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

ProCare Advantage: Kidney Care, 2027

H3467Contract002Plan

HMO-POS C-SNP · special needs plan, chronic or disabling condition · 12 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: Kidney Care (H3467-002) 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 get20262027Change
Monthly premium$4.80$0down $4.80
In-network out-of-pocket limit$9,250$9,850up $600
Drug deductible$615$0down $615
Emergency room$90 copay$115 copayup $25
Comprehensive dental, yearly limitnot offered$2,000 a yearadded
Eyewear, yearly limit$325 a year$175 a yeardown $150
Counties served412up 8
9 lines do not change
Part B premium reduction, monthlynonenoneno change
Primary care visit$0 copay$0 copayno change
Specialist visit20% of the cost20% of the costno change
Medical deductible, in networknonenoneno change
Hospital stay, in networknot filednot filedno change
Skilled nursing facility, in networknot filednot filedno change
Ground ambulance, in network20% of the cost20% of the costno change
Hearing aids, yearly limit for both earsnot offerednot offeredno change
Over-the-counter items, yearlynot offerednot offeredno 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 Genericnot offered5% of the cost
Tier 2Genericnot offered25% of the cost
Tier 3Preferred Brandnot offered25% of the cost
Tier 4Non-Preferred Drugnot offered25% of the cost
Tier 5Specialty Tiernot offered33% 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, 27 chronic or disabling condition special needs plans are sold for 2027, this one included. Against the others, 18 plans have a lower out-of-pocket limit, 8 the same. On the premium, 22 the same, 4 a higher one.

Out-of-pocket limits of the 27 chronic or disabling condition special needs plans

$0 to under $2,0002 plans
$2,000 to under $4,00010 plans
$4,000 to under $6,0004 plans
$6,000 to under $8,0002 plans
$8,000 to $10,000 (this plan)9 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 12 counties: $0 a month and $9,850.

Texas

BrazoriaChambersCollinDallasDentonFort BendGalvestonHarrisJeffersonLibertyOrangeTarrant

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
H3467-002
Legal name of the contract
Procare Advantage, LLC
Sold as
ProCare Advantage
Parent company
First Sacramento Capital Funding LLC
Plan type
HMO-POS C-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
fewer than 11
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?

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.