Plan year 2026 · coverage ends Dec. 31, 2026CMS crosswalk of Oct. 1, 2026

Wellcare Assist is not offered under this ID in 2027

H2915Contract011Plan

HMO-POS · served 63 counties in Pennsylvania in 2026

Run by Pennsylvania Health & Wellness, Inc. (contract H2915), sold as Wellcare, owned by Centene Corporation

CMS crosswalk: members move into H2915-003 in 57 of its 63 counties; in the others the plan ends

Folds in part

Wellcare Assist (H2915-011) is not offered under this ID in 2027. The CMS plan crosswalk of October 1, 2026 moves its members into Wellcare Simple (H2915-003), in the 57 counties where that plan is sold (503 members in September 2026). In its other 6 counties (31 members) there is no plan to move into: coverage ends December 31, 2026, and members there need to choose a new plan (counties with fewer than 11 members are not counted).

What changes for its members in Wellcare Simple?

For members in the 57 counties where Wellcare Simple is sold: this plan's 2026 amounts beside Wellcare Simple (H2915-003) in 2027. The changed lines are marked and come first.
What you pay or get	2026	2027	Change
Plan name	Wellcare Assist	Wellcare Simple	renamed
Monthly premium	$32.70	$0	down $32.70
In-network out-of-pocket limit	$5,500	$9,850	up $4,350
Drug deductible	$475	$700	up $225
Specialist visit	$15 copay	$10 copay	down $5
Emergency room	$130 copay	$115 copay	down $15
Hospital stay, in network	$450 a day for days 1–6, then $0 a day for days 7–90	$400 a day for days 1–6, then $0 a day for days 7–90	down $250for a 5-day stay
Skilled nursing facility, in network	$0 a day for days 1–20, then $218 a day for days 21–50, then $0 a day for days 51–100	$0 a day for days 1–20, then $221 a day for days 21–70, then $0 a day for days 71–100	up $30for a 30-day stay
Ground ambulance, in network	$295 copay	$250 copay	down $45
Comprehensive dental, yearly limit	$5,000 a year	$3,000 a year	down $2,000
Eyewear, yearly limit	$400 a year	$100 a year	down $300
Hearing aids, yearly limit for both ears	$750 a year	$500 a year	down $250
Counties served	63	57	down 6
Drug tier 1, generic	$19	$10	down $9
Drug tier 2, preferred brand	$20	25% of the cost	changed
Drug tier 3, non-preferred drug	25% of the cost	43% of the cost	up 18 points
Drug tier 4, injectable drugs	$100	1% of the cost	changed
6 lines do not change
Part B premium reduction, monthly	none	none	no change
Primary care visit	$0 copay	$0 copay	no change
Medical deductible, in network	none	none	no change
Over-the-counter items, yearly	not offered	not offered	no change
Drug tier 5, specialty tier	25% of the cost	25% of the cost	no change
Drug tier 6, select care drugs	$0	$0	no change

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 plan benefit package files, 2027 and 2026. Your plan's Annual Notice of Change is the letter that confirms your 2027 plan; confirm on Medicare Plan Finder.

What can members do, and by when?

If you live in Adams (PA), Allegheny (PA), Armstrong (PA), Beaver (PA), Bedford (PA), Berks (PA), Bradford (PA), Bucks (PA), Butler (PA), Cameron (PA), Carbon (PA), Centre (PA), Chester (PA), Clarion (PA), Clearfield (PA), Clinton (PA), Cumberland (PA), Dauphin (PA), Delaware (PA), Elk (PA), Fayette (PA), Forest (PA), Fulton (PA), Greene (PA), Huntingdon (PA), Indiana (PA), Jefferson (PA), Juniata (PA), Lackawanna (PA), Lancaster (PA), Lawrence (PA), Lebanon (PA), Lehigh (PA), Luzerne (PA), Lycoming (PA), McKean (PA), Mercer (PA), Mifflin (PA), Monroe (PA), Montgomery (PA) and 17 more (listed below)

If you do nothing: You are moved into Wellcare Simple on January 1, 2027.
October 15 to December 7, 2026: Open enrollment: choose another Medicare Advantage plan, or Original Medicare with a drug plan, instead.

If you live in Blair (PA), Cambria (PA), Crawford (PA), Erie (PA), Schuylkill (PA), Tioga (PA)

Your coverage: Ends December 31, 2026: Wellcare Simple is not 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, without a drug plan unless you join one (with Extra Help or full Medicaid, Medicare enrolls you in one).
Without a drug plan: Going 63 days or more in a row without drug coverage can mean a late enrollment penalty if you join a drug plan later; joining by the end of February keeps a January and February gap under 63 days, waiting longer does not.

