Plan year 2026 · coverage ends Dec. 31, 2026CMS crosswalk of Oct. 1, 2026
HealthSpring TotalCare Plus is not offered under this ID in 2027
H4513Contract063Plan
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 one of 2 plans in 29 of its 30 counties; in the others the plan ends
HealthSpring TotalCare Plus (H4513-063) is not offered under this ID in 2027. The CMS plan crosswalk of October 1, 2026 moves its members into 2 2027 plans, each sold in part of its area (listed below), in the 29 counties where they are sold (5,620 members in September 2026). In its other 1 county (52 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, plan by plan?
In 2026 the plan cost $6.50 a month with a $5,000 in-network limit. Each row compares that with one of the 2027 plans its members move into.
| 2027 plan | Premium 2027 | Premium change | Limit 2027 | Limit change | Part B reduction |
|---|---|---|---|---|---|
| HealthSpring TotalCareH4513-109 | $13.40 | ▲up $6.90 | $9,850 | ▲up $4,850 | none |
| HealthSpring TotalCare PlusH4513-110 | $13.70 | ▲up $7.20 | $9,850 | ▲up $4,850 | none |
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. Each plan's own page compares every line; your Annual Notice of Change names your 2027 plan; confirm on Medicare Plan Finder.
Which 2027 plans do its members move into?
The crosswalk names the plans but not which member goes to which; the counties show where each is sold, and your Annual Notice of Change names yours.
| 2027 plan | Sold in | Its members there, Sept. 2026 | Premium 2027 | Limit 2027 |
|---|---|---|---|---|
| HealthSpring TotalCareH4513-109 | 29 of its counties | 5,620 | $13.40 | $9,850 |
| HealthSpring TotalCare PlusH4513-110 | 29 of its counties | 5,620 | $13.70 | $9,850 |
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).
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 one of the 2027 plans above on January 1, 2027. Your Annual Notice of Change names it.
- 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: none of its 2027 plans is 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.
| County | Members, Sept. 2026 | For 2027 |
|---|---|---|
| Jefferson, AL | 1,089 | moves into H4513-109 or H4513-110 |
| Mobile, AL | 853 | moves into H4513-109 or H4513-110 |
| Tuscaloosa, AL | 523 | moves into H4513-109 or H4513-110 |
| Madison, AL | 262 | moves into H4513-109 or H4513-110 |
| DeKalb, AL | 253 | moves into H4513-109 or H4513-110 |
| Dallas, AL | 218 | moves into H4513-109 or H4513-110 |
| Etowah, AL | 213 | moves into H4513-109 or H4513-110 |
| Montgomery, AL | 207 | moves into H4513-109 or H4513-110 |
| Shelby, AL | 199 | moves into H4513-109 or H4513-110 |
| Baldwin, AL | 176 | moves into H4513-109 or H4513-110 |
| Chilton, AL | 161 | moves into H4513-109 or H4513-110 |
| Cullman, AL | 161 | moves into H4513-109 or H4513-110 |
| Talladega, AL | 156 | moves into H4513-109 or H4513-110 |
| Walker, AL | 146 | moves into H4513-109 or H4513-110 |
| Morgan, AL | 145 | moves into H4513-109 or H4513-110 |
| Jackson, AL | 133 | moves into H4513-109 or H4513-110 |
| St. Clair, AL | 114 | moves into H4513-109 or H4513-110 |
| Limestone, AL | 102 | moves into H4513-109 or H4513-110 |
| Marshall, AL | 101 | moves into H4513-109 or H4513-110 |
| Lauderdale, AL | 94 | moves into H4513-109 or H4513-110 |
Show the other 10 counties
| County | Members, Sept. 2026 | For 2027 |
|---|---|---|
| Bibb, AL | 65 | moves into H4513-109 or H4513-110 |
| Blount, AL | 57 | moves into H4513-109 or H4513-110 |
| Colbert, AL | 52 | moves into H4513-109 or H4513-110 |
| Elmore, AL | 52 | plan ends here |
| Autauga, AL | 48 | moves into H4513-109 or H4513-110 |
| Cherokee, AL | 37 | moves into H4513-109 or H4513-110 |
| Lawrence, AL | 29 | moves into H4513-109 or H4513-110 |
| Lowndes, AL | 26 | moves into H4513-109 or H4513-110 |
| Coosa, AL | fewer than 11 | moves into H4513-109 or H4513-110 |
| Perry, AL | fewer than 11 | moves into H4513-109 or H4513-110 |
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