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

Senior Whole Health SCO NHC, 2027

H2224Contract003Plan

HMO D-SNP · special needs plan, dual-eligible · 9 counties in Massachusetts

Run by Senior Whole Health, LLC (contract H2224), sold as Molina Healthcare of Massachusetts, owned by Molina Healthcare, Inc.

Takes in 1 plan

2026 star rating, contract H2224: 4.5 of 5

Senior Whole Health SCO NHC (H2224-003) costs $33.80 a month in 2027, up $29.30 from 2026, with an in-network out-of-pocket limit of $9,850 ($9,250 in 2026). It takes in the members of H2224-001. Some of its 2026 members move to H2224-001 instead (CMS crosswalk).

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
Monthly premium	$4.50	$33.80	up $29.30
In-network out-of-pocket limit	$9,250	$9,850	up $600
Drug deductible	$615	$700	up $85
Primary care visit	10% of the cost	30% of the cost	changed
Specialist visit	10% of the cost	30% of the cost	changed
Hospital stay, in network	not filed	$2,241 a stay	changed
Eyewear, yearly limit	$200 a year	$300 a year	up $100
Over-the-counter items, yearly	not offered	$1,920 a year	added
8 lines do not change
Part B premium reduction, monthly	none	none	no change
Emergency room	30% of the cost	30% of the cost	no change
Medical deductible, in network	none	none	no change
Skilled nursing facility, in network	not filed	not filed	no change
Ground ambulance, in network	20% of the cost	20% of the cost	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
Counties served	9	9	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	not offered	20% of the cost
Tier 2	Generic	not offered	20% of the cost
Tier 3	Preferred Brand	not offered	25% of the cost
Tier 4	Non-Preferred Drug	not offered	40% of the cost
Tier 5	Specialty Tier	not offered	25% of the cost
Tier 6	Select Care Drugs	not offered	15% 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, 17 dual-eligible special needs plans are sold for 2027, this one included. Against the others, 2 plans have a lower out-of-pocket limit, 14 the same. On the premium, 13 plans have a lower premium, 2 the same, 1 a higher one.

Out-of-pocket limits of the 17 dual-eligible special needs plans

$0 to under $2,0000 plans

$2,000 to under $4,0000 plans

$4,000 to under $6,0000 plans

$6,000 to under $8,0000 plans

$8,000 to $10,000 (this plan)17 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 9 counties: $33.80 a month and $9,850.

Massachusetts

Bristol Essex Hampden Hampshire Middlesex Norfolk Plymouth Suffolk Worcester

Source: CMS Medicare Advantage and Part D landscape files for 2027 (Sept. 22, 2026, revised Sept. 30) and 2026 (Sept. 2, 2026 revision).

Where do its 2026 members go?

The CMS crosswalk moves the members of the 2026 plan into 2 plans for 2027. It names the plans but not which member goes to which; the counties show where each 2027 plan is sold, and the plan's Annual Notice of Change says which one is yours.

2027 plan	Sold in	Members in those counties, Sept. 2026	Premium 2027	Limit 2027
Senior Whole Health SCOH2224-001	9 of its 9 2026 counties, in Massachusetts	7,750	$0	$9,850
Stays in this plan	9 of its 9 2026 counties, in Massachusetts	7,750	$33.80	$9,850

Where the plans are sold in the same counties, the member counts overlap, so they add up to more than the plan's members.

Source: CMS plan crosswalk from 2026 to 2027 (Oct. 1, 2026); CMS Medicare Advantage and Part D landscape files for 2027 (Sept. 22, 2026, revised Sept. 30) and 2026 (Sept. 2, 2026 revision); CMS monthly enrollment by plan and by county, September 2026 (CMS hides counts under 11).

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 7,769 members. In 2027 it costs $33.80 a month with a $9,850 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
Senior Whole Health SCOH2224-001	2,584	2,577	$0	up $33.80	$9,250	up $600

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: H2224-003
Legal name of the contract: Senior Whole Health, LLC
Sold as: Molina Healthcare of Massachusetts
Parent company: Molina Healthcare, Inc.
Plan type: HMO D-SNP
2026 star rating of the contract: 4.5 of 5 overall; health plan 4 of 5, drug plan 5 of 5
Members, September 2026: 7,769
Plan website, as filed with CMS: https://www.molinahealthcare.com/members/ma/en-us/

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 Suffolk, MAWhere most of its members live; premiums and limits side by side
Every Molina Healthcare of Massachusetts plan for 2027Its contracts, counties and plans that end
The other 1 plan of contract H2224Same 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.