Plan year 2027 · Medicare AdvantageCMS files of Sept. 22 and Oct. 1, 2026
HealthSpring Achieve, 2027
H2108Contract029Plan
HMO C-SNP · special needs plan, chronic or disabling condition · 1 county in Delaware
Run by Bravo Health Mid-Atlantic, Inc. (contract H2108), sold as HealthSpring, owned by Health Care Service Corporation
HealthSpring Achieve (H2108-029) costs $40 a month in 2027, up $12 from 2026, with an in-network out-of-pocket limit of $7,500 ($5,500 in 2026). It leaves Sussex, DE, a county it served in 2026, where 41 of its members lived; they choose another plan for 2027 (the counties are listed below).
What changes from 2026 to 2027?
| What you pay or get | 2026 | 2027 | Change |
|---|---|---|---|
| Monthly premium | $28 | $40 | ▲up $12 |
| In-network out-of-pocket limit | $5,500 | $7,500 | ▲up $2,000 |
| Drug deductible | $275 | $500 | ▲up $225 |
| Specialist visit | $20 copay | $40 copay | ▲up $20 |
| Emergency room | $130 copay | $115 copay | ▼down $15 |
| Hospital stay, in network | $350 a day for days 1–5, then $0 a day for days 6–90 | $450 a day for days 1–5, then $0 a day for days 6–90 | ▲up $500for a 5-day stay |
| Skilled nursing facility, in network | $10 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 | ▼down $170for a 30-day stay |
| Eyewear, yearly limit | $200 a year | $100 a year | ▼down $100 |
| Over-the-counter items, yearly | $200 a year | $60 a year | ▼down $140 |
| Counties served | 2 | 1 | ▼down 1 |
| Drug tier 1, preferred generic | $9 | $10 | ▲up $1 |
| Drug tier 2, generic | $15 | $20 | ▲up $5 |
| Drug tier 3, preferred brand | $47 | 20% of the cost | changed |
| Drug tier 4, non-preferred drug | 50% of the cost | 25% of the cost | ▼down 25 points |
| Drug tier 5, specialty tier | 29% of the cost | 28% of the cost | ▼down 1 point |
| Drug tier 6, select care drugs | $11 | $0 | ▼down $11 |
| 6 lines do not change | |||
| Part B premium reduction, monthly | none | none | no change |
| Primary care visit | $0 copay | $0 copay | no change |
| Medical deductible, in network | none | none | 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 | not offered | not offered | 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, standard pharmacy | 2027, standard pharmacy | 2027, preferred pharmacy |
|---|---|---|---|---|
| Tier 1 | Preferred Generic | $9 | $10 | $0 |
| Tier 2 | Generic | $15 | $20 | $0 |
| Tier 3 | Preferred Brand | $47 | 20% of the cost | 20% of the cost |
| Tier 4 | Non-Preferred Drug | 50% of the cost | 25% of the cost | 25% of the cost |
| Tier 5 | Specialty Tier | 29% of the cost | 28% of the cost | 28% of the cost |
| Tier 6 | Select Care Drugs | $11 | $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, 7 chronic or disabling condition special needs plans are sold for 2027, this one included. Against the others, 2 plans have a lower out-of-pocket limit, 4 a higher one. On the premium, 6 plans have a lower premium.
Out-of-pocket limits of the 7 chronic or disabling condition 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?
It stops serving 1 county it served in 2026 (listed in the next section).
The premium and the out-of-pocket limit are the same in all 1 county: $40 a month and $7,500.
Delaware
Source: CMS Medicare Advantage and Part D landscape files for 2027 (Sept. 22, 2026, revised Sept. 30) and 2026 (Sept. 2, 2026 revision).
What if you live in a county it leaves?
Its 2026 members in the county listed below cannot stay in it for 2027; each county page lists the 2027 plans sold there.
- Your coverage
- This plan ends for you on December 31, 2026, because it is no longer 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.
- If you choose Original Medicare
- You have a guaranteed right to buy Medigap Plan A, B, C, D, F, G, K or L sold in your state by any insurance company; if you were new to Medicare on or after January 1, 2020, Plans D and G take the place of C and F. Apply from 60 days before to 63 days after the plan ends; the policy starts once your Medicare Advantage coverage ends. Other Medigap plans are not covered by this right.
| County | Members, Sept. 2026 |
|---|---|
| Sussex, DE | 41 |
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); Medicare.gov, “Special enrollment periods” and “When can I buy Medigap?” (read Oct. 7, 2026).
Who runs this plan?
- Plan ID
- H2108-029
- Legal name of the contract
- Bravo Health Mid-Atlantic, Inc.
- Sold as
- HealthSpring
- Parent company
- Health Care Service Corporation
- Plan type
- HMO C-SNP
- 2026 star rating of the contract
- 3 of 5 overall; health plan 3 of 5, drug plan 3 of 5
- Members, September 2026
- 231
- Plan website, as filed with CMS
- HealthSpringMedicare.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?
- Other 2027 plans in New Castle, DEWhere most of its members live; premiums and limits side by side
- Every HealthSpring plan for 2027Its contracts, counties and plans that end
- The other 5 plans of contract H2108Same 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.