Plan year 2027 · Medicare AdvantageCMS files of Sept. 22 and Oct. 1, 2026
Wellpoint I CareMore Home Care, 2027
H1423Contract007Plan
HMO I-SNP · special needs plan, institutional · 2 counties in Arizona
Run by Wellpoint Health Plans, Inc. (contract H1423), sold as Wellpoint, owned by Elevance Health, Inc.
Wellpoint I CareMore Home Care (H1423-007) costs $0 a month in 2027, the same as in 2026, with an in-network out-of-pocket limit of $1,500. It takes in the members of H1423-008.
What changes from 2026 to 2027?
| What you pay or get | 2026 | 2027 | Change |
|---|---|---|---|
| Eyewear, yearly limit | $300 a year | $275 a year | ▼down $25 |
| Over-the-counter items, yearly | $800 a year | $760 a year | ▼down $40 |
| Counties served | 1 | 2 | ▲up 1 |
| 19 lines do not change | |||
| Monthly premium | $0 | $0 | no change |
| In-network out-of-pocket limit | $1,500 | $1,500 | no change |
| Drug deductible | $150 | $150 | 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 | $120 copay | $120 copay | no change |
| Medical deductible, in network | none | none | no change |
| Hospital stay, in network | $150 a day for days 1–5, then $0 a day for days 6–90 | $150 a day for days 1–5, then $0 a day for days 6–90 | no change |
| Skilled nursing facility, in network | $0 a day for days 1–100 | $0 a day for days 1–100 | no change |
| Ground ambulance, in network | $225 copay | $225 copay | no change |
| Comprehensive dental, yearly limit | not offered | not offered | no change |
| Hearing aids, yearly limit for both ears | $3,000 a year | $3,000 a year | no change |
| Drug tier 1, preferred generic | $0 | $0 | no change |
| Drug tier 2, generic | $0 | $0 | no change |
| Drug tier 3, preferred brand | 25% of the cost | 25% of the cost | no change |
| Drug tier 4, non-preferred drug | 30% of the cost | 30% of the cost | no change |
| Drug tier 5, specialty tier | 31% of the cost | 31% 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?
| Tier | What the tier holds | 2026 | 2027 |
|---|---|---|---|
| Tier 1 | Preferred Generic | $0 | $0 |
| Tier 2 | Generic | $0 | $0 |
| Tier 3 | Preferred Brand | 25% of the cost | 25% of the cost |
| Tier 4 | Non-Preferred Drug | 30% of the cost | 30% of the cost |
| Tier 5 | Specialty Tier | 31% of the cost | 31% of the cost |
| Tier 6 | Select Care Drugs | $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, 5 institutional special needs plans are sold for 2027, this one included. Against the others, 2 the same, 2 a higher one. On the premium, 3 the same, 1 a higher one.
Out-of-pocket limits of the 5 institutional 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 2 counties: $0 a month and $1,500.
Arizona
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 402 members. In 2027 it costs $0 a month with a $1,500 limit; each row compares that with the plan its members had in 2026.
| 2026 plan | Members, Sept. 2026 | Members who move | Premium 2026 | Premium change | Limit 2026 | Limit change |
|---|---|---|---|---|---|---|
| Wellpoint I CareMore Home CareH1423-008 | 63 | 63 | $0 | no change | $1,500 | no change |
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
- H1423-007
- Legal name of the contract
- Wellpoint Health Plans, Inc.
- Sold as
- Wellpoint
- Parent company
- Elevance Health, Inc.
- Plan type
- HMO I-SNP
- 2026 star rating of the contract
- 3 of 5 overall; health plan 3 of 5, drug plan 3 of 5
- Members, September 2026
- 402
- 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?
- Other 2027 plans in Pima, AZWhere most of its members live; premiums and limits side by side
- Every Wellpoint plan for 2027Its contracts, counties and plans that end
- The other 5 plans of contract H1423Same 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.