Plan year 2027 · Medicare AdvantageCMS files of Sept. 22 and Oct. 1, 2026
Simply Integrated Platinum, 2027
H5471Contract135Plan
HMO D-SNP · special needs plan, dual-eligible · 24 counties in Florida
Run by Simply Healthcare Plans, Inc. (contract H5471), sold as Simply Healthcare Plans, Inc., owned by Elevance Health, Inc.
Simply Integrated Platinum (H5471-135) costs $0 a month in 2027, the same as in 2026, with an in-network out-of-pocket limit of $500. It takes in the members of H5427-087, H5471-128, H5471-129, H5471-131, H5471-133, H5471-136, H5471-139, H5471-141, H5471-143, H5594-017.
What changes from 2026 to 2027?
| What you pay or get | 2026 | 2027 | Change |
|---|---|---|---|
| Drug deductible | $615 | $105 | ▼down $510 |
| Over-the-counter items, yearly | $1,500 a year | $720 a year | ▼down $780 |
| Counties served | 6 | 24 | ▲up 18 |
| Drug tier 2, generic | 25% of the cost | $0 | changed |
| Drug tier 5, specialty tier | 25% of the cost | 32% of the cost | ▲up 7 points |
| 17 lines do not change | |||
| Monthly premium | $0 | $0 | no change |
| In-network out-of-pocket limit | $500 | $500 | no 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 3, preferred brand | 25% of the cost | 25% of the cost | no change |
| Drug tier 4, non-preferred drug | 25% of the cost | 25% of the cost | no change |
| Drug tier 6, supplemental drugs | $0 | $0 | 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.
What will prescriptions cost?
| Tier | What the tier holds | 2026 | 2027 |
|---|---|---|---|
| Tier 1 | Preferred Generic | $0 | $0 |
| Tier 2 | Generic | 25% of the cost | $0 |
| Tier 3 | Preferred Brand | 25% of the cost | 25% of the cost |
| Tier 4 | Non-Preferred Drug | 25% of the cost | 25% of the cost |
| Tier 5 | Specialty Tier | 25% of the cost | 32% of the cost |
| Tier 6 | Supplemental Drugs | $0 | $0 |
Source: CMS plan benefit package files, 2027 and 2026. Insulin is capped at $35 a month by law. A drug's tier is set by the plan's formulary.
How does it compare with plans sold where it is?
In the counties it serves, 79 dual-eligible special needs plans are sold for 2027, this one included. Against the others, 5 the same, 73 a higher one. On the premium, 68 the same, 10 a higher one.
Out-of-pocket limits of the 79 dual-eligible special needs 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?
The premium and the out-of-pocket limit are the same in all 24 counties: $0 a month and $500.
Florida
Source: CMS Medicare Advantage and Part D landscape files for 2027 (Sept. 22, 2026, revised Sept. 30) and 2026 (Sept. 2, 2026 revision).
Which 2026 plans move into it, and what changes for their members?
For 2027 this plan takes in the members of 10 other plans, beside its own 888 members. In 2027 it costs $0 a month with a $500 limit; each row compares that with the plan its members had in 2026.
| 2026 plan | Members, Sept. 2026 | Members who move | Premium 2026 | Premium change | Limit 2026 | Limit change |
|---|---|---|---|---|---|---|
| Freedom Medi-Medi FullH5427-087 | 1,396 | 1,302 | $0 | no change | $500 | no change |
| Simply IntegratedH5471-128 | 198 | 198 | $0 | no change | $500 | no change |
| Simply IntegratedH5471-129 | 238 | 237 | $4.80 | ▼down $4.80 | $500 | no change |
| Simply IntegratedH5471-131 | 260 | 253 | $4.80 | ▼down $4.80 | $500 | no change |
| Simply IntegratedH5471-133 | 19 | 14 | $4.80 | ▼down $4.80 | $500 | no change |
| Simply Integrated PlatinumH5471-136 | 255 | 251 | $0 | no change | $500 | no change |
| Simply Integrated PlatinumH5471-139 | fewer than 11 | fewer than 11 a county | $0 | no change | $500 | no change |
| Simply Integrated PlatinumH5471-141 | fewer than 11 | fewer than 11 a county | $0 | no change | $500 | no change |
| Simply Integrated PlatinumH5471-143 | fewer than 11 | fewer than 11 a county | $0 | no change | $500 | no change |
| Optimum Emerald FullH5594-017 | 1,078 | 1,018 | $0 | no change | $500 | no change |
Only the members of Freedom Medi-Medi Full (H5427-087) who live in the 20 counties where this plan is sold move into it (1,302 of its 1,396 members); in its other 4 counties the plan ends and members choose a new one. What happens where.
Only the members of Optimum Emerald Full (H5594-017) who live in the 20 counties where this plan is sold move into it (1,018 of its 1,078 members); in its other 4 counties the plan ends and members choose a new one. What happens where.
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); CMS Medicare Advantage and Part D landscape files for 2027 (Sept. 22, 2026, revised Sept. 30) and 2026 (Sept. 2, 2026 revision). Each moving plan's own page lists every line that changes for its members.
Who runs this plan?
- Plan ID
- H5471-135
- Legal name of the contract
- Simply Healthcare Plans, Inc.
- Sold as
- Simply Healthcare Plans, Inc.
- Parent company
- Elevance Health, Inc.
- Plan type
- HMO D-SNP
- 2026 star rating of the contract
- 4.5 of 5 overall; health plan 4.5 of 5, drug plan 4.5 of 5
- Members, September 2026
- 888
- Plan website, as filed with CMS
- https://shop.simplyhealthcareplans.com/medicare
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 Hillsborough, FLWhere most of its members live; premiums and limits side by side
- Every Simply Healthcare Plans, Inc. plan for 2027Its contracts, counties and plans that end
- The other 2 plans of contract H5471Same 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.