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

Premier by Ultimate, 2027

H2962Contract001Plan

HMO · 5 counties in Florida

Run by Ultimate Health Plans, Inc. (contract H2962), sold as Ultimate Health Plans, owned by Ultimate Healthcare Holdings, LLC

Renews for 2027

2026 star rating, contract H2962: 4 of 5

Premier by Ultimate (H2962-001) costs $0 a month in 2027, the same as in 2026, with an in-network out-of-pocket limit of $1,900.

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
Part B premium reduction, monthly$185$202.90up $17.90
Emergency room$120 copay$150 copayup $30
Hospital stay, in network$80 a day for days 1–5, then $0 a day for days 6–90$95 a day for days 1–5, then $0 a day for days 6–90up $75for a 5-day stay
Skilled nursing facility, in network$0 a day for days 1–20, then $150 a day for days 21–40, then $0 a day for days 41–100$0 a day for days 1–20, then $221 a day for days 21–100up $710for a 30-day stay
Comprehensive dental, yearly limitnot offered$2,500 a yearadded
Eyewear, yearly limit$400 a year$300 a yeardown $100
Over-the-counter items, yearly$1,080 a year$900 a yeardown $180
14 lines do not change
Monthly premium$0$0no change
In-network out-of-pocket limit$1,900$1,900no change
Drug deductible$0$0no change
Primary care visit$0 copay$0 copayno change
Specialist visit$10 copay$10 copayno change
Medical deductible, in networknonenoneno change
Ground ambulance, in network$200 copay$200 copayno change
Hearing aids, yearly limit for both ears$1,000 a year$1,000 a yearno change
Counties served55no change
Drug tier 1, preferred generic$0$0no change
Drug tier 2, generic$0$0no change
Drug tier 3, preferred brand$30$30no change
Drug tier 4, non-preferred drug35% of the cost35% of the costno change
Drug tier 5, specialty tier33% of the cost33% 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 2Generic$0$0
Tier 3Preferred Brand$30$30
Tier 4Non-Preferred Drug35% of the cost35% of the cost
Tier 5Specialty Tier33% of the cost33% 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, 95 plans open to everyone are sold for 2027, this one included. Against the others, 3 plans have a lower out-of-pocket limit, 2 the same, 89 a higher one. On the premium, 87 the same, 7 a higher one.

Out-of-pocket limits of the 95 plans open to everyone

$0 to under $2,000 (this plan)6 plans
$2,000 to under $4,00030 plans
$4,000 to under $6,00022 plans
$6,000 to under $8,00032 plans
$8,000 to $10,0005 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 5 counties: $0 a month and $1,900.

Florida

CitrusHernandoIndian RiverPascoSt. Lucie

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
H2962-001
Legal name of the contract
Ultimate Health Plans, Inc.
Sold as
Ultimate Health Plans
Parent company
Ultimate Healthcare Holdings, LLC
Plan type
HMO
2026 star rating of the contract
4 of 5 overall; health plan 3.5 of 5, drug plan 3.5 of 5
Members, September 2026
3,393
Plan website, as filed with CMS
www.chooseultimate.com

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.