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

UHC Medicare Advantage TC-0001, 2027

H2001Contract104Plan

PPO · 58 counties in Tennessee, Virginia

Run by Sierra Health and Life Insurance Company, Inc. (contract H2001), sold as UnitedHealthcare, owned by UnitedHealth Group, Inc.

Renews for 2027

2026 star rating, contract H2001: 4.5 of 5

UHC Medicare Advantage TC-0001 (H2001-104) costs $0 a month in 2027, the same as in 2026, with an in-network out-of-pocket limit of $7,150 ($6,700 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 get	2026	2027	Change
In-network out-of-pocket limit	$6,700	$7,150	up $450
Drug deductible	$440	$685	up $245
Medical deductible, in network	none	$1,000	added
Hospital stay, in network	$395 a day for days 1–6, then $0 a day for days 7–90	$455 a day for days 1–6, then $0 a day for days 7–90	up $300for a 5-day stay
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
Ground ambulance, in network	$290 copay	$325 copay	up $35
Eyewear, yearly limit	$75 a year	$100 a year	up $25
Hearing aids, yearly limit for both ears	not offered	$700 a year	added
Drug tier 2, generic	$10	$5	down $5
Drug tier 3, preferred brand	16% of the cost	22% of the cost	up 6 points
Drug tier 4, non-preferred drug	42% of the cost	27% of the cost	down 15 points
Drug tier 5, specialty tier	28% of the cost	26% of the cost	down 2 points
9 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	$130 copay	$130 copay	no change
Comprehensive dental, yearly limit	not offered	not offered	no change
Over-the-counter items, yearly	not offered	not offered	no change
Counties served	58	58	no change
Drug tier 1, preferred generic	$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?

Your share for a 30-day supply at a retail pharmacy, as filed with CMS; tiers whose share changes are marked
Tier	What the tier holds	2026	2027
Tier 1	Preferred Generic	$0	$0
Tier 2	Generic	$10	$5
Tier 3	Preferred Brand	16% of the cost	22% of the cost
Tier 4	Non-Preferred Drug	42% of the cost	27% of the cost
Tier 5	Specialty Tier	28% of the cost	26% of the cost

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, 101 plans open to everyone are sold for 2027, this one included. Against the others, 64 plans have a lower out-of-pocket limit, 4 the same, 32 a higher one. On the premium, 69 the same, 31 a higher one.

Out-of-pocket limits of the 101 plans open to everyone

$0 to under $2,0001 plan

$2,000 to under $4,00013 plans

$4,000 to under $6,00030 plans

$6,000 to under $8,000 (this plan)28 plans

$8,000 to $10,00029 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 58 counties: $0 a month and $7,150.

Tennessee

Anderson Bledsoe Blount Bradley Campbell Carter Claiborne Clay Cocke Cumberland Fentress Franklin Grainger Greene Grundy Hamblen Hamilton Hancock Hawkins Jefferson Johnson Knox Loudon Marion McMinn Meigs Monroe Morgan Overton Pickett Polk Putnam Rhea Roane Scott Sequatchie Sevier Sullivan Unicoi Union Van Buren Warren Washington White

Virginia

Bland Bristol City Buchanan Dickenson Grayson Lee Norton City Russell Scott Smyth Tazewell Washington Wise Wythe

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: H2001-104
Legal name of the contract: Sierra Health and Life Insurance Company, Inc.
Sold as: UnitedHealthcare
Parent company: UnitedHealth Group, Inc.
Plan type: PPO
2026 star rating of the contract: 4.5 of 5 overall; health plan 4.5 of 5, drug plan 4 of 5
Members, September 2026: 4,573
Plan website, as filed with CMS: UHC.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 Knox, TNWhere most of its members live; premiums and limits side by side
Every UnitedHealthcare plan for 2027Its contracts, counties and plans that end
The other 84 plans of contract H2001Same 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.