Plan year 2027 · Medicare AdvantageCMS files of Sept. 22 and Oct. 1, 2026
Molina Medicare Complete Care Plus, 2027
H3093Contract002Plan
HMO D-SNP · special needs plan, dual-eligible · 102 counties in Illinois
Run by Molina Healthcare of Illinois, Inc. (contract H3093), sold as Molina Healthcare of Illinois, owned by Molina Healthcare, Inc.
Molina Medicare Complete Care Plus (H3093-002) 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). It takes in the members of H3093-001, H3093-003, H3093-004, H3093-005.
What changes from 2026 to 2027?
| What you pay or get | 2026 | 2027 | Change |
|---|---|---|---|
| In-network out-of-pocket limit | $9,250 | $9,850 | ▲up $600 |
| Drug deductible | $615 | $700 | ▲up $85 |
| Hospital stay, in network | not filed | $2,241 a stay | changed |
| Comprehensive dental, yearly limit | $3,600 a year | $3,000 a year | ▼down $600 |
| Eyewear, yearly limit | $250 a year | $300 a year | ▲up $50 |
| Hearing aids, yearly limit for both ears | not offered | $2,000 a year | ▲added |
| Counties served | 35 | 102 | ▲up 67 |
| Drug tier 2, generic | $0 | $20 | ▲up $20 |
| Drug tier 3, preferred brand | 20% of the cost | 25% of the cost | ▲up 5 points |
| Drug tier 4, non-preferred drug | 30% of the cost | 27% of the cost | ▼down 3 points |
| 12 lines do not change | |||
| Monthly premium | $0 | $0 | no change |
| Part B premium reduction, monthly | none | none | no change |
| Primary care visit | 30% of the cost | 30% of the cost | no change |
| Specialist visit | 30% of the cost | 30% of the cost | no change |
| Emergency room | 30% of the cost | 30% of the cost | no change |
| Medical deductible, in network | none | none | 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 |
| Over-the-counter items, yearly | not offered | not offered | no change |
| Drug tier 1, preferred generic | $0 | $0 | 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 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 | $20 |
| Tier 3 | Preferred Brand | 20% of the cost | 25% of the cost |
| Tier 4 | Non-Preferred Drug | 30% of the cost | 27% of the cost |
| Tier 5 | Specialty Tier | 25% of the cost | 25% of the cost |
| Tier 6 | Select Care 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, 4 dual-eligible special needs plans are sold for 2027, this one included. Against the others, 1 plan has a lower out-of-pocket limit, 2 the same. On the premium, 3 the same.
Out-of-pocket limits of the 4 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 102 counties: $0 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).
Which 2026 plans move into it, and what changes for their members?
For 2027 this plan takes in the members of 4 other plans, beside its own 4,627 members. In 2027 it costs $0 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 |
|---|---|---|---|---|---|---|
| Molina Medicare Complete Care PlusH3093-001 | 3,218 | 3,157 | $0 | no change | $9,250 | ▲up $600 |
| Molina Medicare Complete Care PlusH3093-003 | 2,101 | 2,040 | $0 | no change | $9,250 | ▲up $600 |
| Molina Medicare Complete Care PlusH3093-004 | 3,977 | 3,897 | $0 | no change | $9,250 | ▲up $600 |
| Molina Medicare Complete Care PlusH3093-005 | 1,155 | 1,097 | $0 | no change | $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
- H3093-002
- Legal name of the contract
- Molina Healthcare of Illinois, Inc.
- Sold as
- Molina Healthcare of Illinois
- Parent company
- Molina Healthcare, Inc.
- Plan type
- HMO D-SNP
- 2026 star rating of the contract
- not rated (too new) overall; health plan not rated, drug plan not rated
- Members, September 2026
- 4,627
- Plan website, as filed with CMS
- https://www.molinahealthcare.com/members/il/en-us/
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 Champaign, ILWhere most of its members live; premiums and limits side by side
- Every Molina Healthcare of Illinois plan for 2027Its contracts, counties and plans that end
- 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.