Source: Medicare.gov, “Special enrollment periods” and “Joining a plan” (read Oct. 7, 2026).

Where did its members live?

Where its members lived in September 2026; each county and state page lists the 2027 plans sold there.

All 63 counties, most members first; CMS hides counts under 11 per county, so the counties add up to a little less than the plan's total
County	Members, Sept. 2026	For 2027
Philadelphia, PA	153	moves into H2915-003
Allegheny, PA	49	moves into H2915-003
Delaware, PA	47	moves into H2915-003
Montgomery, PA	33	moves into H2915-003
Berks, PA	31	moves into H2915-003
Lancaster, PA	24	moves into H2915-003
Luzerne, PA	22	moves into H2915-003
Bucks, PA	20	moves into H2915-003
Tioga, PA	20	plan ends here
Dauphin, PA	18	moves into H2915-003
Lackawanna, PA	17	moves into H2915-003
Bradford, PA	15	moves into H2915-003
York, PA	14	moves into H2915-003
Chester, PA	13	moves into H2915-003
Lehigh, PA	12	moves into H2915-003
Monroe, PA	12	moves into H2915-003
Washington, PA	12	moves into H2915-003
Cambria, PA	11	plan ends here
Northampton, PA	11	moves into H2915-003
Adams, PA	fewer than 11	moves into H2915-003

Show the other 43 counties

County	Members, Sept. 2026	For 2027
Armstrong, PA	fewer than 11	moves into H2915-003
Beaver, PA	fewer than 11	moves into H2915-003
Bedford, PA	fewer than 11	moves into H2915-003
Blair, PA	fewer than 11	plan ends here
Butler, PA	fewer than 11	moves into H2915-003
Cameron, PA	fewer than 11	moves into H2915-003
Carbon, PA	fewer than 11	moves into H2915-003
Centre, PA	fewer than 11	moves into H2915-003
Clarion, PA	fewer than 11	moves into H2915-003
Clearfield, PA	fewer than 11	moves into H2915-003
Clinton, PA	fewer than 11	moves into H2915-003
Crawford, PA	fewer than 11	plan ends here
Cumberland, PA	fewer than 11	moves into H2915-003
Elk, PA	fewer than 11	moves into H2915-003
Erie, PA	fewer than 11	plan ends here
Fayette, PA	fewer than 11	moves into H2915-003
Forest, PA	fewer than 11	moves into H2915-003
Fulton, PA	fewer than 11	moves into H2915-003
Greene, PA	fewer than 11	moves into H2915-003
Huntingdon, PA	fewer than 11	moves into H2915-003
Indiana, PA	fewer than 11	moves into H2915-003
Jefferson, PA	fewer than 11	moves into H2915-003
Juniata, PA	fewer than 11	moves into H2915-003
Lawrence, PA	fewer than 11	moves into H2915-003
Lebanon, PA	fewer than 11	moves into H2915-003
Lycoming, PA	fewer than 11	moves into H2915-003
McKean, PA	fewer than 11	moves into H2915-003
Mercer, PA	fewer than 11	moves into H2915-003
Mifflin, PA	fewer than 11	moves into H2915-003
Montour, PA	fewer than 11	moves into H2915-003
Perry, PA	fewer than 11	moves into H2915-003
Potter, PA	fewer than 11	moves into H2915-003
Schuylkill, PA	fewer than 11	plan ends here
Snyder, PA	fewer than 11	moves into H2915-003
Somerset, PA	fewer than 11	moves into H2915-003
Sullivan, PA	fewer than 11	moves into H2915-003
Susquehanna, PA	fewer than 11	moves into H2915-003
Union, PA	fewer than 11	moves into H2915-003
Venango, PA	fewer than 11	moves into H2915-003
Warren, PA	fewer than 11	moves into H2915-003
Wayne, PA	fewer than 11	moves into H2915-003
Westmoreland, PA	fewer than 11	moves into H2915-003
Wyoming, PA	fewer than 11	moves into H2915-003

Source: CMS monthly enrollment by plan and by county, September 2026 (CMS hides counts under 11).

What else should you check?

2027 plans in Philadelphia, PAThe plans you can join instead
Wellcare plans for 2027Plans the same company still offers
Every plan not offered in 2027764 Medicare Advantage and drug plans