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

Mount Carmel MediGold Cash Back, 2027

H3668Contract030Plan

HMO · 45 counties in Ohio

Run by Mount Carmel Health Plan, Inc. (contract H3668), sold as MediGold, owned by Trinity Health Corporation

Renews in fewer counties

2026 star rating, contract H3668: 4.5 of 5

Mount Carmel MediGold Cash Back (H3668-030) costs $0 a month in 2027, the same as in 2026, with an in-network out-of-pocket limit of $8,900 ($7,900 in 2026). It leaves 17 counties it served in 2026, where 253 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 get	2026	2027	Change
In-network out-of-pocket limit	$7,900	$8,900	up $1,000
Drug deductible	$250	$350	up $100
Specialist visit	$40 copay	$45 copay	up $5
Skilled nursing facility, in network	$0 a day for days 1–20, then $218 a day for days 21–60, then $0 a day for days 61–100	$0 a day for days 1–20, then $221 a day for days 21–65, then $0 a day for days 66–100	up $30for a 30-day stay
Counties served	62	45	down 17
Drug tier 5, specialty tier	30% of the cost	29% of the cost	down 1 point
15 lines do not change
Monthly premium	$0	$0	no change
Part B premium reduction, monthly	$160	$160	no change
Primary care visit	$0 copay	$0 copay	no change
Emergency room	$115 copay	$115 copay	no change
Medical deductible, in network	none	none	no change
Hospital stay, in network	$475 a day for days 1–5, then $0 a day for days 6–90	$475 a day for days 1–5, then $0 a day for days 6–90	no change
Ground ambulance, in network	$300 copay	$300 copay	no change
Comprehensive dental, yearly limit	not offered	not offered	no change
Eyewear, yearly limit	$125 a year	$125 a year	no change
Hearing aids, yearly limit for both ears	not offered	not offered	no change
Over-the-counter items, yearly	$100 a year	$100 a year	no change
Drug tier 1, preferred generic	$0	$0	no change
Drug tier 2, generic	$5	$5	no change
Drug tier 3, preferred brand	25% of the cost	25% of the cost	no change
Drug tier 4, non-preferred drug	40% of the cost	40% 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	$0	$0
Tier 2	Generic	$5	$5
Tier 3	Preferred Brand	25% of the cost	25% of the cost
Tier 4	Non-Preferred Drug	40% of the cost	40% of the cost
Tier 5	Specialty Tier	30% of the cost	29% 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, 106 plans open to everyone are sold for 2027, this one included. Against the others, 98 plans have a lower out-of-pocket limit, 2 the same, 5 a higher one. On the premium, 66 the same, 39 a higher one.

Out-of-pocket limits of the 106 plans open to everyone

$0 to under $2,0000 plans

$2,000 to under $4,0006 plans

$4,000 to under $6,00046 plans

$6,000 to under $8,00041 plans

$8,000 to $10,000 (this plan)13 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 17 counties it served in 2026 (listed in the next section).

The premium and the out-of-pocket limit are the same in all 45 counties: $0 a month and $8,900.

Ohio

Adams Auglaize Brown Butler Champaign Clark Clermont Clinton Coshocton Darke Delaware Fairfield Fayette Franklin Gallia Greene Guernsey Hamilton Harrison Highland Hocking Holmes Jackson Knox Licking Logan Madison Meigs Miami Monroe Montgomery Morgan Muskingum Noble Perry Pickaway Pike Preble Richland Ross Shelby Union Vinton Warren Washington

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 17 counties 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).
Without a drug plan: Going 63 days or more in a row without drug coverage can mean a late enrollment penalty if you join a drug plan later; joining by the end of February keeps a January and February gap under 63 days, waiting longer does not.
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 17 counties it leaves, most members first
County	Members, Sept. 2026
Lucas, OH	83
Crawford, OH	49
Allen, OH	38
Wood, OH	31
Hancock, OH	27
Morrow, OH	25
Defiance, OH	fewer than 11
Fulton, OH	fewer than 11
Hardin, OH	fewer than 11
Henry, OH	fewer than 11
Mercer, OH	fewer than 11
Ottawa, OH	fewer than 11
Paulding, OH	fewer than 11
Putnam, OH	fewer than 11
Seneca, OH	fewer than 11
Van Wert, OH	fewer than 11
Wyandot, OH	fewer than 11

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: H3668-030
Legal name of the contract: Mount Carmel Health Plan, Inc.
Sold as: MediGold
Parent company: Trinity Health Corporation
Plan type: HMO
2026 star rating of the contract: 4.5 of 5 overall; health plan 4 of 5, drug plan 4 of 5
Members, September 2026: 13,440
Plan website, as filed with CMS: www.thpmedicare.org/mount-carmel

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 Franklin, OHWhere most of its members live; premiums and limits side by side
Every MediGold plan for 2027Its contracts, counties and plans that end
The other 8 plans of contract H3668Same 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.