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

Wellcare Simple, 2027

H4073Contract001Plan

HMO-POS · 71 counties in North Carolina

Run by Wellcare Health Insurance of North Carolina, Inc. (contract H4073), sold as Wellcare, owned by Centene Corporation

Renews for 2027

2026 star rating, contract H4073: 3.5 of 5

Wellcare Simple (H4073-001) costs $0 a month in 2027, the same as in 2026, with an in-network out-of-pocket limit of $6,700 ($4,200 in 2026).

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	$4,200	$6,700	up $2,500
Drug deductible	$615	$700	up $85
Specialist visit	$20 copay	$25 copay	up $5
Emergency room	$150 copay	$130 copay	down $20
Hospital stay, in network	$350 a day for days 1–6, then $0 a day for days 7–90	$390 a day for days 1–6, then $0 a day for days 7–90	up $200for a 5-day stay
Skilled nursing facility, in network	$0 a day for days 1–20, then $218 a day for days 21–40, then $0 a day for days 41–100	$0 a day for days 1–20, then $221 a day for days 21–60, then $0 a day for days 61–100	up $30for a 30-day stay
Eyewear, yearly limit	$500 a year	$200 a year	down $300
Drug tier 1, generic	$5	$10	up $5
Drug tier 2, preferred brand	$10	25% of the cost	changed
Drug tier 3, non-preferred drug	25% of the cost	44% of the cost	up 19 points
Drug tier 4, injectable drugs	35% of the cost	1% of the cost	down 34 points
11 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	$350 copay	$350 copay	no change
Comprehensive dental, yearly limit	$4,000 a year	$4,000 a year	no change
Hearing aids, yearly limit for both ears	$750 a year	$750 a year	no change
Over-the-counter items, yearly	not offered	not offered	no change
Counties served	71	71	no change
Drug tier 5, specialty tier	25% of the cost	25% of the cost	no change
Drug tier 6, select care drugs	$0	$0	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. The plan charges less at its preferred pharmacies
Tier	What the tier holds	2026, standard pharmacy	2027, standard pharmacy	2027, preferred pharmacy
Tier 1	Generic	$5	$10	$0
Tier 2	Preferred Brand	$10	25% of the cost	25% of the cost
Tier 3	Non-Preferred Drug	25% of the cost	44% of the cost	44% of the cost
Tier 4	Injectable Drugs	35% of the cost	1% of the cost	1% of the cost
Tier 5	Specialty Tier	25% of the cost	25% of the cost	25% of the cost
Tier 6	Select Care Drugs	$0	$0	$0

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, 42 plans have a lower out-of-pocket limit, 63 a higher one. On the premium, 84 the same, 21 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 $6,00032 plans

$6,000 to under $8,000 (this plan)27 plans

$8,000 to $10,00041 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 71 counties: $0 a month and $6,700.

North Carolina

Alamance Alexander Alleghany Anson Ashe Avery Bladen Buncombe Burke Cabarrus Caldwell Caswell Catawba Chatham Clay Cleveland Columbus Cumberland Davidson Davie Duplin Durham Forsyth Franklin Gaston Graham Granville Greene Guilford Harnett Haywood Henderson Hoke Iredell Jackson Johnston Lee Lincoln Macon Madison McDowell Mecklenburg Mitchell Montgomery Moore Nash Orange Person Polk Randolph Richmond Robeson Rockingham Rowan Rutherford Sampson Scotland Stanly Stokes Surry Swain Transylvania Union Vance Wake Warren Watauga Wilkes Wilson Yadkin Yancey

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: H4073-001
Legal name of the contract: Wellcare Health Insurance of North Carolina, Inc.
Sold as: Wellcare
Parent company: Centene Corporation
Plan type: HMO-POS
2026 star rating of the contract: 3.5 of 5 overall; health plan 3.5 of 5, drug plan 3 of 5
Members, September 2026: 4,746
Plan website, as filed with CMS: go.wellcare.com/Medicare

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 Wake, NCWhere most of its members live; premiums and limits side by side
Every Wellcare plan for 2027Its contracts, counties and plans that end
The other 2 plans of contract H4073Same 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.