Plan year 2026 · coverage ends Dec. 31, 2026CMS crosswalk of Oct. 1, 2026
HealthSpring Preferred is not offered under this ID in 2027
H4513Contract074Plan
HMO · served 2 counties in Texas 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 H4513-061
HealthSpring Preferred (H4513-074) is not offered under this ID in 2027: the CMS plan crosswalk of October 1, 2026 moves its members into HealthSpring Preferred (H4513-061), which is sold in every county it served. 358 people were enrolled in it in September 2026; they can also choose another plan during open enrollment, October 15 to December 7, 2026.
What changes for its members in HealthSpring Preferred?
| What you pay or get | 2026 | 2027 | Change |
|---|---|---|---|
| In-network out-of-pocket limit, by county | $2,300 | $3,250 to $4,450 | ▲up $2,150 at the top |
| Drug deductible | $200 | $500 | ▲up $300 |
| Part B premium reduction, monthly (best in its area) | none | $5 | ▲added |
| Hospital stay, in network (best in its area) | $50 a day for days 1–5, then $0 a day for days 6–90 | $185 a day for days 1–6, then $0 a day for days 7–90 | ▲up $675for a 5-day stay |
| Skilled nursing facility, in network (best in its area) | $20 a day for days 1–20, then $218 a day for days 21–100 | $20 a day for days 1–20, then $221 a day for days 21–100 | ▲up $30for a 30-day stay |
| Ground ambulance, in network (best in its area) | $180 copay | $275 copay | ▲up $95 |
| Eyewear, yearly limit (best in its area) | $250 a year | $300 a year | ▲up $50 |
| Over-the-counter items, yearly (best in its area) | $360 a year | $320 a year | ▼down $40 |
| Counties served | 2 | 41 | ▲up 39 |
| Drug tier 1, preferred generic | $5 | $10 | ▲up $5 |
| Drug tier 2, generic | $10 | $20 | ▲up $10 |
| Drug tier 3, preferred brand | $47 | 20% of the cost | changed |
| Drug tier 4, non-preferred drug | 50% of the cost | 25% of the cost | ▼down 25 points |
| Drug tier 5, specialty tier | 30% of the cost | 28% of the cost | ▼down 2 points |
| 7 lines do not change | |||
| Monthly premium | $0 | $0 | no change |
| Primary care visit (best in its area) | $0 copay | $0 copay | no change |
| Specialist visit (best in its area) | $20 copay | $20 copay | no change |
| Emergency room (best in its area) | $150 copay | $150 copay | no change |
| Medical deductible, in network (best in its area) | none | none | no change |
| Comprehensive dental, yearly limit (best in its area) | not offered | not offered | no change |
| Hearing aids, yearly limit for both ears (best in its area) | not offered | not offered | 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 do nothing
- You are moved into HealthSpring Preferred 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.
- January 1 to March 31, 2027
- Medicare Advantage open enrollment: switch once to another Medicare Advantage plan or to Original Medicare.
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.
Source: CMS monthly enrollment by plan and by county, September 2026 (CMS hides counts under 11).
What else should you check?
- 2027 plans in Nueces, TXThe 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