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

Molina One Care, 2027

H4371Contract001Plan

HMO D-SNP · special needs plan, dual-eligible · 9 counties in Massachusetts

Run by Senior Whole Health, LLC (contract H4371), sold as Molina Healthcare of Massachusetts, owned by Molina Healthcare, Inc.

Renews for 2027

2026 star rating, contract H4371: not rated (too new)

Molina One Care (H4371-001) costs $0 a month in 2027, down $17.50 from 2026, with an in-network out-of-pocket limit of $8,500 ($1,500 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	$17.50	$0	down $17.50
In-network out-of-pocket limit	$1,500	$8,500	up $7,000
Drug deductible	$615	$90	down $525
Hospital stay, in network	not filed	$2,241 a stay	changed
12 lines do not change
Part B premium reduction, monthly	none	none	no change
Primary care visit	30% of the cost	30% of the cost	no change
Specialist visit	30% of the cost	30% of the cost	no change
Emergency room	30% of the cost	30% of the cost	no change
Medical deductible, in network	none	none	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	not offered	not offered	no change
Hearing aids, yearly limit for both ears	not offered	not offered	no change
Over-the-counter items, yearly	not offered	not offered	no change
Counties served	9	9	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
Tier	What the tier holds	2026	2027
Tier 1	Preferred Generic	not offered	$0
Tier 2	Generic	not offered	20% of the cost
Tier 3	Preferred Brand	not offered	21% of the cost
Tier 4	Non-Preferred Drug	not offered	33% of the cost
Tier 5	Specialty Tier	not offered	25% of the cost
Tier 6	Select Care Drugs	not offered	$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, 17 dual-eligible special needs plans are sold for 2027, this one included. Against the others, 1 plan has a lower out-of-pocket limit, 15 a higher one. On the premium, 4 the same, 12 a higher one.

Out-of-pocket limits of the 17 dual-eligible 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 $8,0000 plans

$8,000 to $10,000 (this plan)17 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 9 counties: $0 a month and $8,500.

Massachusetts

Bristol Essex Hampden Hampshire Middlesex Norfolk Plymouth Suffolk Worcester

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: H4371-001
Legal name of the contract: Senior Whole Health, LLC
Sold as: Molina Healthcare of Massachusetts
Parent company: Molina Healthcare, Inc.
Plan type: HMO D-SNP
2026 star rating of the contract: not rated (too new) overall; health plan not rated, drug plan not rated
Members, September 2026: 124
Plan website, as filed with CMS: https://www.molinahealthcare.com/members/ma/en-us/

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 Essex, MAWhere most of its members live; premiums and limits side by side
Every Molina Healthcare of Massachusetts plan for 2027Its contracts, counties and plans that end
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.