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

Simpra Advantage Nursing Home Plan, 2027

H4091Contract001Plan

PPO I-SNP · special needs plan, institutional · 67 counties in Alabama

Run by Simpra Advantage, Inc. (contract H4091), sold as Simpra Advantage, owned by Associated Care Ventures, Inc.

Renews for 2027

2026 star rating, contract H4091: not rated (too little data)

Simpra Advantage Nursing Home Plan (H4091-001) costs $13.70 a month in 2027, down $14 from 2026, with an in-network out-of-pocket limit of $9,850 ($8,600 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
Monthly premium	$27.70	$13.70	down $14
In-network out-of-pocket limit	$8,600	$9,850	up $1,250
Drug deductible	$615	$700	up $85
13 lines do not 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
Eyewear, yearly limit	$230 a year	$230 a year	no change
Hearing aids, yearly limit for both ears	$1,000 a year	$1,000 a year	no change
Over-the-counter items, yearly	$1,200 a year	$1,200 a year	no change
Counties served	67	67	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.

How does it compare with plans sold where it is?

In the counties it serves, 3 institutional special needs plans are sold for 2027, this one included. Against the others, 1 plan has a lower out-of-pocket limit, 1 the same. On the premium, 1 plan has a lower premium, 1 a higher one.

Out-of-pocket limits of the 3 institutional 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)2 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 67 counties: $13.70 a month and $9,850.

Alabama

Autauga Baldwin Barbour Bibb Blount Bullock Butler Calhoun Chambers Cherokee Chilton Choctaw Clarke Clay Cleburne Coffee Colbert Conecuh Coosa Covington Crenshaw Cullman Dale Dallas DeKalb Elmore Escambia Etowah Fayette Franklin Geneva Greene Hale Henry Houston Jackson Jefferson Lamar Lauderdale Lawrence Lee Limestone Lowndes Macon Madison Marengo Marion Marshall Mobile Monroe Montgomery Morgan Perry Pickens Pike Randolph Russell Shelby St. Clair Sumter Talladega Tallapoosa Tuscaloosa Walker Washington Wilcox Winston

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: H4091-001
Legal name of the contract: Simpra Advantage, Inc.
Sold as: Simpra Advantage
Parent company: Associated Care Ventures, Inc.
Plan type: PPO I-SNP
2026 star rating of the contract: not rated (too little data) overall; health plan not rated, drug plan 4 of 5
Members, September 2026: 2,487
Plan website, as filed with CMS: www.simpra.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 Tuscaloosa, ALWhere most of its members live; premiums and limits side by side
Every Simpra Advantage plan for 2027Its contracts, counties and plans that end
The other 2 plans of contract H4091Same 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.