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

PrimeTime Health Plan Basic: MA Only, 2027

H3664Contract014Plan

HMO-POS · 10 counties in Ohio

Run by Aultcare Health Insuring Corporation (contract H3664), sold as PrimeTime Health Plan, owned by Aultman Health Foundation

Renews in fewer counties

2026 star rating, contract H3664: 4.5 of 5

PrimeTime Health Plan Basic: MA Only (H3664-014) costs $0 a month in 2027, the same as in 2026, with an in-network out-of-pocket limit of $3,900. It leaves Tuscarawas, OH, a county it served in 2026, where 75 of its members lived; they choose another plan for 2027 (the counties are listed below).

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
Counties served1110down 1
14 lines do not change
Monthly premium$0$0no change
In-network out-of-pocket limit$3,900$3,900no change
Part B premium reduction, monthly$75$75no change
Primary care visit$0 copay$0 copayno change
Specialist visit$40 copay$40 copayno change
Emergency room$140 copay$140 copayno change
Medical deductible, in networknonenoneno change
Hospital stay, in network$275 a day for days 1–6, then $0 a day for days 7–90$275 a day for days 1–6, then $0 a day for days 7–90no change
Skilled nursing facility, in network$20 a day for days 1–20, then $150 a day for days 21–39, then $0 a day for days 40–100$20 a day for days 1–20, then $150 a day for days 21–39, then $0 a day for days 40–100no change
Ground ambulance, in network$200 copay$200 copayno change
Comprehensive dental, yearly limitnot offerednot offeredno change
Eyewear, yearly limit$300 a year$300 a yearno change
Hearing aids, yearly limit for both earsnot offerednot offeredno change
Over-the-counter items, yearly$300 a year$300 a yearno 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.

How does it compare with plans sold where it is?

In the counties it serves, 83 plans open to everyone are sold for 2027, this one included. Against the others, 4 plans have a lower out-of-pocket limit, 1 the same, 77 a higher one. On the premium, 46 the same, 36 a higher one.

Out-of-pocket limits of the 83 plans open to everyone

$0 to under $2,0000 plans
$2,000 to under $4,000 (this plan)6 plans
$4,000 to under $6,00038 plans
$6,000 to under $8,00029 plans
$8,000 to $10,00010 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?

It stops serving 1 county it served in 2026 (listed in the next section).

The premium and the out-of-pocket limit are the same in all 10 counties: $0 a month and $3,900.

Ohio

CarrollColumbianaHarrisonHolmesMahoningMedinaPortageStarkSummitWayne

Source: CMS Medicare Advantage and Part D landscape files for 2027 (Sept. 22, 2026, revised Sept. 30) and 2026 (Sept. 2, 2026 revision).

What if you live in a county it leaves?

Its 2026 members in the county listed below cannot stay in it for 2027; each county page lists the 2027 plans sold there.

Your coverage
This plan ends for you on December 31, 2026, because it is no longer sold where you live.
October 15 to December 7, 2026
Open enrollment: join another Medicare Advantage plan, or Original Medicare with a drug plan. Coverage starts January 1, 2027.
December 8, 2026 to the end of February 2027
A special enrollment period because the plan is leaving: you can still join a plan, but coverage starts the first day of the month after you join, so choose by December 31 to have no gap.
If you do nothing
You are enrolled in Original Medicare when the plan ends, without a drug plan unless you join one (with Extra Help or full Medicaid, Medicare enrolls you in one).
If you choose Original Medicare
You have a guaranteed right to buy Medigap Plan A, B, C, D, F, G, K or L sold in your state by any insurance company; if you were new to Medicare on or after January 1, 2020, Plans D and G take the place of C and F. Apply from 60 days before to 63 days after the plan ends; the policy starts once your Medicare Advantage coverage ends. Other Medigap plans are not covered by this right.
The 1 county it leaves, most members first
CountyMembers, Sept. 2026
Tuscarawas, OH75

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); Medicare.gov, “Special enrollment periods” and “When can I buy Medigap?” (read Oct. 7, 2026).

Who runs this plan?

Plan ID
H3664-014
Legal name of the contract
Aultcare Health Insuring Corporation
Sold as
PrimeTime Health Plan
Parent company
Aultman Health Foundation
Plan type
HMO-POS
2026 star rating of the contract
4.5 of 5 overall; health plan 4.5 of 5, drug plan 3.5 of 5
Members, September 2026
398
Plan website, as filed with CMS
www.primetimehealthplan.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.