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

El Paso Health Giveback, 2027

H3407Contract003Plan

HMO · 2 counties in Texas

Run by EL Paso First Health Plans, Inc. (contract H3407), sold as El Paso Health Medicare Advantage, owned by El Paso County Hospital District

Renews for 2027

2026 star rating, contract H3407: not rated (too little data)

El Paso Health Giveback (H3407-003) costs $0 a month in 2027, the same as in 2026, with an in-network out-of-pocket limit of $9,850 ($8,450 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$8,450$9,850up $1,400
Drug deductible$615$700up $85
Part B premium reduction, monthly$120$128up $8
Hospital stay, in network$400 a day for days 1–5, then $0 a day for days 6–90$375 a day for days 1–6, then $0 a day for days 7–90down $125for a 5-day stay
Skilled nursing facility, in network$0 a day for days 1–20, then $214 a day for days 21–100$0 a day for days 1–20, then $221 a day for days 21–100up $70for a 30-day stay
17 lines do not change
Monthly premium$0$0no change
Primary care visit$0 copay$0 copayno change
Specialist visit$35 copay$35 copayno change
Emergency room$115 copay$115 copayno change
Medical deductible, in networknonenoneno change
Ground ambulance, in network$250 copay$250 copayno change
Comprehensive dental, yearly limitnot offerednot offeredno change
Eyewear, yearly limit$200 a year$200 a yearno change
Hearing aids, yearly limit for both earsnot offerednot offeredno change
Over-the-counter items, yearlynot offerednot offeredno change
Counties served22no change
Drug tier 1, preferred generic$0$0no change
Drug tier 2, generic$0$0no change
Drug tier 3, preferred brand20% of the cost20% of the costno change
Drug tier 4, non-preferred drug27% of the cost27% of the costno change
Drug tier 5, specialty tier25% of the cost25% of the costno change
Drug tier 6, supplemental drugs$0$0no 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 Brand20% of the cost20% of the cost
Tier 4Non-Preferred Drug27% of the cost27% of the cost
Tier 5Specialty Tier25% of the cost25% of the cost
Tier 6Supplemental 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, 44 plans open to everyone are sold for 2027, this one included. Against the others, 39 plans have a lower out-of-pocket limit, 4 the same. On the premium, 33 the same, 10 a higher one.

Out-of-pocket limits of the 44 plans open to everyone

$0 to under $2,0000 plans
$2,000 to under $4,0007 plans
$4,000 to under $6,00011 plans
$6,000 to under $8,00018 plans
$8,000 to $10,000 (this plan)8 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 2 counties: $0 a month and $9,850.

Texas

El PasoHudspeth

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
H3407-003
Legal name of the contract
EL Paso First Health Plans, Inc.
Sold as
El Paso Health Medicare Advantage
Parent company
El Paso County Hospital District
Plan type
HMO
2026 star rating of the contract
not rated (too little data) overall; health plan not rated, drug plan 2 of 5
Members, September 2026
47
Plan website, as filed with CMS
ephmedicare.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.