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

UHC Dual Complete MI-S3, 2027

H2247Contract004Plan

HMO D-SNP · special needs plan, dual-eligible · 52 counties in Michigan

Run by UnitedHealthcare Community Plan, Inc. (contract H2247), sold as UnitedHealthcare, owned by UnitedHealth Group, Inc.

Takes in 2 plans

2026 star rating, contract H2247: 3.5 of 5

UHC Dual Complete MI-S3 (H2247-004) costs $0 a month in 2027, down $8.80 from 2026, with an in-network out-of-pocket limit of $9,850 ($9,250 in 2026). It leaves 3 counties it served in 2026, where 174 of its members lived; they choose another plan for 2027 (the counties are listed below). It takes in the members of H2247-001, H2247-003.

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
Monthly premium$8.80$0down $8.80
In-network out-of-pocket limit$9,250$9,850up $600
Drug deductible$615$465down $150
Hospital stay, in network$1,995 a stay$1,700 a staydown $295for a 5-day stay
Counties served5452down 2
Drug tier 2, generic25% of the cost$0changed
Drug tier 5, specialty tier25% of the cost28% of the costup 3 points
14 lines do not change
Part B premium reduction, monthlynonenoneno change
Primary care visit0% of the cost0% of the costno change
Specialist visit0% of the cost0% of the costno change
Emergency room$115 copay$115 copayno change
Medical deductible, in networknonenoneno change
Skilled nursing facility, in networknot filednot filedno change
Ground ambulance, in network20% of the cost20% of the costno change
Comprehensive dental, yearly limitnot offerednot offeredno change
Eyewear, yearly limit$200 a year$200 a yearno change
Hearing aids, yearly limit for both ears$750 a year$750 a yearno change
Over-the-counter items, yearlynot offerednot offeredno change
Drug tier 1, preferred generic$0$0no change
Drug tier 3, preferred brand25% of the cost25% of the costno change
Drug tier 4, non-preferred drug25% of the cost25% of the costno 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 2Generic25% of the cost$0
Tier 3Preferred Brand25% of the cost25% of the cost
Tier 4Non-Preferred Drug25% of the cost25% of the cost
Tier 5Specialty Tier25% of the cost28% 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, 16 dual-eligible special needs plans are sold for 2027, this one included. Against the others, 1 plan has a lower out-of-pocket limit, 14 the same. On the premium, 9 the same, 6 a higher one.

Out-of-pocket limits of the 16 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 $8,0001 plan
$8,000 to $10,000 (this plan)15 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 3 counties it served in 2026 (listed in the next section).

The premium and the out-of-pocket limit are the same in all 52 counties: $0 a month and $9,850.

Michigan

AlleganAntrimArenacBayBenzieCharlevoixCheboyganClareClintonCrawfordEatonEmmetGeneseeGladwinGrand TraverseGratiotHillsdaleHuronInghamIoscoIsabellaJacksonKalkaskaKentLakeLapeerLeelanauLivingstonManisteeMasonMecostaMidlandMissaukeeMonroeMontcalmMontmorencyMuskegonNewaygoOaklandOceanaOgemawOsceolaOscodaOtsegoOttawaRoscommonSaginawSanilacShiawasseeTuscolaWashtenawWexford

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 3 counties 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, and because you have Medicaid, Medicare enrolls you in a drug plan.
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.
If you have Medicaid or Extra Help
You can switch to a different drug plan, or leave a Medicare Advantage plan for Original Medicare with a drug plan, once a calendar month; the change starts the first day of the next month.
The 3 counties it leaves, most members first
CountyMembers, Sept. 2026
Alpena, MI121
Alcona, MI40
Presque Isle, MI13

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).

Which 2026 plans move into it, and what changes for their members?

For 2027 this plan takes in the members of 2 other plans, beside its own 7,490 members. In 2027 it costs $0 a month with a $9,850 limit; each row compares that with the plan its members had in 2026.

2026 planMembers, Sept. 2026Members who movePremium 2026Premium changeLimit 2026Limit change
UHC Dual Complete MI-S002H2247-00110,62810,420$0no change$9,250up $600
UHC Dual Complete MI-V001H2247-0033,6673,574$0.20down $0.20$6,700up $3,150

Only the members of UHC Dual Complete MI-S002 (H2247-001) who live in the 51 counties where this plan is sold move into it (10,420 of its 10,628 members); in its other 3 counties the plan ends and members choose a new one. What happens where.

Only the members of UHC Dual Complete MI-V001 (H2247-003) who live in the 51 counties where this plan is sold move into it (3,574 of its 3,667 members); in its other 3 counties the plan ends and members choose a new one. What happens where.

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
H2247-004
Legal name of the contract
UnitedHealthcare Community Plan, Inc.
Sold as
UnitedHealthcare
Parent company
UnitedHealth Group, Inc.
Plan type
HMO D-SNP
2026 star rating of the contract
3.5 of 5 overall; health plan 3.5 of 5, drug plan 3 of 5
Members, September 2026
7,490
Plan website, as filed with CMS
UHC.com/CommunityPlan

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.