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

Gold Dialysis & Kidney, 2027

H1526Contract009Plan

HMO-POS C-SNP · special needs plan, chronic or disabling condition · 1 county in Florida

Run by Gold Kidney of Florida Inc (contract H1526), sold as Gold Kidney Health Plan, owned by Gold Kidney Health Plan

Renews for 2027

2026 star rating, contract H1526: not rated (too little data)

Gold Dialysis & Kidney (H1526-009) costs $0 a month in 2027, the same as in 2026, with an in-network out-of-pocket limit of $2,000 ($1,900 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$1,900$2,000up $100
Skilled nursing facility, in network$0 a day for days 1–20, then $214 a day for days 21–100$0 a day for days 1–20, then $217 a day for days 21–100up $30for a 30-day stay
Drug tier 3, preferred brand$47$45down $2
Drug tier 4, non-preferred brand$10030% of the costchanged
18 lines do not change
Monthly premium$0$0no change
Drug deductible$0$0no change
Part B premium reduction, monthlynonenoneno change
Primary care visit$0 copay$0 copayno change
Specialist visit$0 copay$0 copayno change
Emergency room$120 copay$120 copayno change
Medical deductible, in networknonenoneno change
Hospital stay, in network$50 a day for days 1–7, then $0 a day for days 8–90$50 a day for days 1–7, then $0 a day for days 8–90no change
Ground ambulance, in network$220 copay$220 copayno change
Comprehensive dental, yearly limitnot offerednot offeredno change
Eyewear, yearly limitnot offerednot offeredno change
Hearing aids, yearly limit for both earsnot offerednot offeredno change
Over-the-counter items, yearlynot offerednot offeredno change
Counties served11no change
Drug tier 1, preferred generic$0$0no change
Drug tier 2, generic$5$5no change
Drug tier 5, specialty tier33% of the cost33% of the costno change
Drug tier 6, select diabetic 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
TierWhat the tier holds20262027
Tier 1Preferred Generic$0$0
Tier 2Generic$5$5
Tier 3Preferred Brand$47$45
Tier 4Non-Preferred Brand$10030% of the cost
Tier 5Specialty Tier33% of the cost33% of the cost
Tier 6Select Diabetic 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, 20 chronic or disabling condition special needs plans are sold for 2027, this one included. Against the others, 1 plan has a lower out-of-pocket limit, 4 the same, 14 a higher one. On the premium, 17 the same, 2 a higher one.

Out-of-pocket limits of the 20 chronic or disabling condition special needs plans

$0 to under $2,0001 plan
$2,000 to under $4,000 (this plan)15 plans
$4,000 to under $6,0001 plan
$6,000 to under $8,0000 plans
$8,000 to $10,0003 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 1 county: $0 a month and $2,000.

Florida

Miami-Dade

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
H1526-009
Legal name of the contract
Gold Kidney of Florida Inc
Sold as
Gold Kidney Health Plan
Parent company
Gold Kidney Health Plan
Plan type
HMO-POS C-SNP
2026 star rating of the contract
not rated (too little data) overall; health plan not rated, drug plan 3 of 5
Members, September 2026
51
Plan website, as filed with CMS
goldkidney.com

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.