Plan year 2027 · Medicare AdvantageCMS files of Sept. 22 and Oct. 1, 2026
UHC Complete Care RI-4, 2027
H5253Contract168Plan
HMO-POS C-SNP · special needs plan, chronic or disabling condition · 5 counties in Rhode Island
Run by UnitedHealthcare of Wisconsin, Inc. (contract H5253), sold as UnitedHealthcare, owned by UnitedHealth Group, Inc.
UHC Complete Care RI-4 (H5253-168) costs $0 a month in 2027, the same as in 2026, with an in-network out-of-pocket limit of $5,900 ($4,900 in 2026).
What changes from 2026 to 2027?
| What you pay or get | 2026 | 2027 | Change |
|---|---|---|---|
| In-network out-of-pocket limit | $4,900 | $5,900 | ▲up $1,000 |
| Drug deductible | $355 | $685 | ▲up $330 |
| Hospital stay, in network | $345 a day for days 1–6, then $0 a day for days 7–90 | $550 a day for days 1–5, then $0 a day for days 6–90 | ▲up $1,025for a 5-day stay |
| 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 |
| Ground ambulance, in network | $275 copay | $400 copay | ▲up $125 |
| Eyewear, yearly limit | $150 a year | $125 a year | ▼down $25 |
| Hearing aids, yearly limit for both ears | not offered | $1,000 a year | ▲added |
| Drug tier 3, preferred brand | 24% of the cost | 22% of the cost | ▼down 2 points |
| Drug tier 4, non-preferred drug | 42% of the cost | 31% of the cost | ▼down 11 points |
| Drug tier 5, specialty tier | 29% of the cost | 26% of the cost | ▼down 3 points |
| 11 lines do not change | |||
| Monthly premium | $0 | $0 | 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 | $130 copay | $130 copay | no change |
| Medical deductible, in network | none | none | no change |
| Comprehensive dental, yearly limit | not offered | not offered | no change |
| Over-the-counter items, yearly | not offered | not offered | no change |
| Counties served | 5 | 5 | no change |
| Drug tier 1, preferred generic | $0 | $0 | no change |
| Drug tier 2, generic | $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 | 24% of the cost | 22% of the cost |
| Tier 4 | Non-Preferred Drug | 42% of the cost | 31% of the cost |
| Tier 5 | Specialty Tier | 29% of the cost | 26% of the cost |
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.
Where is it sold, and what does it cost there?
The premium and the out-of-pocket limit are the same in all 5 counties: $0 a month and $5,900.
Rhode Island
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
- H5253-168
- Legal name of the contract
- UnitedHealthcare of Wisconsin, Inc.
- Sold as
- UnitedHealthcare
- Parent company
- UnitedHealth Group, Inc.
- Plan type
- HMO-POS C-SNP
- 2026 star rating of the contract
- 4 of 5 overall; health plan 4 of 5, drug plan 4 of 5
- Members, September 2026
- 6,825
- Plan website, as filed with CMS
- UHC.com/Medicare
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 Providence, RIWhere most of its members live; premiums and limits side by side
- Every UnitedHealthcare plan for 2027Its contracts, counties and plans that end
- The other 125 plans of contract H5253Same 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.