Medicare contract · plan years 2026 and 2027CMS landscape and crosswalk
HealthSun Health Plans, Inc. (H5431)
H5431Contract
A company of Elevance Health, Inc., sold as HealthSun Health Plans, Inc.
11 plans in 2027 (13 in 2026) · 68,134 members in September 2026
HealthSun Health Plans, Inc. is the Elevance Health, Inc. company that holds Medicare contract H5431, sold as HealthSun Health Plans, Inc.. In 2027 it offers 11 plans (13 in 2026); every one of its 2026 plans continues in 2027. 68,134 people were in its plans in September 2026.
What plans does H5431 offer for 2027?
| Plan | Type | Monthly premium | Out-of-pocket limit | Area | For 2027 |
|---|---|---|---|---|---|
| HealthSun HealthAdvantage PlanH5431-001 | HMO | $0 | $1,500 | 1 county | renews |
| HealthSun MediMaxH5431-006 | HMO | $0 | $3,450 | 2 counties | renews |
| HealthSun HealthAdvantage PlanH5431-012 | HMO | $0 | $2,500 | 1 county | renews |
| HealthSun HealthAdvantage PlanH5431-013 | HMO | $0 | $3,450 | 1 county | renews |
| HealthSun HealthAdvantage PlusH5431-017 | HMO | $0 | $3,450 | 1 county | renews |
| HealthSun HealthAdvantage PlusH5431-018 | HMO | $0 | $3,450 | 1 county | renews |
| HealthSun MediSun ExtraH5431-019 | HMO D-SNP | $0 | $3,450 | 3 counties | takes in other plans |
| HealthSun HealthAdvantage PlusH5431-020 | HMO | $0 | $3,450 | 1 county | renews |
| HealthSun VitalCareH5431-021 | HMO C-SNP | $0 | $1,900 | 2 counties | renews |
| HealthSun VitalCareH5431-022 | HMO C-SNP | $0 | $2,450 | 1 county | renews |
| HealthSun MediSun Full Dual ExtraH5431-026 | HMO D-SNP | $0 | $3,450 | 3 counties | takes in other plans |
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 crosswalk from 2026 to 2027 (Oct. 1, 2026).
How did CMS rate it for 2026?
The overall rating is 4.5 of 5 (health plan 4.5 of 5, drug plan 3.5 of 5). Of its 39 rated measures, the lowest and the highest:
| Lowest-rated measures | Stars |
|---|---|
| Monitoring Physical Activity | 1 |
| MPF Price Accuracy | 1 |
| Getting Appointments and Care Quickly | 2 |
| Call Center – Foreign Language Interpreter and TTY Availability | 2 |
| Highest-rated measures | Stars |
|---|---|
| Medication Adherence for Cholesterol (Statins) | 5 |
| Medication Adherence for Diabetes Medications | 5 |
| Drug Plan Quality Improvement | 5 |
| Members Choosing to Leave the Plan | 5 |
Source: CMS Part C and D Star Ratings data tables, 2026 (October 2025).
What else should you check?
- All HealthSun Health Plans, Inc. plansEvery contract of the brand
- Star ratings of every contractThe 2026 ratings, and 2027 when CMS publishes them
- Find a plan by its IDFrom the card or a letter