Medicare contract · plan years 2026 and 2027CMS landscape and crosswalk
Essence Healthcare PPO, Inc. (H6200)
H6200Contract
A company of Lumeris Group Holdings Corporation, sold as Essence Healthcare
7 plans in 2027 (7 in 2026) · 10,972 members in September 2026
Essence Healthcare PPO, Inc. is the Lumeris Group Holdings Corporation company that holds Medicare contract H6200, sold as Essence Healthcare. In 2027 it offers 7 plans (7 in 2026); every one of its 2026 plans continues in 2027. 10,972 people were in its plans in September 2026.
What plans does H6200 offer for 2027?
| Plan | Type | Monthly premium | Out-of-pocket limit | Area | For 2027 |
|---|---|---|---|---|---|
| Essence Advantage ChoiceH6200-001 | PPO | $40 | $9,850 | 20 counties | renews |
| Essence Advantage ChoiceH6200-004 | PPO | $0 | $8,200 | 19 counties | renews |
| Essence Advantage ChoiceH6200-006 | PPO | $39 | $9,850 | 30 counties | renews |
| Essence Advantage Premier PlusH6200-008 | PPO | $264 | $2,900 | 18 counties | renews |
| Essence Advantage ChoiceH6200-009 | PPO | $0 | $4,450 | 3 counties | renews |
| Essence Advantage Choice PlusH6200-010 | PPO | $49 | $6,700 | 3 counties | renews |
| Essence Advantage Premier PlusH6200-011 | PPO | $267 | $2,900 | 3 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).
Which employer and union group plans does it hold?
H6200 also holds 4 group plans offered through former employers and unions, with 0 members in September 2026 (plans with fewer than 11 not counted). They are not sold to individuals, so the landscape files list no premiums or benefits for them; the employer or union sends their 2027 terms.
| Plan ID | Plan name | Members, Sept. 2026 | 2027 |
|---|---|---|---|
| H6200-801 | Essence Advantage EGWP PPO MAPD Calendar Yr | fewer than 11 | renews |
| H6200-802 | Essence Advantage EGWP PPO MAPD non-Calendar Yr | fewer than 11 | renews |
| H6200-803 | Essence Advantage EGWP PPO MA Only Calendar Yr | fewer than 11 | renews |
| H6200-804 | Essence Advantage EGWP PPO MA Only non-Calendar Yr | fewer than 11 | renews |
Source: CMS monthly enrollment by plan and by county, September 2026 (CMS hides counts under 11); CMS plan crosswalk from 2026 to 2027 (Oct. 1, 2026).
How did CMS rate it for 2026?
The overall rating is 3.5 of 5 (health plan 3.5 of 5, drug plan 3 of 5). Of its 38 rated measures, the lowest and the highest:
| Lowest-rated measures | Stars |
|---|---|
| Improving Bladder Control | 1 |
| Getting Needed Prescription Drugs | 1 |
| MPF Price Accuracy | 1 |
| Rating of Health Plan | 2 |
| Highest-rated measures | Stars |
|---|---|
| Medication Adherence for Diabetes Medications | 5 |
| Reviewing Appeals Decisions | 5 |
| Controlling High Blood Pressure | 5 |
| Diabetes Care – Blood Sugar Controlled | 5 |
Source: CMS Part C and D Star Ratings data tables, 2026 (October 2025).
What else should you check?
- All Essence Healthcare 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