Plan year 2026 · coverage ends Dec. 31, 2026CMS crosswalk of Oct. 1, 2026
HealthSpring Preferred is not offered under this ID in 2027
H3949Contract045Plan
HMO · served 2 counties in Pennsylvania in 2026
Run by Bravo Health Pennsylvania, Inc. (contract H3949), sold as HealthSpring, owned by Health Care Service Corporation
CMS crosswalk: members move into H3949-052
HealthSpring Preferred (H3949-045) is not offered under this ID in 2027: the CMS plan crosswalk of October 1, 2026 moves its members into HealthSpring Preferred (H3949-052), which is sold in every county it served. 520 people were enrolled in it in September 2026; they can also choose another plan during open enrollment, October 15 to December 7, 2026.
What changes for its members in HealthSpring Preferred?
| What you pay or get | 2026 | 2027 | Change |
|---|---|---|---|
| In-network out-of-pocket limit | $5,000 | $7,700 | ▲up $2,700 |
| Drug deductible | $200 | $500 | ▲up $300 |
| Specialist visit | $25 copay | $20 copay | ▼down $5 |
| Emergency room | $130 copay | $115 copay | ▼down $15 |
| Hospital stay, in network | $135 a day for days 1–6, then $0 a day for days 7–90 | $295 a day for days 1–7, then $0 a day for days 8–90 | ▲up $800for a 5-day stay |
| Skilled nursing facility, in network | $10 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 21–100 | ▼down $170for a 30-day stay |
| Eyewear, yearly limit | $325 a year | $150 a year | ▼down $175 |
| Over-the-counter items, yearly | $500 a year | $80 a year | ▼down $420 |
| Counties served | 2 | 7 | ▲up 5 |
| Drug tier 1, preferred generic | $9 | $10 | ▲up $1 |
| Drug tier 2, generic | $15 | $20 | ▲up $5 |
| Drug tier 3, preferred brand | $47 | 17% of the cost | changed |
| Drug tier 4, non-preferred drug | 50% of the cost | 25% of the cost | ▼down 25 points |
| Drug tier 5, specialty tier | 30% of the cost | 28% of the cost | ▼down 2 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 |
| Ground ambulance, in network | $220 copay | $220 copay | no change |
| Comprehensive dental, yearly limit | not offered | not offered | no change |
| Hearing aids, yearly limit for both ears | not offered | not offered | no change |
Source: CMS plan crosswalk from 2026 to 2027 (Oct. 1, 2026); 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. Your plan's Annual Notice of Change is the letter that confirms your 2027 plan; confirm on Medicare Plan Finder.
What can members do, and by when?
- If you do nothing
- You are moved into HealthSpring Preferred on January 1, 2027.
- October 15 to December 7, 2026
- Open enrollment: choose another Medicare Advantage plan, or Original Medicare with a drug plan, instead.
- January 1 to March 31, 2027
- Medicare Advantage open enrollment: switch once to another Medicare Advantage plan or to Original Medicare.
Source: Medicare.gov, “Special enrollment periods” and “Joining a plan” (read Oct. 7, 2026).
Where did its members live?
Where its members lived in September 2026; each county and state page lists the 2027 plans sold there.
| County | Members, Sept. 2026 | For 2027 |
|---|---|---|
| Lehigh, PA | 276 | moves into H3949-052 |
| Northampton, PA | 237 | moves into H3949-052 |
Source: CMS monthly enrollment by plan and by county, September 2026 (CMS hides counts under 11).
What else should you check?
- 2027 plans in Lehigh, PAThe plans you can join instead
- HealthSpring plans for 2027Plans the same company still offers
- Every plan not offered in 2027764 Medicare Advantage and drug plans