Plan year 2026 · coverage ends Dec. 31, 2026CMS crosswalk of Oct. 1, 2026

HealthSpring TotalCare is not offered under this ID in 2027

H4513Contract055Plan

HMO D-SNP · served 30 counties in Alabama in 2026

Run by HealthSpring Life & Health Insurance Company, Inc. (contract H4513), sold as HealthSpring, owned by Health Care Service Corporation

CMS crosswalk: members move into H4513-109 in 29 of its 30 counties; in the others the plan ends

Folds in part

HealthSpring TotalCare (H4513-055) is not offered under this ID in 2027. The CMS plan crosswalk of October 1, 2026 moves its members into HealthSpring TotalCare (H4513-109), in the 29 counties where that plan is sold (4,653 members in September 2026). In its other 1 county (36 members) there is no plan to move into: coverage ends December 31, 2026, and members there need to choose a new plan (counties with fewer than 11 members are not counted). The crosswalk also lists part of the plan as terminated without saying which members; your Annual Notice of Change says whether you move to a new plan or your coverage ends.

What changes for its members in HealthSpring TotalCare?

For members in the 29 counties where HealthSpring TotalCare is sold: this plan's 2026 amounts beside HealthSpring TotalCare (H4513-109) in 2027. The changed lines are marked and come first.
What you pay or get	2026	2027	Change
Monthly premium	$3.30	$13.40	up $10.10
In-network out-of-pocket limit	$5,900	$9,850	up $3,950
Drug deductible	$615	$700	up $85
Specialist visit (best in its area)	$0 copay	$10 copay	up $10
Emergency room (best in its area)	$130 copay	$115 copay	down $15
Skilled nursing facility, in network (best in its area)	$10 a day for days 1–20, then $218 a day for days 21–100	$0 a day for days 1–20, then $221 a day for days 21–100	down $170for a 30-day stay
Ground ambulance, in network (best in its area)	$255 copay	$245 copay	down $10
Over-the-counter items, yearly (best in its area)	$800 a year	$600 a year	down $200
Counties served	30	29	down 1
Drug tier 3, preferred brand	24% of the cost	20% of the cost	down 4 points
11 lines do not change
Part B premium reduction, monthly (best in its area)	none	none	no change
Primary care visit (best in its area)	$0 copay	$0 copay	no change
Medical deductible, in network (best in its area)	none	none	no change
Hospital stay, in network (best in its area)	$150 a day for days 1–5, then $0 a day for days 6–90	$150 a day for days 1–5, then $0 a day for days 6–90	no change
Comprehensive dental, yearly limit (best in its area)	not offered	not offered	no change
Eyewear, yearly limit (best in its area)	$350 a year	$350 a year	no change
Hearing aids, yearly limit for both ears (best in its area)	not offered	not offered	no change
Drug tier 1, preferred generic	$19	$19	no change
Drug tier 2, generic	$20	$20	no change
Drug tier 4, non-preferred drug	25% of the cost	25% of the cost	no change
Drug tier 5, specialty tier	25% of the cost	25% of the cost	no change

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 plan benefit package files, 2027 and 2026. Your plan's Annual Notice of Change is the letter that confirms your 2027 plan; confirm on Medicare Plan Finder.

What can members do, and by when?

If you live in Autauga (AL), Baldwin (AL), Bibb (AL), Blount (AL), Cherokee (AL), Chilton (AL), Colbert (AL), Coosa (AL), Cullman (AL), Dallas (AL), DeKalb (AL), Etowah (AL), Jackson (AL), Jefferson (AL), Lauderdale (AL), Lawrence (AL), Limestone (AL), Lowndes (AL), Madison (AL), Marshall (AL), Mobile (AL), Montgomery (AL), Morgan (AL), Perry (AL), Shelby (AL), St. Clair (AL), Talladega (AL), Tuscaloosa (AL), Walker (AL)

If you do nothing: You are moved into HealthSpring TotalCare on January 1, 2027.
October 15 to December 7, 2026: Open enrollment: choose another Medicare Advantage plan, or Original Medicare with a drug plan, instead.

If you live in Elmore (AL)

Your coverage: Ends December 31, 2026: HealthSpring TotalCare is not sold where you live.
October 15 to December 7, 2026: Open enrollment: join another Medicare Advantage plan, or Original Medicare with a drug plan. Coverage starts January 1, 2027.
December 8, 2026 to the end of February 2027: A special enrollment period because the plan is leaving: you can still join a plan, but coverage starts the first day of the month after you join, so choose by December 31 to have no gap.
If you do nothing: You are enrolled in Original Medicare when the plan ends, without a drug plan unless you join one (with Extra Help or full Medicaid, Medicare enrolls you in one).
Without a drug plan: Going 63 days or more in a row without drug coverage can mean a late enrollment penalty if you join a drug plan later; joining by the end of February keeps a January and February gap under 63 days, waiting longer does not.

If you have Medicaid or Extra Help: You can switch to a different drug plan, or leave a Medicare Advantage plan for Original Medicare with a drug plan, once a calendar month; the change starts the first day of the next month.

Source: Medicare.gov, “Special enrollment periods” and “Joining a plan” (read Oct. 7, 2026).

Where did its members live?

Where its members lived in September 2026; each county and state page lists the 2027 plans sold there.

All 30 counties, most members first; CMS hides counts under 11 per county, so the counties add up to a little less than the plan's total
County	Members, Sept. 2026	For 2027
Jefferson, AL	824	moves into H4513-109
Mobile, AL	775	moves into H4513-109
Tuscaloosa, AL	294	moves into H4513-109
Madison, AL	258	moves into H4513-109
Baldwin, AL	233	moves into H4513-109
Etowah, AL	194	moves into H4513-109
Talladega, AL	177	moves into H4513-109
DeKalb, AL	176	moves into H4513-109
Dallas, AL	163	moves into H4513-109
Cullman, AL	156	moves into H4513-109
Shelby, AL	135	moves into H4513-109
Walker, AL	128	moves into H4513-109
Morgan, AL	121	moves into H4513-109
Chilton, AL	118	moves into H4513-109
Jackson, AL	118	moves into H4513-109
Montgomery, AL	111	moves into H4513-109
Marshall, AL	107	moves into H4513-109
Limestone, AL	101	moves into H4513-109
St. Clair, AL	101	moves into H4513-109
Colbert, AL	70	moves into H4513-109

Show the other 10 counties

County	Members, Sept. 2026	For 2027
Bibb, AL	64	moves into H4513-109
Blount, AL	64	moves into H4513-109
Lauderdale, AL	54	moves into H4513-109
Cherokee, AL	53	moves into H4513-109
Elmore, AL	36	plan ends here
Lawrence, AL	32	moves into H4513-109
Autauga, AL	26	moves into H4513-109
Coosa, AL	fewer than 11	moves into H4513-109
Lowndes, AL	fewer than 11	moves into H4513-109
Perry, AL	fewer than 11	moves into H4513-109

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

What else should you check?

2027 plans in Jefferson, ALThe plans you can join instead
HealthSpring plans for 2027Plans the same company still offers
Every plan not offered in 2027764 Medicare Advantage and drug plans