Plan year 2027 · Medicare AdvantageCMS files of Sept. 22 and Oct. 1, 2026
PruittHealth Premier, 2027
H6345Contract002Plan
HMO I-SNP · special needs plan, institutional · 19 counties in South Carolina
Run by Pruitthealth Premier North Carolina, LLC (contract H6345), sold as PruittHealth Premier, owned by UNICO Services, Inc.
PruittHealth Premier (H6345-002) costs $7.30 a month in 2027, down $28.40 from 2026, with an in-network out-of-pocket limit of $9,850 ($9,250 in 2026).
What changes from 2026 to 2027?
| What you pay or get | 2026 | 2027 | Change |
|---|---|---|---|
| Monthly premium | $35.70 | $7.30 | ▼down $28.40 |
| In-network out-of-pocket limit | $9,250 | $9,850 | ▲up $600 |
| Drug deductible | $615 | $700 | ▲up $85 |
| Specialist visit | $35 copay | $40 copay | ▲up $5 |
| Emergency room | $90 copay | $115 copay | ▲up $25 |
| Hearing aids, yearly limit for both ears | $2,000 a year | $1,500 a year | ▼down $500 |
| Over-the-counter items, yearly | $2,040 a year | $1,080 a year | ▼down $960 |
| Counties served | 17 | 19 | ▲up 2 |
| 8 lines do not 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 | not filed | not filed | no change |
| Skilled nursing facility, in network | $0 a stay | $0 a stay | no change |
| Ground ambulance, in network | 20% of the cost | 20% of the cost | no change |
| Comprehensive dental, yearly limit | not offered | not offered | no change |
| Eyewear, yearly limit | $300 a year | $300 a year | 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.
How does it compare with plans sold where it is?
In the counties it serves, 6 institutional special needs plans are sold for 2027, this one included. Against the others, 1 plan has a lower out-of-pocket limit, 4 the same. On the premium, 4 plans have a lower premium, 1 a higher one.
Out-of-pocket limits of the 6 institutional 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 19 counties: $7.30 a month and $9,850.
South Carolina
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
- H6345-002
- Legal name of the contract
- Pruitthealth Premier North Carolina, LLC
- Sold as
- PruittHealth Premier
- Parent company
- UNICO Services, Inc.
- Plan type
- HMO I-SNP
- 2026 star rating of the contract
- not rated (too little data) overall; health plan not rated, drug plan 5 of 5
- Members, September 2026
- 596
- Plan website, as filed with CMS
- www.pruitthealthpremier.com
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 Aiken, SCWhere most of its members live; premiums and limits side by side
- Every PruittHealth Premier plan for 2027Its contracts, counties and plans that end
- The other 2 plans of contract H6345Same 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.