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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

Folds 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?

For its members: this plan's 2026 amounts beside Wellcare Simple (H5294-018) in 2027. The changed lines are marked and come first.
What you pay or get20262027Change
Plan nameWellcare GivebackWellcare Simplerenamed
In-network out-of-pocket limit$8,200$4,500down $3,700
Drug deductible$615$700up $85
Part B premium reduction, monthly$40nonedropped
Specialist visit$50 copay$25 copaydown $25
Emergency room$115 copay$130 copayup $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 9–90down $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 51–100up $30for a 30-day stay
Ground ambulance, in network$300 copay$275 copaydown $25
Comprehensive dental, yearly limitnot offered$1,000 a yearadded
Eyewear, yearly limit$100 a yearnot offereddropped
Hearing aids, yearly limit for both ears$350 a year$500 a yearup $150
Counties served2329up 6
Drug tier 1, generic$5$10up $5
Drug tier 2, preferred brand$1025% of the costchanged
Drug tier 3, non-preferred drug25% of the cost41% of the costup 16 points
Drug tier 4, injectable drugs42% of the cost1% of the costdown 41 points
6 lines do not change
Monthly premium$0$0no change
Primary care visit$0 copay$0 copayno change
Medical deductible, in networknonenoneno change
Over-the-counter items, yearlynot offerednot offeredno change
Drug tier 5, specialty tier25% of the cost25% of the costno change
Drug tier 6, select care drugs$0$0no 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.

All 23 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. 2026For 2027
Lubbock, TX150moves into H5294-018
Hockley, TX67moves into H5294-018
Ector, TX46moves into H5294-018
Terry, TX40moves into H5294-018
Lamb, TX37moves into H5294-018
Castro, TX35moves into H5294-018
Fisher, TX33moves into H5294-018
Swisher, TX33moves into H5294-018
Nolan, TX27moves into H5294-018
Bailey, TX25moves into H5294-018
Armstrong, TXfewer than 11moves into H5294-018
Borden, TXfewer than 11moves into H5294-018
Briscoe, TXfewer than 11moves into H5294-018
Crosby, TXfewer than 11moves into H5294-018
Floyd, TXfewer than 11moves into H5294-018
Garza, TXfewer than 11moves into H5294-018
Glasscock, TXfewer than 11moves into H5294-018
Kent, TXfewer than 11moves into H5294-018
Lynn, TXfewer than 11moves into H5294-018
Martin, TXfewer than 11moves into H5294-018
Shackelford, TXfewer than 11moves into H5294-018
Sterling, TXfewer than 11moves into H5294-018
Throckmorton, TXfewer than 11moves into H5294-018

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

What else should you check?