Plan year 2027 · Medicare AdvantageCMS files of Sept. 22 and Oct. 1, 2026

Wellcare Patriot Simple, 2027

H5294Contract014Plan

HMO · 51 counties in Texas

Run by Superior Healthplan, Inc. (contract H5294), sold as Wellcare, owned by Centene Corporation

Renews in fewer counties

2026 star rating, contract H5294: 3.5 of 5

Wellcare Patriot Simple (H5294-014) costs $0 a month in 2027, the same as in 2026, with an in-network out-of-pocket limit of $3,400. It leaves 33 counties it served in 2026, where 41 of its members lived; they choose another plan for 2027 (the counties are listed below).

What changes from 2026 to 2027?

The changed lines are marked and come first. In-network amounts; members keep paying the Part B premium unless the plan reduces it.
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 21–40, then $0 a day for days 41–100	$0 a day for days 1–20, then $221 a day for days 21–40, then $0 a day for days 41–100	up $30for a 30-day stay
Counties served	84	51	down 33
13 lines do not change
Monthly premium	$0	$0	no change
In-network out-of-pocket limit	$3,400	$3,400	no change
Part B premium reduction, monthly	none	none	no change
Primary care visit	$0 copay	$0 copay	no change
Specialist visit	$10 copay	$10 copay	no change
Emergency room	$150 copay	$150 copay	no change
Medical deductible, in network	none	none	no change
Hospital stay, in network	$275 a day for days 1–5, then $0 a day for days 6–90	$275 a day for days 1–5, then $0 a day for days 6–90	no change
Ground ambulance, in network	$225 copay	$225 copay	no change
Comprehensive dental, yearly limit	$3,000 a year	$3,000 a year	no change
Eyewear, yearly limit	$300 a year	$300 a year	no change
Hearing aids, yearly limit for both ears	$750 a year	$750 a year	no change
Over-the-counter items, yearly	not offered	not offered	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.

How does it compare with plans sold where it is?

In the counties it serves, 148 plans open to everyone are sold for 2027, this one included. Against the others, 9 plans have a lower out-of-pocket limit, 2 the same, 136 a higher one. On the premium, 114 the same, 33 a higher one.

Out-of-pocket limits of the 148 plans open to everyone

$0 to under $2,0000 plans

$2,000 to under $4,000 (this plan)31 plans

$4,000 to under $6,00035 plans

$6,000 to under $8,00062 plans

$8,000 to $10,00020 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?

It stops serving 33 counties it served in 2026 (listed in the next section).

The premium and the out-of-pocket limit are the same in all 51 counties: $0 a month and $3,400.

Texas

Armstrong Atascosa Bailey Bandera Bexar Blanco Borden Briscoe Castro Collin Comal Crosby Dallas DeWitt Denton Ector El Paso Ellis Fisher Floyd Garza Glasscock Gonzales Guadalupe Hockley Hood Kendall Kent La Salle Lamb Lubbock Lynn Martin Medina Milam Nolan Parker Potter Randall Real Rockwall Shackelford Sterling Swisher Tarrant Terry Throckmorton Uvalde Wilson Wise Zavala

Source: CMS Medicare Advantage and Part D landscape files for 2027 (Sept. 22, 2026, revised Sept. 30) and 2026 (Sept. 2, 2026 revision).

What if you live in a county it leaves?

Its 2026 members in the 33 counties listed below cannot stay in it for 2027; each county page lists the 2027 plans sold there.

Your coverage: This plan ends for you on December 31, 2026, because it is no longer 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).
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.

The 33 counties it leaves, most members first
County	Members, Sept. 2026
Hidalgo, TX	19
Cameron, TX	11
Williamson, TX	11
Bastrop, TX	fewer than 11
Bee, TX	fewer than 11
Brooks, TX	fewer than 11
Burnet, TX	fewer than 11
Caldwell, TX	fewer than 11
Colorado, TX	fewer than 11
Duval, TX	fewer than 11
Goliad, TX	fewer than 11
Grimes, TX	fewer than 11
Hays, TX	fewer than 11
Jack, TX	fewer than 11
Jim Hogg, TX	fewer than 11
Jim Wells, TX	fewer than 11
Karnes, TX	fewer than 11
Kenedy, TX	fewer than 11
Kimble, TX	fewer than 11
Kleberg, TX	fewer than 11

Show the other 13 counties

County	Members, Sept. 2026
Lee, TX	fewer than 11
Mason, TX	fewer than 11
Maverick, TX	fewer than 11
McCulloch, TX	fewer than 11
McMullen, TX	fewer than 11
Nueces, TX	fewer than 11
Palo Pinto, TX	fewer than 11
Refugio, TX	fewer than 11
San Patricio, TX	fewer than 11
Starr, TX	fewer than 11
Webb, TX	fewer than 11
Willacy, TX	fewer than 11
Zapata, TX	fewer than 11

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); Medicare.gov, “Special enrollment periods” and “When can I buy Medigap?” (read Oct. 7, 2026).

Who runs this plan?

Plan ID: H5294-014
Legal name of the contract: Superior Healthplan, Inc.
Sold as: Wellcare
Parent company: Centene Corporation
Plan type: HMO
2026 star rating of the contract: 3.5 of 5 overall; health plan 3.5 of 5, drug plan 3 of 5
Members, September 2026: 370
Plan website, as filed with CMS: go.wellcare.com/AllwellTX

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 Dallas, TXWhere most of its members live; premiums and limits side by side
Every Wellcare plan for 2027Its contracts, counties and plans that end
The other 9 plans of contract H5294Same 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.