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Plan year 2026 · coverage ends Dec. 31, 2026CMS crosswalk of Oct. 1, 2026

Essence Rx is not offered in 2027

H5211Contract002Plan

HMO-POS · served 54 counties in Wisconsin in 2026

Run by Security Health Plan of Wisconsin, Inc. (contract H5211), sold as Security Health Plan of Wisconsin, Inc., owned by Sanford Health

CMS crosswalk: not offered in 2027

Not offered in 2027

Essence Rx (H5211-002) is not offered in 2027: the CMS plan crosswalk of October 1, 2026 lists it as terminated, so its coverage ends December 31, 2026. The plan's $175 eyewear allowance and $120 over-the-counter allowance end with it; other plans sold in its counties may offer them (each county page lists the 2027 plans). 18,837 people were enrolled in it in September 2026. They can choose another plan during open enrollment, October 15 to December 7, 2026, to have no gap (or by the end of February, with coverage from the first of the next month); anyone who does not join another plan before it ends moves to Original Medicare, without a drug plan unless they join one (members with Extra Help or full Medicaid are enrolled in one by Medicare).

What do members lose for 2027?

The plan's 2026 amounts; it has none for 2027 under this ID.
What you pay or get20262027Change
Monthly premium$87not offeredplan ends
In-network out-of-pocket limit$3,800not offeredplan ends
Eyewear, yearly limit$175 a yearnot offeredplan ends
Over-the-counter items, yearly$120 a yearnot offeredplan ends
Counties served54noneplan ends

Source: CMS plan crosswalk from 2026 to 2027 (Oct. 1, 2026); CMS monthly enrollment by plan and by county, September 2026 (CMS hides counts under 11); 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.

What can members do, and by when?

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; if you have Extra Help or full Medicaid, Medicare enrolls you in a drug plan automatically.
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.
If you choose Original Medicare
You have a guaranteed right to buy Medigap Plan A, B, C, D, F, G, K or L sold in your state by any insurance company; if you were new to Medicare on or after January 1, 2020, Plans D and G take the place of C and F. Apply from 60 days before to 63 days after the plan ends; the policy starts once your Medicare Advantage coverage ends. Other Medigap plans are not covered by this right.
If you have Medicaid or Extra Help
You can switch to a different drug plan, or leave a Medicare Advantage plan for Original Medicare with a drug plan, once a calendar month; the change starts the first day of the next month.

Source: Medicare.gov, “Special enrollment periods”, “When can I buy a Medigap policy?” and “Help with drug costs” (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.

All 54 counties, most members first; CMS hides counts under 11 per county, so the counties add up to a little less than the plan's total
CountyMembers, Sept. 2026
Marathon, WI2,834
Wood, WI2,834
Eau Claire, WI1,225
Chippewa, WI1,169
Portage, WI1,127
Oneida, WI1,009
Barron, WI850
Clark, WI832
Lincoln, WI638
Vilas, WI604
Price, WI430
Langlade, WI414
Rusk, WI383
Washburn, WI364
Sawyer, WI363
Taylor, WI341
Jackson, WI299
Dunn, WI278
Iron, WI270
La Crosse, WI253
Ashland, WI239
Adams, WI222
Bayfield, WI197
Trempealeau, WI193
Shawano, WI132
Douglas, WI131
Burnett, WI122
Dane, WI114
Juneau, WI105
Forest, WI104
Pepin, WI99
Monroe, WI80
Polk, WI79
Buffalo, WI69
Pierce, WI48
Vernon, WI46
Waupaca, WI46
Sauk, WI45
Waushara, WI41
Outagamie, WI31
Crawford, WI30
Waukesha, WI27
Columbia, WI25
Brown, WI22
Richland, WI20
Marquette, WI11
Winnebago, WI11
Door, WIfewer than 11
Florence, WIfewer than 11
Green Lake, WIfewer than 11
Iowa, WIfewer than 11
Kewaunee, WIfewer than 11
Marinette, WIfewer than 11
Oconto, WIfewer than 11

Source: CMS monthly enrollment by plan and by county, September 2026 (CMS hides counts under 11).

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