Plan year 2027 · Medicare AdvantageCMS files of Sept. 22 and Oct. 1, 2026
Kaiser Permanente Dual Essential Plan 2, 2027
H1170Contract011Plan
HMO D-SNP · special needs plan, dual-eligible · 6 counties in Georgia
Run by Kaiser Foundation HP of GA, Inc. (contract H1170), sold as Kaiser Permanente, owned by Kaiser Foundation Health Plan, Inc.
Kaiser Permanente Dual Essential Plan 2 (H1170-011) costs $0 a month in 2027, the same as in 2026, with an in-network out-of-pocket limit of $9,500 ($8,850 in 2026).
What changes from 2026 to 2027?
| What you pay or get | 2026 | 2027 | Change |
|---|---|---|---|
| In-network out-of-pocket limit | $8,850 | $9,500 | ▲up $650 |
| Drug deductible | $615 | $700 | ▲up $85 |
| Skilled nursing facility, in network | $0 a day for days 1–20, then $218 a day for days 21–100 | $0 a day for days 1–20, then $221 a day for days 21–100 | ▲up $30for a 30-day stay |
| Eyewear, yearly limit | $287.50 a year | $575 a year | ▲up $287.50 |
| Drug tier 3, preferred brand | 17% of the cost | 15% of the cost | ▼down 2 points |
| 17 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 |
| Emergency room | $115 copay | $115 copay | no change |
| Medical deductible, in network | none | none | no change |
| Hospital stay, in network | $325 a day for days 1–6, then $0 a day for days 7–90 | $325 a day for days 1–6, then $0 a day for days 7–90 | no change |
| Ground ambulance, in network | $250 copay | $250 copay | no change |
| Comprehensive dental, yearly limit | not offered | not offered | no change |
| Hearing aids, yearly limit for both ears | $333.33 a year | $333.33 a year | no change |
| Over-the-counter items, yearly | $600 a year | $600 a year | no change |
| Counties served | 6 | 6 | no change |
| Drug tier 1, preferred generic | $0 | $0 | no change |
| Drug tier 2, generic | $0 | $0 | no change |
| Drug tier 4, non-preferred drug | 25% of the cost | 25% of the cost | no change |
| Drug tier 5, specialty tier | 25% of the cost | 25% of the cost | no change |
| Drug tier 6, vaccines | $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?
| Tier | What the tier holds | 2026 | 2027 |
|---|---|---|---|
| Tier 1 | Preferred Generic | $0 | $0 |
| Tier 2 | Generic | $0 | $0 |
| Tier 3 | Preferred Brand | 17% of the cost | 15% of the cost |
| Tier 4 | Non-Preferred Drug | 25% of the cost | 25% of the cost |
| Tier 5 | Specialty Tier | 25% of the cost | 25% of the cost |
| Tier 6 | Vaccines | $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, 25 dual-eligible special needs plans are sold for 2027, this one included. Against the others, 2 plans have a lower out-of-pocket limit, 22 a higher one. On the premium, 18 the same, 6 a higher one.
Out-of-pocket limits of the 25 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 6 counties: $0 a month and $9,500.
Georgia
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
- H1170-011
- Legal name of the contract
- Kaiser Foundation HP of GA, Inc.
- Sold as
- Kaiser Permanente
- Parent company
- Kaiser Foundation Health Plan, Inc.
- Plan type
- HMO D-SNP
- 2026 star rating of the contract
- 4.5 of 5 overall; health plan 4 of 5, drug plan 3.5 of 5
- Members, September 2026
- 58
- Plan website, as filed with CMS
- kp.org/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 Rockdale, GAWhere most of its members live; premiums and limits side by side
- Every Kaiser Permanente plan for 2027Its contracts, counties and plans that end
- The other 9 plans of contract H1170Same 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.