Plan year 2027 · Medicare AdvantageCMS files of Sept. 22 and Oct. 1, 2026
Advantage Plus by Ultimate (Partial), 2027
H2962Contract036Plan
HMO D-SNP · special needs plan, dual-eligible · 16 counties in Florida
Run by Ultimate Health Plans, Inc. (contract H2962), sold as Ultimate Health Plans, owned by Ultimate Healthcare Holdings, LLC
Advantage Plus by Ultimate (Partial) (H2962-036) costs $0 a month in 2027, the same as in 2026, with an in-network out-of-pocket limit of $500.
What changes from 2026 to 2027?
| What you pay or get | 2026 | 2027 | Change |
|---|---|---|---|
| Drug deductible | $615 | $700 | ▲up $85 |
| Part B premium reduction, monthly | $0.40 | none | ▼dropped |
| Comprehensive dental, yearly limit | not offered | $2,500 a year | ▲added |
| Eyewear, yearly limit | $500 a year | $300 a year | ▼down $200 |
| Over-the-counter items, yearly | $2,520 a year | $2,220 a year | ▼down $300 |
| 17 lines do not change | |||
| Monthly premium | $0 | $0 | no change |
| In-network out-of-pocket limit | $500 | $500 | no change |
| Primary care visit | $0 copay | $0 copay | no change |
| Specialist visit | $0 copay | $0 copay | no change |
| Emergency room | $0 copay | $0 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 | $0 a stay | $0 a stay | no change |
| Ground ambulance, in network | $0 copay | $0 copay | no change |
| Hearing aids, yearly limit for both ears | $1,000 a year | $1,000 a year | no change |
| Counties served | 16 | 16 | no change |
| Drug tier 1, preferred generic | $0 | $0 | no change |
| Drug tier 2, generic | $0 | $0 | no change |
| Drug tier 3, preferred brand | 25% of the cost | 25% of the cost | no change |
| Drug tier 4, non-preferred drug | 25% of the cost | 25% of the cost | no change |
| Drug tier 5, specialty tier | 25% of the cost | 25% of the cost | no change |
| Drug tier 6, supplemental drugs | $0 | $0 | 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.
What will prescriptions cost?
| Tier | What the tier holds | 2026 | 2027 |
|---|---|---|---|
| Tier 1 | Preferred Generic | $0 | $0 |
| Tier 2 | Generic | $0 | $0 |
| Tier 3 | Preferred Brand | 25% of the cost | 25% of the cost |
| Tier 4 | Non-Preferred Drug | 25% of the cost | 25% of the cost |
| Tier 5 | Specialty Tier | 25% of the cost | 25% of the cost |
| Tier 6 | Supplemental Drugs | $0 | $0 |
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, 64 dual-eligible special needs plans are sold for 2027, this one included. Against the others, 5 the same, 58 a higher one. On the premium, 55 the same, 8 a higher one.
Out-of-pocket limits of the 64 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 16 counties: $0 a month and $500.
Florida
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
- H2962-036
- Legal name of the contract
- Ultimate Health Plans, Inc.
- Sold as
- Ultimate Health Plans
- Parent company
- Ultimate Healthcare Holdings, LLC
- Plan type
- HMO D-SNP
- 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
- 1,551
- 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?
- Other 2027 plans in Hernando, FLWhere most of its members live; premiums and limits side by side
- Every Ultimate Health Plans plan for 2027Its contracts, counties and plans that end
- The other 15 plans of contract H2962Same 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.