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

Wellpoint Full Dual Advantage, 2027

H0907Contract003Plan

HMO-POS D-SNP · special needs plan, dual-eligible · 99 counties in Iowa

Run by Wellpoint Iowa, Inc. (contract H0907), sold as Wellpoint, owned by Elevance Health, Inc.

Takes in 1 plan

2026 star rating, contract H0907: 3 of 5

Wellpoint Full Dual Advantage (H0907-003) costs $12 a month in 2027, down $19.70 from 2026, with an in-network out-of-pocket limit of $9,850 ($9,250 in 2026). In 2026 it was called Wellpoint Full Dual Advantage 2. It takes in the members of H0907-001.

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 nameWellpoint Full Dual Advantage 2Wellpoint Full Dual Advantagerenamed
Monthly premium$31.70$12down $19.70
In-network out-of-pocket limit$9,250$9,850up $600
Drug deductible$615$700up $85
18 lines do not change
Part B premium reduction, monthlynonenoneno change
Primary care visit20% of the cost20% of the costno change
Specialist visit20% of the cost20% of the costno change
Emergency room$115 copay$115 copayno change
Medical deductible, in networknonenoneno change
Hospital stay, in networknot filednot filedno 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$425 a year$425 a yearno change
Hearing aids, yearly limit for both ears$3,000 a year$3,000 a yearno change
Over-the-counter items, yearlynot offerednot offeredno change
Counties served9999no 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, 9 dual-eligible special needs plans are sold for 2027, this one included. Against the others, 1 plan has a lower out-of-pocket limit, 7 the same. On the premium, 6 plans have a lower premium, 2 a higher one.

Out-of-pocket limits of the 9 dual-eligible special needs plans

$0 to under $2,0000 plans
$2,000 to under $4,0000 plans
$4,000 to under $6,0000 plans
$6,000 to under $8,0001 plan
$8,000 to $10,000 (this plan)8 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 99 counties: $12 a month and $9,850.

Iowa

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

Which 2026 plans move into it, and what changes for their members?

For 2027 this plan takes in the members of 1 other plan, beside its own 1,086 members. In 2027 it costs $12 a month with a $9,850 limit; each row compares that with the plan its members had in 2026.

2026 planMembers, Sept. 2026Members who movePremium 2026Premium changeLimit 2026Limit change
Wellpoint Full Dual AdvantageH0907-0013,1272,916$29down $17$9,250up $600

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); CMS Medicare Advantage and Part D landscape files for 2027 (Sept. 22, 2026, revised Sept. 30) and 2026 (Sept. 2, 2026 revision). Each moving plan's own page lists every line that changes for its members.

Who runs this plan?

Plan ID
H0907-003
Legal name of the contract
Wellpoint Iowa, Inc.
Sold as
Wellpoint
Parent company
Elevance Health, Inc.
Plan type
HMO-POS D-SNP
2026 star rating of the contract
3 of 5 overall; health plan 2.5 of 5, drug plan 3.5 of 5
Members, September 2026
1,086
Plan website, as filed with CMS
https://shop.wellpoint.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?

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.