 lines do not change
Monthly premium	$0	$0	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
Medical deductible, in network	none	none	no change
Comprehensive dental, yearly limit	not offered	not offered	no change
Eyewear, yearly limit	$100 a year	$100 a year	no change
Over-the-counter items, yearly	not offered	not offered	no change
Counties served	6	6	no change
Drug tier 5, specialty tier	25% of the cost	25% of the cost	no change
Drug tier 6, select care drugs	$0	$0	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. The plan charges less at its preferred pharmacies
Tier	What the tier holds	2026, standard pharmacy	2027, standard pharmacy	2027, preferred pharmacy
Tier 1	Generic	$5	$10	$0
Tier 2	Preferred Brand	$10	25% of the cost	25% of the cost
Tier 3	Non-Preferred Drug	25% of the cost	50% of the cost	50% of the cost
Tier 4	Injectable Drugs	39% of the cost	1% of the cost	1% of the cost
Tier 5	Specialty Tier	25% of the cost	25% of the cost	25% of the cost
Tier 6	Select Care Drugs	$0	$0	$0

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, 62 chronic or disabling condition special needs plans are sold for 2027, this one included. Against the others, 23 plans have a lower out-of-pocket limit, 1 the same, 37 a higher one. On the premium, 53 the same, 8 a higher one.

Out-of-pocket limits of the 62 chronic or disabling condition special needs plans

$0 to under $2,000 (this plan)31 plans

$2,000 to under $4,0005 plans

$4,000 to under $6,0002 plans

$6,000 to under $8,0000 plans

$8,000 to $10,00024 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 6 counties: $0 a month and $1,000.

California

Kern Los Angeles Orange Riverside San Bernardino San Diego

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: H0562-092
Legal name of the contract: Health Net of California, Inc.
Sold as: Wellcare
Parent company: Centene Corporation
Plan type: HMO C-SNP
2026 star rating of the contract: 3.5 of 5 overall; health plan 3.5 of 5, drug plan 4 of 5
Members, September 2026: 3,034
Plan website, as filed with CMS: go.wellcare.com/HealthNetCA

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 Los Angeles, CAWhere most of its members live; premiums and limits side by side
Every Wellcare plan for 2027Its contracts, counties and plans that end
The other 7 plans of contract H0562Same 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.