Plan year 2026 · coverage ends Dec. 31, 2026CMS crosswalk of Oct. 1, 2026
Wellcare Simple Value is not offered under this ID in 2027
H1416Contract082Plan
HMO-POS · served 11 counties in Illinois in 2026
Run by Harmony Health Plan, Inc. (contract H1416), sold as Wellcare, owned by Centene Corporation
CMS crosswalk: members move into H1416-009 in 4 of its 11 counties; in the others the plan ends
Wellcare Simple Value (H1416-082) is not offered under this ID in 2027. The CMS plan crosswalk of October 1, 2026 moves its members into Wellcare Simple (H1416-009), in the 4 counties where that plan is sold (778 members in September 2026). In its other 7 counties (484 members) there is no plan to move into: coverage ends December 31, 2026, and members there need to choose a new plan.
What changes for its members in Wellcare Simple?
| What you pay or get | 2026 | 2027 | Change |
|---|---|---|---|
| Plan name | Wellcare Simple Value | Wellcare Simple | renamed |
| In-network out-of-pocket limit | $3,900 | $5,000 | ▲up $1,100 |
| Drug deductible | $615 | $700 | ▲up $85 |
| Emergency room | $150 copay | $130 copay | ▼down $20 |
| Hospital stay, in network | $275 a day for days 1–8, then $0 a day for days 9–90 | $350 a day for days 1–7, then $0 a day for days 8–90 | ▲up $375for a 5-day stay |
| 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 $221 a day for days 21–50, then $0 a day for days 51–100 | ▲up $30for a 30-day stay |
| Ground ambulance, in network | $225 copay | $280 copay | ▲up $55 |
| Comprehensive dental, yearly limit | $5,000 a year | $3,000 a year | ▼down $2,000 |
| Eyewear, yearly limit | $400 a year | $300 a year | ▼down $100 |
| Hearing aids, yearly limit for both ears | $1,500 a year | $500 a year | ▼down $1,000 |
| Over-the-counter items, yearly | not offered | $480 a year | ▲added |
| Counties served | 11 | 6 | ▼down 5 |
| 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 | 47% of the cost | ▲up 22 points |
| Drug tier 4, injectable drugs | 34% of the cost | 1% of the cost | ▼down 33 points |
| 7 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 | $10 copay | $10 copay | no change |
| Medical deductible, in network | none | none | 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 plan crosswalk from 2026 to 2027 (Oct. 1, 2026); 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. Your plan's Annual Notice of Change is the letter that confirms your 2027 plan; confirm on Medicare Plan Finder.
What can members do, and by when?
If you live in Cook (IL), Kane (IL), Lake (IL), Will (IL)
- If you do nothing
- You are moved into Wellcare Simple on January 1, 2027.
- October 15 to December 7, 2026
- Open enrollment: choose another Medicare Advantage plan, or Original Medicare with a drug plan, instead.
If you live in Champaign (IL), Kankakee (IL), Knox (IL), Madison (IL), Peoria (IL), Tazewell (IL), Vermilion (IL)
- Your coverage
- Ends December 31, 2026: Wellcare Simple is not sold where you live.
- October 15 to December 7, 2026
- Open enrollment: join another Medicare Advantage plan, or Original Medicare with a drug plan. Coverage starts January 1, 2027.
- December 8, 2026 to the end of February 2027
- A special enrollment period because the plan is leaving: you can still join a plan, but coverage starts the first day of the month after you join, so choose by December 31 to have no gap.
- If you do nothing
- You are enrolled in Original Medicare when the plan ends, without a drug plan unless you join one (with Extra Help or full Medicaid, Medicare enrolls you in one).
- Without a drug plan
- Going 63 days or more in a row without drug coverage can mean a late enrollment penalty if you join a drug plan later; joining by the end of February keeps a January and February gap under 63 days, waiting longer does not.
Source: Medicare.gov, “Special enrollment periods” and “Joining a plan” (read Oct. 7, 2026).
Where did its members live?
Where its members lived in September 2026; each county and state page lists the 2027 plans sold there.
| County | Members, Sept. 2026 | For 2027 |
|---|---|---|
| Cook, IL | 715 | moves into H1416-009 |
| Champaign, IL | 122 | plan ends here |
| Vermilion, IL | 92 | plan ends here |
| Peoria, IL | 84 | plan ends here |
| Madison, IL | 57 | plan ends here |
| Tazewell, IL | 50 | plan ends here |
| Kankakee, IL | 40 | plan ends here |
| Knox, IL | 39 | plan ends here |
| Will, IL | 31 | moves into H1416-009 |
| Kane, IL | 21 | moves into H1416-009 |
| Lake, IL | 11 | moves into H1416-009 |
Source: CMS monthly enrollment by plan and by county, September 2026 (CMS hides counts under 11).
What else should you check?
- 2027 plans in Cook, ILThe plans you can join instead
- Wellcare plans for 2027Plans the same company still offers
- Every plan not offered in 2027764 Medicare Advantage and drug plans