Medicare contract · plan years 2026 and 2027CMS landscape and crosswalk
Gateway Health Plan, Inc. (H5932)
H5932Contract
A company of Highmark Health, sold as Highmark Wholecare Medicare Assured
4 plans in 2027 (4 in 2026) · 40,790 members in September 2026
Gateway Health Plan, Inc. is the Highmark Health company that holds Medicare contract H5932, sold as Highmark Wholecare Medicare Assured. In 2027 it offers 4 plans (4 in 2026); every one of its 2026 plans continues in 2027. 40,790 people were in its plans in September 2026.
What plans does H5932 offer for 2027?
| Plan | Type | Monthly premium | Out-of-pocket limit | Area | For 2027 |
|---|---|---|---|---|---|
| Highmark Wholecare Medicare Assured DiamondH5932-001 | HMO D-SNP | $12.80 | $9,850 | 57 counties | renews |
| Highmark Wholecare Medicare Assured RubyH5932-009 | HMO D-SNP | $12.80 | $6,500 | 57 counties | renews |
| Highmark Wholecare Medicare Assured DiamondH5932-012 | HMO D-SNP | $0 | $9,850 | 5 counties | renews |
| Highmark Wholecare Medicare Assured RubyH5932-013 | HMO D-SNP | $12.80 | $6,500 | 5 counties | renews |
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 of 5 (health plan 3.5 of 5, drug plan 4 of 5). Of its 41 rated measures, the lowest and the highest:
| Lowest-rated measures | Stars |
|---|---|
| Care for Older Adults – Medication Review | 1 |
| Colorectal Cancer Screening | 2 |
| Special Needs Plan (SNP) Care Management | 2 |
| Statin Therapy for Patients with Cardiovascular Disease | 2 |
| Highest-rated measures | Stars |
|---|---|
| Getting Needed Prescription Drugs | 5 |
| Members Choosing to Leave the Plan | 5 |
| Members Choosing to Leave the Plan | 5 |
| Complaints about the Health Plan | 5 |
Source: CMS Part C and D Star Ratings data tables, 2026 (October 2025).
What else should you check?
- All Highmark Wholecare Medicare Assured 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