Plan year 2027 · Medicare AdvantageCMS files of Sept. 22 and Oct. 1, 2026
UHC PathWays Dual Care IN-YL, 2027
H2385Contract004Plan
PPO D-SNP · special needs plan, dual-eligible · 92 counties in Indiana
Run by UnitedHealthcare Insurance Company (contract H2385), sold as UnitedHealthcare, owned by UnitedHealth Group, Inc.
UHC PathWays Dual Care IN-YL (H2385-004) costs $17 a month in 2027, down $21.40 from 2026, with an in-network out-of-pocket limit of $9,850 ($9,250 in 2026). In 2026 it was called UHC PathWays Dual Care IN-S3. It takes in the members of H2385-001, H2385-002, H2385-003. Some of its 2026 members move to H2385-003 instead (CMS crosswalk).
What changes from 2026 to 2027?
| What you pay or get | 2026 | 2027 | Change |
|---|---|---|---|
| Plan name | UHC PathWays Dual Care IN-S3 | UHC PathWays Dual Care IN-YL | renamed |
| Monthly premium | $38.40 | $17 | ▼down $21.40 |
| In-network out-of-pocket limit | $9,250 | $9,850 | ▲up $600 |
| Drug deductible | $615 | $700 | ▲up $85 |
| Part B premium reduction, monthly | $1.10 | none | ▼dropped |
| Eyewear, yearly limit | $300 a year | $500 a year | ▲up $200 |
| 11 lines do not change | |||
| Primary care visit | $0 copay | $0 copay | no change |
| Specialist visit | $0 copay | $0 copay | no change |
| Emergency room | $115 copay | $115 copay | no change |
| Medical deductible, in network | none | none | no change |
| Hospital stay, in network | $0 a stay | $0 a stay | 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 | $1,600 a year | $1,600 a year | no change |
| Over-the-counter items, yearly | not offered | not offered | no change |
| Counties served | 92 | 92 | 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, 12 dual-eligible special needs plans are sold for 2027, this one included. Against the others, 11 the same. On the premium, 7 plans have a lower premium, 4 the same.
Out-of-pocket limits of the 12 dual-eligible 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?
The premium and the out-of-pocket limit are the same in all 92 counties: $17 a month and $9,850.
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 |
|---|---|---|---|---|
| UHC PathWays Dual Care IN-Y1H2385-003 | 92 of its 92 2026 counties, in Indiana | 10,949 | $0 | $9,850 |
| Stays in this plan | 92 of its 92 2026 counties, in Indiana | 10,949 | $17 | $9,850 |
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 3 other plans, beside its own 11,020 members. In 2027 it costs $17 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 |
|---|---|---|---|---|---|---|
| UHC Dual Complete IN-S002H2385-001 | 9,228 | 9,161 | $38.40 | ▼down $21.40 | $9,250 | ▲up $600 |
| UHC Dual Complete IN-D001H2385-002 | 14,007 | 13,963 | $38.40 | ▼down $21.40 | $9,250 | ▲up $600 |
| UHC PathWays Dual Care IN-S1H2385-003 | 14,554 | 14,518 | $38.40 | ▼down $21.40 | $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
- H2385-004
- Legal name of the contract
- UnitedHealthcare Insurance Company
- Sold as
- UnitedHealthcare
- Parent company
- UnitedHealth Group, Inc.
- Plan type
- PPO D-SNP
- 2026 star rating of the contract
- not rated (too new) overall; health plan not rated, drug plan not rated
- Members, September 2026
- 11,020
- 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?
- Other 2027 plans in Marion, INWhere most of its members live; premiums and limits side by side
- Every UnitedHealthcare plan for 2027Its contracts, counties and plans that end
- The other 3 plans of contract H2385Same 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.