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

Leon MediDual, 2027

H4286Contract002Plan

HMO D-SNP · special needs plan, dual-eligible · 1 county in Florida

Run by Leon Health, Inc. (contract H4286), sold as Leon Health, Inc., owned by LMC Family Holdings, LLC

Takes in 1 plan

2026 star rating, contract H4286: 5 of 5

Leon MediDual (H4286-002) costs $0 a month in 2027, the same as in 2026, with an in-network out-of-pocket limit of $3,450. It takes in the members of H4286-005. Some of its 2026 members move to H4286-005 instead (CMS crosswalk).

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
Drug deductible	$615	$700	up $85
Over-the-counter items, yearly	$900 a year	$2,400 a year	up $1,500
Drug tier 1, generic	20% of the cost	14% of the cost	down 6 points
Drug tier 2, preferred brand	20% of the cost	14% of the cost	down 6 points
17 lines do not change
Monthly premium	$0	$0	no change
In-network out-of-pocket limit	$3,450	$3,450	no change
Part B premium reduction, monthly	none	none	no change
Primary care visit	$0 copay	$0 copay	no change
Specialist visit	$0 copay	$0 copay	no change
Emergency room	$0 copay	$0 copay	no change
Medical deductible, in network	none	none	no change
Hospital stay, in network	$0 a stay	$0 a stay	no change
Skilled nursing facility, in network	$0 a stay	$0 a stay	no change
Ground ambulance, in network	$0 copay	$0 copay	no change
Comprehensive dental, yearly limit	not offered	not offered	no change
Eyewear, yearly limit	not offered	not offered	no change
Hearing aids, yearly limit for both ears	$350 a year	$350 a year	no change
Counties served	1	1	no change
Drug tier 3, non-preferred drug	25% of the cost	25% of the cost	no change
Drug tier 4, specialty tier	25% of the cost	25% of the cost	no change
Drug tier 5, supplemental drugs	$10	$10	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	20% of the cost	14% of the cost	14% of the cost
Tier 2	Preferred Brand	20% of the cost	14% of the cost	14% of the cost
Tier 3	Non-Preferred Drug	25% of the cost	25% of the cost	25% of the cost
Tier 4	Specialty Tier	25% of the cost	25% of the cost	25% of the cost
Tier 5	Supplemental Drugs	$10	$10	$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, 34 dual-eligible special needs plans are sold for 2027, this one included. Against the others, 11 plans have a lower out-of-pocket limit, 3 the same, 19 a higher one. On the premium, 29 the same, 4 a higher one.

Out-of-pocket limits of the 34 dual-eligible special needs plans

$0 to under $2,0001 plan

$2,000 to under $4,000 (this plan)14 plans

$4,000 to under $6,0002 plans

$6,000 to under $8,0000 plans

$8,000 to $10,00017 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 1 county: $0 a month and $3,450.

Florida

Miami-Dade

Source: CMS Medicare Advantage and Part D landscape files for 2027 (Sept. 22, 2026, revised Sept. 30) and 2026 (Sept. 2, 2026 revision).

Where do its 2026 members go?

The CMS crosswalk moves the members of the 2026 plan into 2 plans for 2027. It names the plans but not which member goes to which; the counties show where each 2027 plan is sold, and the plan's Annual Notice of Change says which one is yours.

2027 plan	Sold in	Members in those counties, Sept. 2026	Premium 2027	Limit 2027
Stays in this plan	1 of its 1 2026 counties, in Florida	20,231	$0	$3,450
Leon MediMaxH4286-005	1 of its 1 2026 counties, in Florida	20,231	$0	$3,450

Where the plans are sold in the same counties, the member counts overlap, so they add up to more than the plan's members.

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 monthly enrollment by plan and by county, September 2026 (CMS hides counts under 11).

Which 2026 plans move into it, and what changes for their members?

For 2027 this plan takes in the members of 1 other plan, beside its own 20,264 members. In 2027 it costs $0 a month with a $3,450 limit; each row compares that with the plan its members had in 2026.

2026 plan	Members, Sept. 2026	Members who move	Premium 2026	Premium change	Limit 2026	Limit change
Leon MediMaxH4286-005	fewer than 11	fewer than 11 a county	$0	no change	$3,450	no change

Source: CMS plan crosswalk from 2026 to 2027 (Oct. 1, 2026); CMS monthly enrollment by plan and by county, September 2026 (CMS hides counts under 11); CMS Medicare Advantage and Part D landscape files for 2027 (Sept. 22, 2026, revised Sept. 30) and 2026 (Sept. 2, 2026 revision). Each moving plan's own page lists every line that changes for its members.

Who runs this plan?

Plan ID: H4286-002
Legal name of the contract: Leon Health, Inc.
Sold as: Leon Health, Inc.
Parent company: LMC Family Holdings, LLC
Plan type: HMO D-SNP
2026 star rating of the contract: 5 of 5 overall; health plan 5 of 5, drug plan 5 of 5
Members, September 2026: 20,264
Plan website, as filed with CMS: www.leonhealth.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 Miami-Dade, FLWhere most of its members live; premiums and limits side by side
Every Leon Health, Inc. plan for 2027Its contracts, counties and plans that end
The other 3 plans of contract H4286Same 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.