Plan year 2027 · Medicare AdvantageCMS files of Sept. 22 and Oct. 1, 2026
Molina My Choice Dual Advantage, 2027
H5209Contract006Plan
HMO D-SNP · special needs plan, dual-eligible · 45 counties in Wisconsin
Run by Molina Healthcare of Wisconsin, Inc. (contract H5209), sold as Molina Healthcare of Wisconsin, owned by Molina Healthcare, Inc.
Molina My Choice Dual Advantage (H5209-006) costs $0 a month in 2027, the same as in 2026, with an in-network out-of-pocket limit of $9,850 ($9,250 in 2026). In 2026 it was called My Choice Wisconsin Medicare Dual Advantage Plan.
What changes from 2026 to 2027?
| What you pay or get | 2026 | 2027 | Change |
|---|---|---|---|
| Plan name | My Choice Wisconsin Medicare Dual Advantage Plan | Molina My Choice Dual Advantage | renamed |
| In-network out-of-pocket limit | $9,250 | $9,850 | ▲up $600 |
| Drug deductible | $615 | $605 | ▼down $10 |
| Part B premium reduction, monthly (best in its area) | $1 | none | ▼dropped |
| Hospital stay, in network (best in its area) | not filed | $2,241 a stay | changed |
| Skilled nursing facility, in network (best in its area) | not filed | $0 a day for days 1–20, then $221 a day for days 21–100 | changed |
| Counties served | 44 | 45 | ▲up 1 |
| Drug tier 2, generic | 15% of the cost | 25% of the cost | ▲up 10 points |
| Drug tier 3, preferred brand | 20% of the cost | 25% of the cost | ▲up 5 points |
| Drug tier 4, non-preferred drug | 30% of the cost | 25% of the cost | ▼down 5 points |
| 13 lines do not change | |||
| Monthly premium | $0 | $0 | no change |
| Primary care visit (best in its area) | 30% of the cost | 30% of the cost | no change |
| Specialist visit (best in its area) | 30% of the cost | 30% of the cost | no change |
| Emergency room (best in its area) | 30% of the cost | 30% of the cost | no change |
| Medical deductible, in network (best in its area) | none | none | no change |
| Ground ambulance, in network (best in its area) | 20% of the cost | 20% of the cost | no change |
| Comprehensive dental, yearly limit (best in its area) | $4,000 a year | $4,000 a year | no change |
| Eyewear, yearly limit (best in its area) | $350 a year | $350 a year | no change |
| Hearing aids, yearly limit for both ears (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 1, preferred generic | $0 | $0 | 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 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 | 15% of the cost | 25% of the cost |
| Tier 3 | Preferred Brand | 20% of the cost | 25% of the cost |
| Tier 4 | Non-Preferred Drug | 30% of the cost | 25% of the cost |
| Tier 5 | Specialty Tier | 25% of the cost | 25% of the cost |
| Tier 6 | Select Care 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, 18 dual-eligible special needs plans are sold for 2027, this one included. Against the others, 3 plans have a lower out-of-pocket limit, 14 the same. On the premium, 11 the same, 6 a higher one.
Out-of-pocket limits of the 18 dual-eligible 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 45 counties: $0 a month and $9,850.
Wisconsin
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
- H5209-006
- Legal name of the contract
- Molina Healthcare of Wisconsin, Inc.
- Sold as
- Molina Healthcare of Wisconsin
- Parent company
- Molina Healthcare, Inc.
- Plan type
- HMO D-SNP
- 2026 star rating of the contract
- 3 of 5 overall; health plan 3 of 5, drug plan 3.5 of 5
- Members, September 2026
- 1,881
- Plan website, as filed with CMS
- https://www.mychoicewi.org/medicare-dual-advantage
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 Milwaukee, WIWhere most of its members live; premiums and limits side by side
- Every Molina Healthcare of Wisconsin plan for 2027Its contracts, counties and plans that end
- The other 1 plan of contract H5209Same 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.