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PlainMedicare

Plan year 2026 · coverage ends Dec. 31, 2026CMS crosswalk of Oct. 1, 2026

Prominence Beyond is not offered under this ID in 2027

H7680Contract011Plan

HMO · served 8 counties in Texas in 2026

Run by Prominence Healthfirst of Texas (contract H7680), sold as Prominence Health Plan, owned by Universal Health Services, Inc.

CMS crosswalk: members move into H7680-002

Folds into H7680-002

Prominence Beyond (H7680-011) is not offered under this ID in 2027: the CMS plan crosswalk of October 1, 2026 moves its members into Prominence Plus (H7680-002), which is sold in every county it served. 50 people were enrolled in it in September 2026; they can also choose another plan during open enrollment, October 15 to December 7, 2026.

What changes for its members in Prominence Plus?

For its members: this plan's 2026 amounts beside Prominence Plus (H7680-002) in 2027. The changed lines are marked and come first.
What you pay or get20262027Change
Plan nameProminence BeyondProminence Plusrenamed
In-network out-of-pocket limit$4,150$3,000down $1,150
Drug deductible$100$0down $100
Specialist visit$45 copay$20 copaydown $25
Hospital stay, in network$215 a day for days 1–5, then $0 a day for days 6–90$50 a day for days 1–5, then $0 a day for days 6–90down $825for a 5-day stay
Skilled nursing facility, in network$20 a day for days 1–20, then $218 a day for days 21–100$0 a day for days 1–20, then $50 a day for days 21–100down $2,080for a 30-day stay
Ground ambulance, in network$175 copay$275 copayup $100
Eyewear, yearly limit$500 a year$200 a yeardown $300
Hearing aids, yearly limit for both ears$800 a year$600 a yeardown $200
Over-the-counter items, yearly$460 a year$600 a yearup $140
Drug tier 3, preferred brand$47$45down $2
Drug tier 4, non-preferred drug$10050% of the costchanged
Drug tier 5, specialty tier31% of the cost33% of the costup 2 points
10 lines do not change
Monthly premium$0$0no change
Part B premium reduction, monthlynonenoneno change
Primary care visit$0 copay$0 copayno change
Emergency room$150 copay$150 copayno change
Medical deductible, in networknonenoneno change
Comprehensive dental, yearly limitnot offerednot offeredno change
Counties served88no change
Drug tier 1, preferred generic$0$0no change
Drug tier 2, generic$12$12no change
Drug tier 6, select care drugs$0$0no change

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 plan benefit package files, 2027 and 2026. Your plan's Annual Notice of Change is the letter that confirms your 2027 plan; confirm on Medicare Plan Finder.

What can members do, and by when?

If you do nothing
You are moved into Prominence Plus on January 1, 2027.
October 15 to December 7, 2026
Open enrollment: choose another Medicare Advantage plan, or Original Medicare with a drug plan, instead.
January 1 to March 31, 2027
Medicare Advantage open enrollment: switch once to another Medicare Advantage plan or to Original Medicare.

Source: Medicare.gov, “Special enrollment periods” and “Joining a plan” (read Oct. 7, 2026).

Where did its members live?

Where its members lived in September 2026; each county and state page lists the 2027 plans sold there.

All 8 counties, most members first; CMS hides counts under 11 per county, so the counties add up to a little less than the plan's total
CountyMembers, Sept. 2026For 2027
Hidalgo, TX32moves into H7680-002
Webb, TX11moves into H7680-002
Brooks, TXfewer than 11moves into H7680-002
Cameron, TXfewer than 11moves into H7680-002
Jim Hogg, TXfewer than 11moves into H7680-002
Starr, TXfewer than 11moves into H7680-002
Willacy, TXfewer than 11moves into H7680-002
Zapata, TXfewer than 11moves into H7680-002

Source: CMS monthly enrollment by plan and by county, September 2026 (CMS hides counts under 11).

What else should you check?