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

HAP Medicare Diabetes and Heart, 2027

H2354Contract030Plan

HMO C-SNP · special needs plan, chronic or disabling condition · 61 counties in Michigan

Run by Health Alliance Plan of Michigan (contract H2354), sold as Health Alliance Plan by Henry Ford Health, owned by Henry Ford Health System

Renews for 2027

2026 star rating, contract H2354: 4 of 5

HAP Medicare Diabetes and Heart (H2354-030) costs $6.30 a month in 2027, down $2.50 from 2026, with an in-network out-of-pocket limit of $9,850 ($9,250 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
Monthly premium	$8.80	$6.30	down $2.50
In-network out-of-pocket limit	$9,250	$9,850	up $600
Drug deductible	$615	$700	up $85
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
Over-the-counter items, yearly	$1,000 a year	$600 a year	down $400
Counties served	58	61	up 3
10 lines do not change
Part B premium reduction, monthly	none	none	no change
Primary care visit	$0 copay	$0 copay	no change
Specialist visit	$30 copay	$30 copay	no change
Emergency room	$115 copay	$115 copay	no change
Medical deductible, in network	none	none	no change
Hospital stay, in network	$395 a day for days 1–5, then $0 a day for days 6–90	$395 a day for days 1–5, then $0 a day for days 6–90	no change
Ground ambulance, in network	$275 copay	$275 copay	no change
Comprehensive dental, yearly limit	not offered	not offered	no change
Eyewear, yearly limit	$300 a year	$300 a year	no change
Hearing aids, yearly limit for both ears	$1,000 a year	$1,000 a year	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.

How does it compare with plans sold where it is?

In the counties it serves, 17 chronic or disabling condition special needs plans are sold for 2027, this one included. Against the others, 14 plans have a lower out-of-pocket limit, 2 the same. On the premium, 15 plans have a lower premium, 1 the same.

Out-of-pocket limits of the 17 chronic or disabling condition special needs plans

$0 to under $2,0000 plans

$2,000 to under $4,0000 plans

$4,000 to under $6,0002 plans

$6,000 to under $8,00010 plans

$8,000 to $10,000 (this plan)5 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 61 counties: $6.30 a month and $9,850.

Michigan

Allegan Antrim Arenac Barry Bay Benzie Berrien Branch Calhoun Cass Charlevoix Clare Clinton Crawford Eaton Genesee Gladwin Grand Traverse Gratiot Hillsdale Huron Ingham Ionia Iosco Isabella Jackson Kalamazoo Kalkaska Kent Lake Lapeer Leelanau Lenawee Livingston Macomb Manistee Mason Mecosta Midland Missaukee Monroe Montcalm Montmorency Muskegon Newaygo Oakland Oceana Ogemaw Osceola Otsego Ottawa Roscommon Saginaw Sanilac Shiawassee St. Clair Tuscola Van Buren Washtenaw Wayne Wexford

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: H2354-030
Legal name of the contract: Health Alliance Plan of Michigan
Sold as: Health Alliance Plan by Henry Ford Health
Parent company: Henry Ford Health System
Plan type: HMO C-SNP
2026 star rating of the contract: 4 of 5 overall; health plan 4 of 5, drug plan 3.5 of 5
Members, September 2026: 1,617
Plan website, as filed with CMS: www.hap.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 Wayne, MIWhere most of its members live; premiums and limits side by side
Every Health Alliance Plan by Henry Ford Health plan for 2027Its contracts, counties and plans that end
The other 7 plans of contract H2354Same 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.