Plan year 2027 · Medicare AdvantageCMS files of Sept. 22 and Oct. 1, 2026
Wellcare Simple, 2027
H3499Contract002Plan
HMO-POS · 90 counties in Indiana
Run by Coordinated Care Corporation (contract H3499), sold as Wellcare, owned by Centene Corporation
Wellcare Simple (H3499-002) costs $0 a month in 2027, the same as in 2026, with an in-network out-of-pocket limit of $5,900 ($4,200 in 2026). It takes in the members of H3499-008.
What changes from 2026 to 2027?
| What you pay or get | 2026 | 2027 | Change |
|---|---|---|---|
| In-network out-of-pocket limit | $4,200 | $5,900 | ▲up $1,700 |
| Drug deductible | $615 | $700 | ▲up $85 |
| Specialist visit | $25 copay | $35 copay | ▲up $10 |
| Emergency room | $150 copay | $130 copay | ▼down $20 |
| Hospital stay, in network | $350 a day for days 1–6, then $0 a day for days 7–90 | $400 a day for days 1–7, then $0 a day for days 8–90 | ▲up $250for a 5-day stay |
| Skilled nursing facility, in network | $0 a day for days 1–20, then $218 a day for days 21–40, then $0 a day for days 41–100 | $0 a day for days 1–20, then $221 a day for days 21–50, then $0 a day for days 51–100 | ▲up $30for a 30-day stay |
| Ground ambulance, in network | $300 copay | $350 copay | ▲up $50 |
| Comprehensive dental, yearly limit | $3,000 a year | $2,000 a year | ▼down $1,000 |
| Eyewear, yearly limit | $300 a year | $200 a year | ▼down $100 |
| Hearing aids, yearly limit for both ears | $1,000 a year | $500 a year | ▼down $500 |
| Over-the-counter items, yearly | not offered | $180 a year | ▲added |
| Drug tier 1, generic | $5 | $10 | ▲up $5 |
| Drug tier 2, preferred brand | $10 | 25% of the cost | changed |
| Drug tier 3, non-preferred drug | 25% of the cost | 47% of the cost | ▲up 22 points |
| Drug tier 4, injectable drugs | 37% of the cost | 1% of the cost | ▼down 36 points |
| 7 lines do not change | |||
| Monthly premium | $0 | $0 | no change |
| Part B premium reduction, monthly | none | none | no change |
| Primary care visit | $0 copay | $0 copay | no change |
| Medical deductible, in network | none | none | no change |
| Counties served | 90 | 90 | 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, standard pharmacy | 2027, standard pharmacy | 2027, preferred pharmacy |
|---|---|---|---|---|
| Tier 1 | Generic | $5 | $10 | $0 |
| Tier 2 | Preferred Brand | $10 | 25% of the cost | 25% of the cost |
| Tier 3 | Non-Preferred Drug | 25% of the cost | 47% of the cost | 47% of the cost |
| Tier 4 | Injectable Drugs | 37% of the cost | 1% of the cost | 1% of the cost |
| Tier 5 | Specialty Tier | 25% of the cost | 25% of the cost | 25% of the cost |
| Tier 6 | Select Care Drugs | $0 | $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, 87 plans open to everyone are sold for 2027, this one included. Against the others, 24 plans have a lower out-of-pocket limit, 6 the same, 56 a higher one. On the premium, 64 the same, 22 a higher one.
Out-of-pocket limits of the 87 plans open to everyone
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 90 counties: $0 a month and $5,900.
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 1 other plan, beside its own 4,006 members. In 2027 it costs $0 a month with a $5,900 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 |
|---|---|---|---|---|---|---|
| Wellcare AssistH3499-008 | 445 | 190 | $31.10 | ▼down $31.10 | $5,700 | ▲up $200 |
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
- H3499-002
- Legal name of the contract
- Coordinated Care Corporation
- Sold as
- Wellcare
- Parent company
- Centene Corporation
- Plan type
- HMO-POS
- 2026 star rating of the contract
- 3 of 5 overall; health plan 3 of 5, drug plan 3.5 of 5
- Members, September 2026
- 4,006
- Plan website, as filed with CMS
- go.wellcare.com/IN
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 Marion, INWhere most of its members live; premiums and limits side by side
- Every Wellcare 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.