Plan year 2027 · Medicare AdvantageCMS files of Sept. 22 and Oct. 1, 2026

VNS Health EasyCare, 2027

H5549Contract012Plan

HMO · 20 counties in New York

Run by Vns Choice (contract H5549), sold as VNS Health Medicare, owned by Visiting Nurse Service of New York

Renews for 2027

2026 star rating, contract H5549: 3.5 of 5

VNS Health EasyCare (H5549-012) costs $25 a month in 2027, the same as in 2026, with an in-network out-of-pocket limit of $9,850 ($9,250 in 2026).

What changes from 2026 to 2027?

The changed lines are marked and come first. In-network amounts; members keep paying the Part B premium unless the plan reduces it.
What you pay or get	2026	2027	Change
In-network out-of-pocket limit	$9,250	$9,850	up $600
Drug deductible	$500	$650	up $150
Hospital stay, in network	$400 a day for days 1–5, then $0 a day for days 6–90	$490 a day for days 1–5, then $0 a day for days 6–90	up $450for a 5-day stay
Ground ambulance, in network	$250 copay	$300 copay	up $50
Eyewear, yearly limit	$300 a year	$200 a year	down $100
Hearing aids, yearly limit for both ears	$250 a year	$166.67 a year	down $83.33
Over-the-counter items, yearly	$428 a year	$200 a year	down $228
Drug tier 5, specialty tier	27% of the cost	26% of the cost	down 1 point
14 lines do not change
Monthly premium	$25	$25	no change
Part B premium reduction, monthly	none	none	no change
Primary care visit	$0 copay	$0 copay	no change
Specialist visit	$35 copay	$35 copay	no change
Emergency room	$115 copay	$115 copay	no change
Medical deductible, in network	none	none	no change
Skilled nursing facility, in network	$0 a day for days 1–20, then $218 a day for days 21–100	$0 a day for days 1–20, then $218 a day for days 21–100	no change
Comprehensive dental, yearly limit	$2,500 a year	$2,500 a year	no change
Counties served	20	20	no change
Drug tier 1, preferred generic	$0	$0	no change
Drug tier 2, generic	$20	$20	no change
Drug tier 3, preferred brand	$47	$47	no change
Drug tier 4, non-preferred brand	$100	$100	no change
Drug tier 6, select care 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?

Your share for a 30-day supply at a retail pharmacy, as filed with CMS; tiers whose share changes are marked
Tier	What the tier holds	2026	2027
Tier 1	Preferred Generic	$0	$0
Tier 2	Generic	$20	$20
Tier 3	Preferred Brand	$47	$47
Tier 4	Non-Preferred Brand	$100	$100
Tier 5	Specialty Tier	27% of the cost	26% of the cost
Tier 6	Select Care 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, 124 plans open to everyone are sold for 2027, this one included. Against the others, 61 plans have a lower out-of-pocket limit, 62 the same. On the premium, 55 plans have a lower premium, 68 a higher one.

Out-of-pocket limits of the 124 plans open to everyone

$0 to under $2,0000 plans

$2,000 to under $4,0000 plans

$4,000 to under $6,0001 plan

$6,000 to under $8,00032 plans

$8,000 to $10,000 (this plan)91 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 20 counties: $25 a month and $9,850.

New York

Albany Bronx Dutchess Erie Kings Monroe Nassau New York Niagara Onondaga Orange Queens Rensselaer Richmond Rockland Saratoga Schenectady Suffolk Sullivan Westchester

Source: CMS Medicare Advantage and Part D landscape files for 2027 (Sept. 22, 2026, revised Sept. 30) and 2026 (Sept. 2, 2026 revision).

Who runs this plan?

Plan ID: H5549-012
Legal name of the contract: Vns Choice
Sold as: VNS Health Medicare
Parent company: Visiting Nurse Service of New York
Plan type: HMO
2026 star rating of the contract: 3.5 of 5 overall; health plan 3.5 of 5, drug plan 3.5 of 5
Members, September 2026: 6,096
Plan website, as filed with CMS: www.vnshealthplans.org

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 Queens, NYWhere most of its members live; premiums and limits side by side
Every VNS Health Medicare plan for 2027Its contracts, counties and plans that end
The other 2 plans of contract H5549Same 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.