Plan year 2026 · coverage ends Dec. 31, 2026CMS crosswalk of Oct. 1, 2026
Wellcare Simple is not offered under this ID in 2027
H5087Contract034Plan
HMO · served 2 counties in California in 2026
Run by Wellcare of California, Inc. (contract H5087), sold as Wellcare, owned by Centene Corporation
CMS crosswalk: renews as H5087-035 in 1 of its 2 counties; in the others the plan ends
Wellcare Simple (H5087-034) is not offered under this ID in 2027. The CMS plan crosswalk of October 1, 2026 moves its members into Wellcare Simple (H5087-035) (the plan renews under a new ID), in the 1 county where that plan is sold (1,099 members in September 2026). In its other 1 county (543 members) there is no plan to move into: coverage ends December 31, 2026, and members there need to choose a new plan.
What changes for its members in Wellcare Simple?
| What you pay or get | 2026 | 2027 | Change |
|---|---|---|---|
| In-network out-of-pocket limit | $6,500 | $9,250 | ▲up $2,750 |
| Drug deductible | $615 | $700 | ▲up $85 |
| Specialist visit (best in its area) | $5 copay | $20 copay | ▲up $15 |
| Emergency room (best in its area) | $130 copay | $115 copay | ▼down $15 |
| Hospital stay, in network (best in its area) | $425 a day for days 1–7, then $0 a day for days 8–90 | $375 a day for days 1–7, then $0 a day for days 8–90 | ▼down $250for a 5-day stay |
| Skilled nursing facility, in network (best in its area) | $0 a day for days 1–20, then $218 a day for days 21–50, then $0 a day for days 51–100 | $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 |
| Eyewear, yearly limit (best in its area) | $100 a year | not offered | ▼dropped |
| Hearing aids, yearly limit for both ears (best in its area) | $500 a year | not offered | ▼dropped |
| Counties served | 2 | 1 | ▼down 1 |
| Drug tier 1, generic | $5 | $10 | ▲up $5 |
| Drug tier 2, preferred brand | $10 | 25% of the cost | changed |
| Drug tier 3, non-preferred drug | 25% of the cost | 39% of the cost | ▲up 14 points |
| Drug tier 4, injectable drugs | 37% of the cost | 1% of the cost | ▼down 36 points |
| 9 lines do not change | |||
| Monthly premium | $0 to $37 | $0 | no 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 |
| Ground ambulance, in network (best in its area) | $250 copay | $250 copay | no change |
| Comprehensive dental, yearly limit (best in its area) | not offered | not offered | no change |
| Over-the-counter items, yearly (best in its area) | not offered | not offered | no change |
| Drug tier 5, specialty tier | 25% of the cost | 25% of the cost | no change |
| Drug tier 6, select care drugs | $0 | $0 | 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 San Joaquin (CA)
- If you do nothing
- You are moved into Wellcare 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 Ventura (CA)
- Your coverage
- Ends December 31, 2026: Wellcare 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).
- 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.
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 |
|---|---|---|
| San Joaquin, CA | 1,099 | moves into H5087-035 |
| Ventura, CA | 543 | 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 San Joaquin, CAThe 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