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

Wellcare Simple, 2027

H1416Contract072Plan

HMO-POS · 10 counties in Mississippi

Run by Harmony Health Plan, Inc. (contract H1416), sold as Wellcare, owned by Centene Corporation

Renews for 2027

2026 star rating, contract H1416: 3 of 5

Wellcare Simple (H1416-072) costs $0 a month in 2027, the same as in 2026, with an in-network out-of-pocket limit of $8,200 ($5,500 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 get20262027Change
In-network out-of-pocket limit$5,500$8,200up $2,700
Drug deductible$615$700up $85
Specialist visit$15 copay$45 copayup $30
Emergency room$130 copay$115 copaydown $15
Hospital stay, in network$250 a day for days 1–8, then $0 a day for days 9–90$375 a day for days 1–7, then $0 a day for days 8–90up $625for a 5-day stay
Skilled nursing facility, in network$0 a day for days 1–20, then $218 a day for days 21–50, then $0 a day for days 51–100$0 a day for days 1–20, then $221 a day for days 21–60, then $0 a day for days 61–100up $30for a 30-day stay
Ground ambulance, in network$300 copay$350 copayup $50
Comprehensive dental, yearly limit$4,000 a yearnot offereddropped
Eyewear, yearly limit$400 a year$100 a yeardown $300
Hearing aids, yearly limit for both ears$500 a year$350 a yeardown $150
Drug tier 1, generic$5$10up $5
Drug tier 2, preferred brand$1025% of the costchanged
Drug tier 3, non-preferred drug25% of the cost35% of the costup 10 points
Drug tier 4, injectable drugs34% of the cost15% of the costdown 19 points
8 lines do not change
Monthly premium$0$0no change
Part B premium reduction, monthlynonenoneno change
Primary care visit$0 copay$0 copayno change
Medical deductible, in networknonenoneno change
Over-the-counter items, yearlynot offerednot offeredno change
Counties served1010no change
Drug tier 5, specialty tier25% of the cost25% of the costno change
Drug tier 6, select care drugs$0$0no 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
TierWhat the tier holds2026, standard pharmacy2027, standard pharmacy2027, preferred pharmacy
Tier 1Generic$5$10$0
Tier 2Preferred Brand$1025% of the cost25% of the cost
Tier 3Non-Preferred Drug25% of the cost35% of the cost34% of the cost
Tier 4Injectable Drugs34% of the cost15% of the cost15% of the cost
Tier 5Specialty Tier25% of the cost25% of the cost25% of the cost
Tier 6Select 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, 47 plans open to everyone are sold for 2027, this one included. Against the others, 33 plans have a lower out-of-pocket limit, 13 a higher one. On the premium, 35 the same, 11 a higher one.

Out-of-pocket limits of the 47 plans open to everyone

$0 to under $2,0000 plans
$2,000 to under $4,0001 plan
$4,000 to under $6,00013 plans
$6,000 to under $8,00019 plans
$8,000 to $10,000 (this plan)14 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 10 counties: $0 a month and $8,200.

Mississippi

DeSotoGeorgeHancockHarrisonJacksonMarshallPanolaPearl RiverTateTunica

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
H1416-072
Legal name of the contract
Harmony Health Plan, Inc.
Sold as
Wellcare
Parent company
Centene Corporation
Plan type
HMO-POS
2026 star rating of the contract
3 of 5 overall; health plan 3 of 5, drug plan 3.5 of 5
Members, September 2026
1,104
Plan website, as filed with CMS
go.wellcare.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.