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

ProCare Advantage, 2027

H3467Contract001Plan

HMO-POS I-SNP · special needs plan, institutional · 114 counties in Texas

Run by Procare Advantage, LLC (contract H3467), sold as ProCare Advantage, owned by First Sacramento Capital Funding LLC

Renews for 2027

2026 star rating, contract H3467: not rated (too little data)

ProCare Advantage (H3467-001) costs $0 a month in 2027, down $4.80 from 2026, with an in-network out-of-pocket limit of $9,850 ($9,250 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 get	2026	2027	Change
Monthly premium	$4.80	$0	down $4.80
In-network out-of-pocket limit	$9,250	$9,850	up $600
Drug deductible	$615	$700	up $85
Emergency room	$90 copay	$115 copay	up $25
Comprehensive dental, yearly limit	not offered	$480 a year	added
Eyewear, yearly limit	not offered	$100 a year	added
Hearing aids, yearly limit for both ears	$600 a year	$1,200 a year	up $600
Over-the-counter items, yearly	not offered	$600 a year	added
Counties served	63	114	up 51
7 lines do not change
Part B premium reduction, monthly	none	none	no change
Primary care visit	0% of the cost	0% of the cost	no change
Specialist visit	20% of the cost	20% of the cost	no change
Medical deductible, in network	none	none	no change
Hospital stay, in network	not filed	not filed	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

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
Tier	What the tier holds	2026	2027
Tier 1	Preferred Generic	not offered	19% of the cost
Tier 2	Generic	not offered	21% of the cost
Tier 3	Preferred Brand	not offered	25% of the cost
Tier 4	Non-Preferred Drug	not offered	25% of the cost
Tier 5	Specialty Tier	not offered	25% 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, 7 institutional special needs plans are sold for 2027, this one included. Against the others, 2 plans have a lower out-of-pocket limit, 4 the same. On the premium, 2 the same, 4 a higher one.

Out-of-pocket limits of the 7 institutional special needs plans

$0 to under $2,0000 plans

$2,000 to under $4,0000 plans

$4,000 to under $6,0000 plans

$6,000 to under $8,0000 plans

$8,000 to $10,000 (this plan)7 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 114 counties: $0 a month and $9,850.

Texas

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: H3467-001
Legal name of the contract: Procare Advantage, LLC
Sold as: ProCare Advantage
Parent company: First Sacramento Capital Funding LLC
Plan type: HMO-POS I-SNP
2026 star rating of the contract: not rated (too little data) overall; health plan not rated, drug plan 3 of 5
Members, September 2026: 964
Plan website, as filed with CMS: www.procareadvantageplan.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 Harris, TXWhere most of its members live; premiums and limits side by side
Every ProCare Advantage plan for 2027Its contracts, counties and plans that end
The other 2 plans of contract H3467Same 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.