Plan year 2027 · Medicare AdvantageCMS files of Sept. 22 and Oct. 1, 2026
Verda Noble Chronic Care, 2027
H5163Contract002Plan
HMO C-SNP · special needs plan, chronic or disabling condition · 3 counties in Texas
Run by Verda Health Plan of Texas Inc (contract H5163), sold as Verda Health Plan of Texas, owned by Verda Healthcare, Inc.
Verda Noble Chronic Care (H5163-002) costs $0 a month in 2027, the same as in 2026, with an in-network out-of-pocket limit of $999.
What changes from 2026 to 2027?
| What you pay or get | 2026 | 2027 | Change |
|---|---|---|---|
| Skilled nursing facility, in network | $0 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 | ▲up $30for a 30-day stay |
| Over-the-counter items, yearly | $1,020 a year | $1,200 a year | ▲up $180 |
| Drug tier 5, specialty tier | 29% of the cost | 30% of the cost | ▲up 1 point |
| 19 lines do not change | |||
| Monthly premium | $0 | $0 | no change |
| In-network out-of-pocket limit | $999 | $999 | no change |
| Drug deductible | $300 | $300 | no change |
| Part B premium reduction, monthly | none | none | no change |
| Primary care visit | $0 copay | $0 copay | no change |
| Specialist visit | $0 copay | $0 copay | no change |
| Emergency room | $90 copay | $90 copay | no change |
| Medical deductible, in network | none | none | no change |
| Hospital stay, in network | $0 a stay | $0 a stay | no change |
| Ground ambulance, in network | $99 copay | $99 copay | no change |
| Comprehensive dental, yearly limit | not offered | not offered | no change |
| Eyewear, yearly limit | $300 a year | $300 a year | no change |
| Hearing aids, yearly limit for both ears | not offered | not offered | no change |
| Counties served | 3 | 3 | no change |
| Drug tier 1, preferred generic | $0 | $0 | no change |
| Drug tier 2, generic | $0 | $0 | no change |
| Drug tier 3, preferred brand | $30 | $30 | no change |
| Drug tier 4, non-preferred drug | 28% of the cost | 28% of the cost | no change |
| Drug tier 6, select diabetic drugs | $0 | $0 | no change |
Source: 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; CMS plan crosswalk from 2026 to 2027 (Oct. 1, 2026). Plan details can change during the year; confirm on Medicare Plan Finder.
What will prescriptions cost?
| Tier | What the tier holds | 2026 | 2027 |
|---|---|---|---|
| Tier 1 | Preferred Generic | $0 | $0 |
| Tier 2 | Generic | $0 | $0 |
| Tier 3 | Preferred Brand | $30 | $30 |
| Tier 4 | Non-Preferred Drug | 28% of the cost | 28% of the cost |
| Tier 5 | Specialty Tier | 29% of the cost | 30% of the cost |
| Tier 6 | Select Diabetic Drugs | $0 | $0 |
Source: CMS plan benefit package files, 2027 and 2026. Insulin is capped at $35 a month by law. A drug's tier is set by the plan's formulary.
How does it compare with plans sold where it is?
In the counties it serves, 20 chronic or disabling condition special needs plans are sold for 2027, this one included. Against the others, 1 plan has a lower out-of-pocket limit, 18 a higher one. On the premium, 15 the same, 4 a higher one.
Out-of-pocket limits of the 20 chronic or disabling condition special needs plans
Source: CMS Medicare Advantage and Part D landscape files for 2027 (Sept. 22, 2026, revised Sept. 30) and 2026 (Sept. 2, 2026 revision).
Where is it sold, and what does it cost there?
The premium and the out-of-pocket limit are the same in all 3 counties: $0 a month and $999.
Texas
Source: CMS Medicare Advantage and Part D landscape files for 2027 (Sept. 22, 2026, revised Sept. 30) and 2026 (Sept. 2, 2026 revision).
Who runs this plan?
- Plan ID
- H5163-002
- Legal name of the contract
- Verda Health Plan of Texas Inc
- Sold as
- Verda Health Plan of Texas
- Parent company
- Verda Healthcare, Inc.
- Plan type
- HMO C-SNP
- 2026 star rating of the contract
- not rated (too little data) overall; health plan not rated, drug plan 3 of 5
- Members, September 2026
- 2,655
- Plan website, as filed with CMS
- https://verdahptx.com/
Source: CMS Medicare Advantage and Part D landscape files for 2027 (Sept. 22, 2026, revised Sept. 30) and 2026 (Sept. 2, 2026 revision); CMS 2026 Star Ratings (October 2025); CMS monthly enrollment by plan and by county, September 2026 (CMS hides counts under 11). CMS publishes the 2027 Star Ratings in October 2026.
What else should you check?
- Other 2027 plans in Harris, TXWhere most of its members live; premiums and limits side by side
- Every Verda Health Plan of Texas plan for 2027Its contracts, counties and plans that end
- The other 3 plans of contract H5163Same company, same contract
- Is your prescription covered?Coverage share and tier for 2,259 drugs
Data, not advice. These are the plan's filed amounts, not a quote for you; confirm on Medicare Plan Finder or call the plan before you enroll.