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

Paramount Elite Preferred is not offered under this ID in 2027

H5232Contract001Plan

PPO · served 10 counties in Michigan, Ohio in 2026

Run by Paramount Insurance Company (contract H5232), sold as Paramount Elite Medicare Plans, owned by MEDICAL MUTUAL OF OHIO

CMS crosswalk: renews as H4497-006 in 5 of its 10 counties; in the others the plan ends

Renews in part

Paramount Elite Preferred (H5232-001) is not offered under this ID in 2027. The CMS plan crosswalk of October 1, 2026 moves its members into MedMutual Advantage Elite Preferred (H4497-006) (the plan renews under a new ID), in the 5 counties where that plan is sold (1,792 members in September 2026). In its other 5 counties (346 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 MedMutual Advantage Elite Preferred?

For members in the 5 counties where MedMutual Advantage Elite Preferred is sold: this plan's 2026 amounts beside MedMutual Advantage Elite Preferred (H4497-006) in 2027. The changed lines are marked and come first.
What you pay or get	2026	2027	Change
Plan name	Paramount Elite Preferred	MedMutual Advantage Elite Preferred	renamed
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
Eyewear, yearly limit	$200 a year	$130 a year	down $70
Over-the-counter items, yearly	$300 a year	$100 a year	down $200
Counties served	10	5	down 5
Drug tier 1, preferred generic	$0	$6	up $6
Drug tier 2, generic	$0	$8	up $8
Drug tier 4, non-preferred drug	41% of the cost	38% of the cost	down 3 points
Drug tier 5, specialty tier	29% of the cost	30% of the cost	up 1 point
13 lines do not change
Monthly premium	$0	$0	no change
In-network out-of-pocket limit	$5,300	$5,300	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	$35 copay	$35 copay	no change
Emergency room	$130 copay	$130 copay	no change
Medical deductible, in network	none	none	no change
Hospital stay, in network	$400 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	no change
Ground ambulance, in network	$295 copay	$295 copay	no change
Comprehensive dental, yearly limit	not offered	not offered	no change
Hearing aids, yearly limit for both ears	not offered	not offered	no change
Drug tier 3, preferred brand	21% of the cost	21% of the cost	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 Fulton (OH), Lucas (OH), Ottawa (OH), Sandusky (OH), Wood (OH)

If you do nothing: You are moved into MedMutual Advantage Elite Preferred 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 Branch (MI), Hillsdale (MI), Lenawee (MI), Monroe (MI), Washtenaw (MI)

Your coverage: Ends December 31, 2026: MedMutual Advantage Elite Preferred 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.

All 10 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
County	Members, Sept. 2026	For 2027
Lucas, OH	980	moves into H4497-006
Wood, OH	275	moves into H4497-006
Monroe, MI	250	plan ends here
Fulton, OH	230	moves into H4497-006
Ottawa, OH	174	moves into H4497-006
Sandusky, OH	133	moves into H4497-006
Lenawee, MI	82	plan ends here
Hillsdale, MI	14	plan ends here
Branch, MI	fewer than 11	plan ends here
Washtenaw, MI	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 Lucas, OHThe plans you can join instead
Paramount Elite Medicare Plans plans for 2027Plans the same company still offers
Every plan not offered in 2027764 Medicare Advantage and drug plans