Medicare contract · plan years 2026 and 2027CMS landscape and crosswalk
Simpra Advantage, Inc. (H4091)
H4091Contract
A company of Associated Care Ventures, Inc., sold as Simpra Advantage
3 plans in 2027 (3 in 2026) · 3,589 members in September 2026
Simpra Advantage, Inc. is the Associated Care Ventures, Inc. company that holds Medicare contract H4091, sold as Simpra Advantage. In 2027 it offers 3 plans (3 in 2026); every one of its 2026 plans continues in 2027. 3,589 people were in its plans in September 2026.
What plans does H4091 offer for 2027?
| Plan | Type | Monthly premium | Out-of-pocket limit | Area | For 2027 |
|---|---|---|---|---|---|
| Simpra Advantage Nursing Home PlanH4091-001 | PPO I-SNP | $13.70 | $9,850 | 67 counties | renews |
| Simpra Advantage Dual CareH4091-002 | PPO D-SNP | $13.70 | $9,850 | 67 counties | renews |
| Simpra Advantage AssistH4091-003 | PPO I-SNP | $90 | $6,700 | 67 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).
How did CMS rate it for 2026?
The overall rating is not rated (too little data) (health plan not rated, drug plan 4 of 5). Of its 21 rated measures, the lowest and the highest:
| Lowest-rated measures | Stars |
|---|---|
| Getting Appointments and Care Quickly | 1 |
| Annual Flu Vaccine | 2 |
| Transitions of Care | 2 |
| MTM Program Completion Rate for CMR | 2 |
| Highest-rated measures | Stars |
|---|---|
| Rating of Drug Plan | 5 |
| Drug Plan Quality Improvement | 5 |
| Complaints about the Drug Plan | 5 |
| Plan Makes Timely Decisions about Appeals | 5 |
Source: CMS Part C and D Star Ratings data tables, 2026 (October 2025).
What else should you check?
- All Simpra 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