Plan year 2027 · Medicare AdvantageCMS files of Sept. 22 and Oct. 1, 2026
Wellcare Sunflower Health Plan Dual Access, 2027
H6550Contract004Plan
HMO-POS D-SNP · special needs plan, dual-eligible · 53 counties in Kansas
Run by Sunflower State Health Plan, Inc. (contract H6550), sold as Wellcare, owned by Centene Corporation
Wellcare Sunflower Health Plan Dual Access (H6550-004) costs $0 a month in 2027, down $32.20 from 2026, with an in-network out-of-pocket limit of $9,850 ($9,250 in 2026). In 2026 it was called Wellcare Dual Access Sync. Some of its 2026 members move to H6550-009 instead (CMS crosswalk).
What changes from 2026 to 2027?
| What you pay or get | 2026 | 2027 | Change |
|---|---|---|---|
| Plan name | Wellcare Dual Access Sync | Wellcare Sunflower Health Plan Dual Access | renamed |
| Monthly premium | $32.20 | $0 | ▼down $32.20 |
| In-network out-of-pocket limit | $9,250 | $9,850 | ▲up $600 |
| Drug deductible | $615 | $700 | ▲up $85 |
| Hospital stay, in network | $2,050 a stay | $1,865 a stay | ▼down $185for a 5-day stay |
| Skilled nursing facility, in network | $0 a day for days 1–20, then $218 a day for days 21–70, then $0 a day for days 71–100 | $0 a day for days 1–20, then $221 a day for days 21–70, then $0 a day for days 71–100 | ▲up $30for a 30-day stay |
| Eyewear, yearly limit | $500 a year | $300 a year | ▼down $200 |
| Over-the-counter items, yearly | not offered | $840 a year | ▲added |
| Counties served | 56 | 53 | ▼down 3 |
| Drug tier 1, generic | $19 | $15 | ▼down $4 |
| Drug tier 2, preferred brand | $20 | 25% of the cost | changed |
| Drug tier 3, non-preferred drug | 22% of the cost | 30% of the cost | ▲up 8 points |
| Drug tier 4, injectable drugs | $100 | 25% of the cost | changed |
| 10 lines do not change | |||
| Part B premium reduction, monthly | none | none | no change |
| Primary care visit | 20% of the cost | 20% of the cost | no change |
| Specialist visit | 20% of the cost | 20% of the cost | no change |
| Emergency room | $115 copay | $115 copay | no change |
| Medical deductible, in network | none | none | no change |
| Ground ambulance, in network | 20% of the cost | 20% of the cost | no change |
| Comprehensive dental, yearly limit | $5,000 a year | $5,000 a year | no change |
| Hearing aids, yearly limit for both ears | $750 a year | $750 a year | no change |
| Drug tier 5, specialty tier | 25% of the cost | 25% of the cost | 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?
| Tier | What the tier holds | 2026, standard pharmacy | 2027, standard pharmacy | 2027, preferred pharmacy |
|---|---|---|---|---|
| Tier 1 | Generic | $19 | $15 | $0 |
| Tier 2 | Preferred Brand | $20 | 25% of the cost | 25% of the cost |
| Tier 3 | Non-Preferred Drug | 22% of the cost | 30% of the cost | 30% of the cost |
| Tier 4 | Injectable Drugs | $100 | 25% of the cost | 25% of the cost |
| Tier 5 | Specialty Tier | 25% of the cost | 25% of the cost | 25% of the cost |
| Tier 6 | Select Care Drugs | $0 | $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, 6 dual-eligible special needs plans are sold for 2027, this one included. Against the others, 5 the same. On the premium, 3 the same, 2 a higher one.
Out-of-pocket limits of the 6 dual-eligible 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?
It stops serving 3 counties it served in 2026 (listed in the next section).
The premium and the out-of-pocket limit are the same in all 53 counties: $0 a month and $9,850.
Kansas
Source: CMS Medicare Advantage and Part D landscape files for 2027 (Sept. 22, 2026, revised Sept. 30) and 2026 (Sept. 2, 2026 revision).
Where do its 2026 members go?
The CMS crosswalk moves the members of the 2026 plan into 2 plans for 2027. It names the plans but not which member goes to which; the counties show where each 2027 plan is sold, and the plan's Annual Notice of Change says which one is yours.
| 2027 plan | Sold in | Members in those counties, Sept. 2026 | Premium 2027 | Limit 2027 |
|---|---|---|---|---|
| Stays in this plan | 53 of its 56 2026 counties, in Kansas | 1,098 | $0 | $9,850 |
| Wellcare Sunflower Health Plan Dual Liberty SyncH6550-009 | 53 of its 56 2026 counties, in Kansas | 1,098 | $0 | $9,850 |
In 3 counties it served in 2026 (Butler, KS, Doniphan, KS, Montgomery, KS) none of these plans is sold; members there choose a new plan by December 31 to have no gap (they can still join until the end of February 2027, with coverage from the first of the next month).
Source: CMS plan crosswalk from 2026 to 2027 (Oct. 1, 2026); CMS Medicare Advantage and Part D landscape files for 2027 (Sept. 22, 2026, revised Sept. 30) and 2026 (Sept. 2, 2026 revision); CMS monthly enrollment by plan and by county, September 2026 (CMS hides counts under 11).
Who runs this plan?
- Plan ID
- H6550-004
- Legal name of the contract
- Sunflower State Health Plan, Inc.
- Sold as
- Wellcare
- Parent company
- Centene Corporation
- Plan type
- HMO-POS D-SNP
- 2026 star rating of the contract
- 3 of 5 overall; health plan 2.5 of 5, drug plan 3.5 of 5
- Members, September 2026
- 1,277
- Plan website, as filed with CMS
- go.wellcare.com/KS
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 Sedgwick, KSWhere most of its members live; premiums and limits side by side
- Every Wellcare plan for 2027Its contracts, counties and plans that end
- The other 2 plans of contract H6550Same 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.