Plan year 2026 · coverage ends Dec. 31, 2026CMS crosswalk of Oct. 1, 2026
Simply Integrated is not offered under this ID in 2027
H5471Contract130Plan
HMO D-SNP · served 1 county in Florida in 2026
Run by Simply Healthcare Plans, Inc. (contract H5471), sold as Simply Healthcare Plans, Inc., owned by Elevance Health, Inc.
CMS crosswalk: members move into H5431-026
Simply Integrated (H5471-130) is not offered under this ID in 2027: the CMS plan crosswalk of October 1, 2026 moves its members into HealthSun MediSun Full Dual Extra (H5431-026), which is sold in every county it served. 176 people were enrolled in it in September 2026; they can also choose another plan during open enrollment, October 15 to December 7, 2026. The crosswalk also lists part of the plan as terminated without saying which members; your Annual Notice of Change says whether you move to a new plan or your coverage ends.
What changes for its members in HealthSun MediSun Full Dual Extra?
| What you pay or get | 2026 | 2027 | Change |
|---|---|---|---|
| Plan name | Simply Integrated | HealthSun MediSun Full Dual Extra | renamed |
| Monthly premium | $4.80 | $0 | ▼down $4.80 |
| In-network out-of-pocket limit | $500 | $3,450 | ▲up $2,950 |
| Drug deductible | $615 | $700 | ▲up $85 |
| Over-the-counter items, yearly | $660 a year | $1,344 a year | ▲up $684 |
| Counties served | 1 | 3 | ▲up 2 |
| Drug tier 2, generic | 25% of the cost | $0 | changed |
| Drug tier 3, preferred brand | 25% of the cost | $5 | changed |
| Drug tier 4, non-preferred drug | 25% of the cost | $50 | changed |
| 14 lines do not 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 | $0 copay | $0 copay | no change |
| Medical deductible, in network | none | none | no change |
| Hospital stay, in network | $0 a stay | $0 a stay | no change |
| Skilled nursing facility, in network | $0 a day for days 1–100 | $0 a day for days 1–100 | no change |
| Ground ambulance, in network | $0 copay | $0 copay | no change |
| Comprehensive dental, yearly limit | not offered | not offered | no change |
| Eyewear, yearly limit | $400 a year | $400 a year | no change |
| Hearing aids, yearly limit for both ears | $2,000 a year | $2,000 a year | no change |
| Drug tier 1, preferred generic | $0 | $0 | no change |
| Drug tier 5, specialty tier | 25% of the cost | 25% of the cost | no change |
| Drug tier 6, supplemental 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 your notice says you move to a new plan
- If you do nothing
- You are moved into HealthSun MediSun Full Dual Extra 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.
If your notice says your plan is ending
- Your coverage
- Ends December 31, 2026.
- 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, and because you have Medicaid, Medicare enrolls you in a drug plan.
- If you have Medicaid or Extra Help
- You can switch to a different drug plan, or leave a Medicare Advantage plan for Original Medicare with a drug plan, once a calendar month; the change starts the first day of the next month.
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 |
|---|---|---|
| Broward, FL | 175 | moves into H5431-026 |
Source: CMS monthly enrollment by plan and by county, September 2026 (CMS hides counts under 11).
What else should you check?
- 2027 plans in Broward, FLThe plans you can join instead
- Simply Healthcare Plans, Inc. plans for 2027Plans the same company still offers
- Every plan not offered in 2027764 Medicare Advantage and drug plans