Plan year 2026 · coverage ends Dec. 31, 2026CMS crosswalk of Oct. 1, 2026
Wellcare Giveback is not offered under this ID in 2027
H5294Contract019Plan
HMO · served 23 counties in Texas in 2026
Run by Superior Healthplan, Inc. (contract H5294), sold as Wellcare, owned by Centene Corporation
CMS crosswalk: members move into H5294-018
Wellcare Giveback (H5294-019) is not offered under this ID in 2027: the CMS plan crosswalk of October 1, 2026 moves its members into Wellcare Simple (H5294-018), which is sold in every county it served. 567 people were enrolled in it in September 2026; they can also choose another plan during open enrollment, October 15 to December 7, 2026.
What changes for its members in Wellcare Simple?
| What you pay or get | 2026 | 2027 | Change |
|---|---|---|---|
| Plan name | Wellcare Giveback | Wellcare Simple | renamed |
| In-network out-of-pocket limit | $8,200 | $4,500 | ▼down $3,700 |
| Drug deductible | $615 | $700 | ▲up $85 |
| Part B premium reduction, monthly | $40 | none | ▼dropped |
| Specialist visit | $50 copay | $25 copay | ▼down $25 |
| Emergency room | $115 copay | $130 copay | ▲up $15 |
| Hospital stay, in network | $475 a day for days 1–5, then $0 a day for days 6–90 | $370 a day for days 1–8, then $0 a day for days 9–90 | ▼down $525for a 5-day stay |
| Skilled nursing facility, in network | $0 a day for days 1–20, then $218 a day for days 21–60, then $0 a day for days 61–100 | $0 a day for days 1–20, then $221 a day for days 21–50, then $0 a day for days 51–100 | ▲up $30for a 30-day stay |
| Ground ambulance, in network | $300 copay | $275 copay | ▼down $25 |
| Comprehensive dental, yearly limit | not offered | $1,000 a year | ▲added |
| Eyewear, yearly limit | $100 a year | not offered | ▼dropped |
| Hearing aids, yearly limit for both ears | $350 a year | $500 a year | ▲up $150 |
| Counties served | 23 | 29 | ▲up 6 |
| Drug tier 1, generic | $5 | $10 | ▲up $5 |
| Drug tier 2, preferred brand | $10 | 25% of the cost | changed |
| Drug tier 3, non-preferred drug | 25% of the cost | 41% of the cost | ▲up 16 points |
| Drug tier 4, injectable drugs | 42% of the cost | 1% of the cost | ▼down 41 points |
| 6 lines do not change | |||
| Monthly premium | $0 | $0 | no change |
| Primary care visit | $0 copay | $0 copay | no change |
| Medical deductible, in network | none | none | no change |
| Over-the-counter items, yearly | not offered | not offered | 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 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 do nothing
- You are moved into Wellcare Simple 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.
- January 1 to March 31, 2027
- Medicare Advantage open enrollment: switch once to another Medicare Advantage plan or to Original Medicare.
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.
| County | Members, Sept. 2026 | For 2027 |
|---|---|---|
| Lubbock, TX | 150 | moves into H5294-018 |
| Hockley, TX | 67 | moves into H5294-018 |
| Ector, TX | 46 | moves into H5294-018 |
| Terry, TX | 40 | moves into H5294-018 |
| Lamb, TX | 37 | moves into H5294-018 |
| Castro, TX | 35 | moves into H5294-018 |
| Fisher, TX | 33 | moves into H5294-018 |
| Swisher, TX | 33 | moves into H5294-018 |
| Nolan, TX | 27 | moves into H5294-018 |
| Bailey, TX | 25 | moves into H5294-018 |
| Armstrong, TX | fewer than 11 | moves into H5294-018 |
| Borden, TX | fewer than 11 | moves into H5294-018 |
| Briscoe, TX | fewer than 11 | moves into H5294-018 |
| Crosby, TX | fewer than 11 | moves into H5294-018 |
| Floyd, TX | fewer than 11 | moves into H5294-018 |
| Garza, TX | fewer than 11 | moves into H5294-018 |
| Glasscock, TX | fewer than 11 | moves into H5294-018 |
| Kent, TX | fewer than 11 | moves into H5294-018 |
| Lynn, TX | fewer than 11 | moves into H5294-018 |
| Martin, TX | fewer than 11 | moves into H5294-018 |
| Shackelford, TX | fewer than 11 | moves into H5294-018 |
| Sterling, TX | fewer than 11 | moves into H5294-018 |
| Throckmorton, TX | fewer than 11 | moves into H5294-018 |
Source: CMS monthly enrollment by plan and by county, September 2026 (CMS hides counts under 11).
What else should you check?
- 2027 plans in Lubbock, TXThe plans you can join instead
- Wellcare plans for 2027Plans the same company still offers
- Every plan not offered in 2027764 Medicare Advantage and drug plans