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

Kaiser Permanente Medicare Advantage Standard 2 VA, 2027

H2172Contract023Plan

HMO-POS · 12 counties in Virginia

Run by Kaiser Fdtn Hlth Plan of the Mid-Atlantic States (contract H2172), sold as Kaiser Permanente, owned by Kaiser Foundation Health Plan, Inc.

Renews for 2027

2026 star rating, contract H2172: 4.5 of 5

Kaiser Permanente Medicare Advantage Standard 2 VA (H2172-023) costs $25 a month in 2027, the same as in 2026, with an in-network out-of-pocket limit of $7,400 ($5,900 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 get	2026	2027	Change
In-network out-of-pocket limit	$5,900	$7,400	up $1,500
Emergency room	$130 copay	$115 copay	down $15
Hospital stay, in network	$325 a day for days 1–6, then $0 a day for days 7–90	$375 a day for days 1–6, then $0 a day for days 7–90	up $250for 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
Comprehensive dental, yearly limit	$1,500 a year	$1,000 a year	down $500
Eyewear, yearly limit	$125 a year	$250 a year	up $125
16 lines do not change
Monthly premium	$25	$25	no change
Drug deductible	$0	$0	no change
Part B premium reduction, monthly	none	none	no change
Primary care visit	$0 copay	$0 copay	no change
Specialist visit	$35 copay	$35 copay	no change
Medical deductible, in network	none	none	no change
Ground ambulance, in network	$225 copay	$225 copay	no change
Hearing aids, yearly limit for both ears	$333.33 a year	$333.33 a year	no change
Over-the-counter items, yearly	$140 a year	$140 a year	no change
Counties served	12	12	no change
Drug tier 1, preferred generic	$10	$10	no change
Drug tier 2, generic	$20	$20	no change
Drug tier 3, preferred brand	$47	$47	no change
Drug tier 4, non-preferred drug	$100	$100	no change
Drug tier 5, specialty tier	29% of the cost	29% of the cost	no change
Drug tier 6, vaccines	$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. The plan charges less at its preferred pharmacies
Tier	What the tier holds	2026, standard pharmacy	2027, standard pharmacy	2027, preferred pharmacy
Tier 1	Preferred Generic	$10	$10	$0
Tier 2	Generic	$20	$20	$6
Tier 3	Preferred Brand	$47	$47	$45
Tier 4	Non-Preferred Drug	$100	$100	$100
Tier 5	Specialty Tier	29% of the cost	29% of the cost	29% of the cost
Tier 6	Vaccines	$0	$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, 42 plans open to everyone are sold for 2027, this one included. Against the others, 13 plans have a lower out-of-pocket limit, 28 a higher one. On the premium, 30 plans have a lower premium, 11 a higher one.

Out-of-pocket limits of the 42 plans open to everyone

$0 to under $2,0000 plans

$2,000 to under $4,0001 plan

$4,000 to under $6,0001 plan

$6,000 to under $8,000 (this plan)13 plans

$8,000 to $10,00027 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 12 counties: $25 a month and $7,400.

Virginia

Alexandria City Arlington Fairfax Fairfax City Falls Church City Fredericksburg City Loudoun Manassas City Manassas Park City Prince William Spotsylvania Stafford

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: H2172-023
Legal name of the contract: Kaiser Fdtn Hlth Plan of the Mid-Atlantic States
Sold as: Kaiser Permanente
Parent company: Kaiser Foundation Health Plan, Inc.
Plan type: HMO-POS
2026 star rating of the contract: 4.5 of 5 overall; health plan 4 of 5, drug plan 5 of 5
Members, September 2026: 242
Plan website, as filed with CMS: kp.org/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 Prince William, VAWhere most of its members live; premiums and limits side by side
Every Kaiser Permanente plan for 2027Its contracts, counties and plans that end
The other 19 plans of contract H2172Same 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.