Medicare contract · plan years 2026 and 2027CMS landscape and crosswalk
Triple S Advantage, Inc. (H4005)
H4005Contract
A company of Guidewell Mutual Holding Corporation, sold as Triple-S Advantage
1 plan in 2027 (1 in 2026) · 2,690 members in September 2026
Triple S Advantage, Inc. is the Guidewell Mutual Holding Corporation company that holds Medicare contract H4005, sold as Triple-S Advantage. In 2027 it offers 1 plan (1 in 2026); every one of its 2026 plans continues in 2027. 2,690 people were in its plans in September 2026.
What plans does H4005 offer for 2027?
| Plan | Type | Monthly premium | Out-of-pocket limit | Area | For 2027 |
|---|---|---|---|---|---|
| Óptimo PlusH4005-004 | PPO | $0 | $7,151 | 78 counties | renews |
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 crosswalk from 2026 to 2027 (Oct. 1, 2026).
Which employer and union group plans does it hold?
H4005 also holds 7 group plans offered through former employers and unions, with 3,850 members in September 2026 (plans with fewer than 11 not counted). They are not sold to individuals, so the landscape files list no premiums or benefits for them; the employer or union sends their 2027 terms.
| Plan ID | Plan name | Members, Sept. 2026 | 2027 |
|---|---|---|---|
| H4005-801 | Óptimo | fewer than 11 | renews |
| H4005-802 | Óptimo Plus A | 2,738 | renews |
| H4005-804 | Óptimo Plus B | 107 | renews |
| H4005-807 | Óptimo Plus C | fewer than 11 | not offered in 2027 |
| H4005-808 | Óptimo Plus D | fewer than 11 | renews |
| H4005-809 | Óptimo Plus E | 1,005 | renews |
| H4005-810 | Óptimo Plus F | fewer than 11 | renews |
Source: CMS monthly enrollment by plan and by county, September 2026 (CMS hides counts under 11); CMS plan crosswalk from 2026 to 2027 (Oct. 1, 2026).
How did CMS rate it for 2026?
The overall rating is 3.5 of 5 (health plan 3.5 of 5, drug plan 4.5 of 5). Of its 38 rated measures, the lowest and the highest:
| Lowest-rated measures | Stars |
|---|---|
| Improving or Maintaining Physical Health | 1 |
| Customer Service | 1 |
| Statin Therapy for Patients with Cardiovascular Disease | 2 |
| Follow-up after Emergency Department Visit for People with Multiple High-Risk Chronic Conditions | 2 |
| Highest-rated measures | Stars |
|---|---|
| Statin Use in Persons with Diabetes (SUPD) | 5 |
| Medication Adherence for Diabetes Medications | 5 |
| MPF Price Accuracy | 5 |
| Getting Needed Prescription Drugs | 5 |
Source: CMS Part C and D Star Ratings data tables, 2026 (October 2025).
What else should you check?
- All Triple-S Advantage plansEvery contract of the brand
- Star ratings of every contractThe 2026 ratings, and 2027 when CMS publishes them
- Find a plan by its IDFrom the card or a letter