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

Banner Medicare Advantage Prime, 2027

H5843Contract001Plan

HMO · 1 county in Arizona

Run by Banner Health Plan, Inc. (contract H5843), sold as Banner Medicare Advantage, owned by Banner Health

Renews for 2027

2026 star rating, contract H5843: 3.5 of 5

Banner Medicare Advantage Prime (H5843-001) costs $0 a month in 2027, the same as in 2026, with an in-network out-of-pocket limit of $2,995.

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
Drug deductible	$440	$540	up $100
Specialist visit	$15 copay	$35 copay	up $20
Emergency room	$120 copay	$150 copay	up $30
Eyewear, yearly limit	$250 a year	$100 a year	down $150
Hearing aids, yearly limit for both ears	$1,000 a year	not offered	dropped
Drug tier 4, non-preferred drug	50% of the cost	44% of the cost	down 6 points
Drug tier 5, specialty tier	28% of the cost	27% of the cost	down 1 point
14 lines do not change
Monthly premium	$0	$0	no change
In-network out-of-pocket limit	$2,995	$2,995	no change
Part B premium reduction, monthly	none	none	no change
Primary care visit	$0 copay	$0 copay	no change
Medical deductible, in network	none	none	no change
Hospital stay, in network	$275 a day for days 1–7, then $0 a day for days 8–90	$275 a day for days 1–7, then $0 a day for days 8–90	no change
Skilled nursing facility, in network	$0 a day for days 1–20, then $178 a day for days 21–100	$0 a day for days 1–20, then $178 a day for days 21–100	no change
Ground ambulance, in network	$265 copay	$265 copay	no change
Comprehensive dental, yearly limit	not offered	not offered	no change
Over-the-counter items, yearly	$260 a year	$260 a year	no change
Counties served	1	1	no change
Drug tier 1, preferred generic	$0	$0	no change
Drug tier 2, generic	$5	$5	no change
Drug tier 3, preferred brand	$47	$47	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	$5	$5
Tier 3	Preferred Brand	$47	$47
Tier 4	Non-Preferred Drug	50% of the cost	44% of the cost
Tier 5	Specialty Tier	28% of the cost	27% of the cost

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, 52 plans open to everyone are sold for 2027, this one included. Against the others, 7 plans have a lower out-of-pocket limit, 44 a higher one. On the premium, 45 the same, 6 a higher one.

Out-of-pocket limits of the 52 plans open to everyone

$0 to under $2,0000 plans

$2,000 to under $4,000 (this plan)20 plans

$4,000 to under $6,00017 plans

$6,000 to under $8,00013 plans

$8,000 to $10,0002 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 1 county: $0 a month and $2,995.

Arizona

Maricopa

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: H5843-001
Legal name of the contract: Banner Health Plan, Inc.
Sold as: Banner Medicare Advantage
Parent company: Banner Health
Plan type: HMO
2026 star rating of the contract: 3.5 of 5 overall; health plan 3 of 5, drug plan 3.5 of 5
Members, September 2026: 7,446
Plan website, as filed with CMS: www.BannerHealth.com/MA

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 Maricopa, AZWhere most of its members live; premiums and limits side by side
Every Banner Medicare Advantage plan for 2027Its contracts, counties and plans that end
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.