Plan year 2026 · coverage ends Dec. 31, 2026CMS crosswalk of Oct. 1, 2026
Wellcare Patriot Simple is not offered under this ID in 2027
H4868Contract003Plan
HMO-POS · served 20 counties in New York in 2026
Run by New York Quality Healthcare Corporation (contract H4868), sold as Wellcare, owned by Centene Corporation
CMS crosswalk: members move into H5599-010 in 18 of its 20 counties; in the others the plan ends
Wellcare Patriot Simple (H4868-003) is not offered under this ID in 2027. The CMS plan crosswalk of October 1, 2026 moves its members into Wellcare Fidelis Patriot Simple (H5599-010), in the 18 counties where that plan is sold (218 members in September 2026). In its other 2 counties (28 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).
What changes for its members in Wellcare Fidelis Patriot Simple?
| What you pay or get | 2026 | 2027 | Change |
|---|---|---|---|
| Plan name | Wellcare Patriot Simple | Wellcare Fidelis Patriot Simple | renamed |
| In-network out-of-pocket limit | $6,700 | $9,850 | ▲up $3,150 |
| Emergency room | $130 copay | $115 copay | ▼down $15 |
| Hospital stay, in network | $300 a day for days 1–5, then $0 a day for days 6–90 | $400 a day for days 1–5, then $0 a day for days 6–90 | ▲up $500for a 5-day stay |
| Skilled nursing facility, in network | $0 a day for days 1–20, then $218 a day for days 21–60, then $0 a day for days 61–100 | $0 a day for days 1–20, then $221 a day for days 21–70, then $0 a day for days 71–100 | ▲up $30for a 30-day stay |
| Comprehensive dental, yearly limit | $3,000 a year | $2,000 a year | ▼down $1,000 |
| Counties served | 20 | 58 | ▲up 38 |
| 9 lines do not change | |||
| Monthly premium | $0 | $0 | no change |
| Part B premium reduction, monthly | none | none | no change |
| Primary care visit | $0 copay | $0 copay | no change |
| Specialist visit | $20 copay | $20 copay | no change |
| Medical deductible, in network | none | none | no change |
| Ground ambulance, in network | $250 copay | $250 copay | no change |
| Eyewear, yearly limit | $200 a year | $200 a year | no change |
| Hearing aids, yearly limit for both ears | $750 a year | $750 a year | no change |
| Over-the-counter items, yearly | 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 live in Albany (NY), Broome (NY), Dutchess (NY), Erie (NY), Genesee (NY), Livingston (NY), Madison (NY), Monroe (NY), Niagara (NY), Oneida (NY), Orange (NY), Rockland (NY), Saratoga (NY), Schenectady (NY), Suffolk (NY), Ulster (NY), Wayne (NY), Westchester (NY)
- If you do nothing
- You are moved into Wellcare Fidelis Patriot Simple 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 Onondaga (NY), Tompkins (NY)
- Your coverage
- Ends December 31, 2026: Wellcare Fidelis Patriot Simple 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).
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 |
|---|---|---|
| Erie, NY | 31 | moves into H5599-010 |
| Suffolk, NY | 29 | moves into H5599-010 |
| Onondaga, NY | 28 | plan ends here |
| Monroe, NY | 26 | moves into H5599-010 |
| Westchester, NY | 24 | moves into H5599-010 |
| Albany, NY | 19 | moves into H5599-010 |
| Dutchess, NY | 19 | moves into H5599-010 |
| Wayne, NY | 18 | moves into H5599-010 |
| Orange, NY | 16 | moves into H5599-010 |
| Broome, NY | 13 | moves into H5599-010 |
| Ulster, NY | 12 | moves into H5599-010 |
| Niagara, NY | 11 | moves into H5599-010 |
| Genesee, NY | fewer than 11 | moves into H5599-010 |
| Livingston, NY | fewer than 11 | moves into H5599-010 |
| Madison, NY | fewer than 11 | moves into H5599-010 |
| Oneida, NY | fewer than 11 | moves into H5599-010 |
| Rockland, NY | fewer than 11 | moves into H5599-010 |
| Saratoga, NY | fewer than 11 | moves into H5599-010 |
| Schenectady, NY | fewer than 11 | moves into H5599-010 |
| Tompkins, NY | fewer than 11 | plan ends here |
Source: CMS monthly enrollment by plan and by county, September 2026 (CMS hides counts under 11).
What else should you check?
- 2027 plans in Erie, NYThe plans you can join instead
- Wellcare plans for 2027Plans the same company still offers
- Every plan not offered in 2027764 Medicare Advantage and drug plans