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

SummaCare Medicare Topaz, 2027

H3660Contract050Plan

HMO · 25 counties in Ohio

Run by Summacare Inc. (contract H3660), sold as SummaCare Medicare Advantage Plans, owned by General Catalyst Group Management Holdings LP

Renews for 2027

2026 star rating, contract H3660: 4.5 of 5

SummaCare Medicare Topaz (H3660-050) costs $17 a month in 2027, up $17 from 2026, with an in-network out-of-pocket limit of $4,650 ($4,300 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$0$17up $17
In-network out-of-pocket limit$4,300$4,650up $350
Drug deductible$300$365up $65
Hospital stay, in network$375 a day for days 1–6, then $0 a day for days 7–90$370 a day for days 1–6, then $0 a day for days 7–90down $25for a 5-day stay
Skilled nursing facility, in network$0 a day for days 1–20, then $218 a day for days 21–100$0 a day for days 1–20, then $221 a day for days 21–100up $30for a 30-day stay
Ground ambulance, in network$350 copay$320 copaydown $30
Over-the-counter items, yearly$320 a year$160 a yeardown $160
15 lines do not change
Part B premium reduction, monthlynonenoneno change
Primary care visit$0 copay$0 copayno change
Specialist visit$35 copay$35 copayno change
Emergency room$130 copay$130 copayno change
Medical deductible, in networknonenoneno 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
Counties served2525no change
Drug tier 1, preferred generic$6$6no change
Drug tier 2, generic$10$10no change
Drug tier 3, preferred brand25% of the cost25% of the costno change
Drug tier 4, non-preferred drug50% of the cost50% of the costno change
Drug tier 5, specialty tier29% of the cost29% of the costno change
Drug tier 6, select care drugs$6$6no 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. The plan charges less at its preferred pharmacies
TierWhat the tier holds2026, standard pharmacy2027, standard pharmacy2027, preferred pharmacy
Tier 1Preferred Generic$6$6$0
Tier 2Generic$10$10$0
Tier 3Preferred Brand25% of the cost25% of the cost23% of the cost
Tier 4Non-Preferred Drug50% of the cost50% of the cost33% of the cost
Tier 5Specialty Tier29% of the cost29% of the cost29% of the cost
Tier 6Select Care Drugs$6$6$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, 85 plans open to everyone are sold for 2027, this one included. Against the others, 19 plans have a lower out-of-pocket limit, 65 a higher one. On the premium, 53 plans have a lower premium, 31 a higher one.

Out-of-pocket limits of the 85 plans open to everyone

$0 to under $2,0000 plans
$2,000 to under $4,0006 plans
$4,000 to under $6,000 (this plan)42 plans
$6,000 to under $8,00026 plans
$8,000 to $10,00011 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 25 counties: $17 a month and $4,650.

Ohio

AshlandAshtabulaCarrollColumbianaCuyahogaErieFultonGeaugaHolmesHuronLakeLorainLucasMahoningMedinaOttawaPortageSanduskySenecaStarkSummitTrumbullTuscarawasWayneWood

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
H3660-050
Legal name of the contract
Summacare Inc.
Sold as
SummaCare Medicare Advantage Plans
Parent company
General Catalyst Group Management Holdings LP
Plan type
HMO
2026 star rating of the contract
4.5 of 5 overall; health plan 4 of 5, drug plan 4.5 of 5
Members, September 2026
21,703
Plan website, as filed with CMS
https://www.summacare.com/medicare

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.