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

Senior Health Plan Oklahoma Dual Complete, 2027

H3755Contract006Plan

HMO D-SNP · special needs plan, dual-eligible · 40 counties in Oklahoma

Run by Communitycare Government Programs, Inc. (contract H3755), sold as CommunityCare Senior Health Plan (HMO), owned by St Francis Health System & St John Health System

Renews for 2027

2026 star rating, contract H3755: 4 of 5

Senior Health Plan Oklahoma Dual Complete (H3755-006) costs $11 a month in 2027, down $17.20 from 2026, with an in-network out-of-pocket limit of $9,250.

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
Monthly premium	$28.20	$11	down $17.20
Drug deductible	$615	$700	up $85
Eyewear, yearly limit	$475 a year	$300 a year	down $175
Hearing aids, yearly limit for both ears	$250 a year	$125 a year	down $125
Over-the-counter items, yearly	$2,160 a year	$2,040 a year	down $120
Counties served	11	40	up 29
15 lines do not change
In-network out-of-pocket limit	$9,250	$9,250	no change
Part B premium reduction, monthly	none	none	no change
Primary care visit	20% of the cost	20% of the cost	no change
Specialist visit	20% of the cost	20% of the cost	no change
Emergency room	20% of the cost	20% of the cost	no change
Medical deductible, in network	none	none	no change
Hospital stay, in network	not filed	not filed	no change
Skilled nursing facility, in network	not filed	not filed	no change
Ground ambulance, in network	20% of the cost	20% of the cost	no change
Comprehensive dental, yearly limit	not offered	not offered	no change
Drug tier 1, preferred generic	$0	$0	no change
Drug tier 2, generic	25% of the cost	25% of the cost	no change
Drug tier 3, preferred brand	25% of the cost	25% of the cost	no change
Drug tier 4, non-preferred drug	25% of the cost	25% of the cost	no change
Drug tier 5, specialty tier	25% of the cost	25% 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	25% of the cost	25% of the cost
Tier 3	Preferred Brand	25% of the cost	25% of the cost
Tier 4	Non-Preferred Drug	25% of the cost	25% of the cost
Tier 5	Specialty Tier	25% of the cost	25% 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, 12 dual-eligible special needs plans are sold for 2027, this one included. Against the others, 1 plan has a lower out-of-pocket limit, 10 a higher one. On the premium, 10 plans have a lower premium, 1 the same.

Out-of-pocket limits of the 12 dual-eligible special needs plans

$0 to under $2,0000 plans

$2,000 to under $4,0000 plans

$4,000 to under $6,0000 plans

$6,000 to under $8,0001 plan

$8,000 to $10,000 (this plan)11 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 40 counties: $11 a month and $9,250.

Oklahoma

Adair Canadian Cherokee Cleveland Comanche Craig Creek Delaware Garvin Grady Haskell Hughes Jefferson Kingfisher Latimer Le Flore Lincoln Logan Mayes McClain McIntosh Muskogee Nowata Okfuskee Oklahoma Okmulgee Osage Ottawa Pawnee Payne Pittsburg Pottawatomie Pushmataha Rogers Seminole Sequoyah Stephens Tulsa Wagoner Washington

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: H3755-006
Legal name of the contract: Communitycare Government Programs, Inc.
Sold as: CommunityCare Senior Health Plan (HMO)
Parent company: St Francis Health System & St John Health System
Plan type: HMO D-SNP
2026 star rating of the contract: 4 of 5 overall; health plan 3.5 of 5, drug plan 3.5 of 5
Members, September 2026: 23
Plan website, as filed with CMS: www.ccokadvantage.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?

Other 2027 plans in Tulsa, OKWhere most of its members live; premiums and limits side by side
Every CommunityCare Senior Health Plan (HMO) plan for 2027Its contracts, counties and plans that end
The other 5 plans of contract H3755Same 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.