Skip to main content

Independent; not a government site. Official answers: Medicare.gov, 1-800-MEDICARE.

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

Wellpoint Medicare Advantage 2, 2027

H2593Contract029Plan

HMO-POS · 83 counties in Texas

Run by Wellpoint Texas, Inc. (contract H2593), sold as Wellpoint, owned by Elevance Health, Inc.

Renews for 2027

2026 star rating, contract H2593: 3.5 of 5

Wellpoint Medicare Advantage 2 (H2593-029) costs $0 a month in 2027, the same as in 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 get20262027Change
In-network out-of-pocket limit$9,250$9,850up $600
Drug deductible$300$105down $195
Hospital stay, in network$335 a day for days 1–6, then $0 a day for days 7–90$250 a day for days 1–6, then $0 a day for days 7–90down $425for 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 21–100up $30for a 30-day stay
Eyewear, yearly limit$100 a year$350 a yearup $250
Hearing aids, yearly limit for both earsnot offered$3,000 a yearadded
Over-the-counter items, yearly$176 a year$400 a yearup $224
Drug tier 2, generic$7$0down $7
Drug tier 4, non-preferred drug30% of the cost26% of the costdown 4 points
Drug tier 5, specialty tier29% of the cost32% of the costup 3 points
11 lines do not change
Monthly premium$0$0no change
Part B premium reduction, monthlynonenoneno change
Primary care visit$0 copay$0 copayno change
Specialist visit$30 copay$30 copayno change
Emergency room$115 copay$115 copayno change
Medical deductible, in networknonenoneno change
Ground ambulance, in network$276 copay$276 copayno change
Comprehensive dental, yearly limitnot offerednot offeredno change
Counties served8383no change
Drug tier 1, preferred generic$0$0no change
Drug tier 3, preferred brand25% 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. The plan charges less at its preferred pharmacies
TierWhat the tier holds2026, standard pharmacy2027, standard pharmacy2027, preferred pharmacy
Tier 1Preferred Generic$0$0$0
Tier 2Generic$7$0$0
Tier 3Preferred Brand25% of the cost25% of the cost24% of the cost
Tier 4Non-Preferred Drug30% of the cost26% of the cost26% of the cost
Tier 5Specialty Tier29% of the cost32% of the cost32% 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, 194 plans open to everyone are sold for 2027, this one included. Against the others, 179 plans have a lower out-of-pocket limit, 14 the same. On the premium, 151 the same, 42 a higher one.

Out-of-pocket limits of the 194 plans open to everyone

$0 to under $2,0002 plans
$2,000 to under $4,00041 plans
$4,000 to under $6,00046 plans
$6,000 to under $8,00079 plans
$8,000 to $10,000 (this plan)26 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 83 counties: $0 a month and $9,850.

Texas

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
H2593-029
Legal name of the contract
Wellpoint Texas, Inc.
Sold as
Wellpoint
Parent company
Elevance Health, Inc.
Plan type
HMO-POS
2026 star rating of the contract
3.5 of 5 overall; health plan 3 of 5, drug plan 3.5 of 5
Members, September 2026
1,797
Plan website, as filed with CMS
https://shop.wellpoint.com/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?

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.