Plan year 2027 · Medicare AdvantageCMS files of Sept. 22 and Oct. 1, 2026

Prominence Extra Help, 2027

H7680Contract018Plan

HMO · 8 counties in Texas

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

Renews for 2027

2026 star rating, contract H7680: 4.5 of 5

Prominence Extra Help (H7680-018) costs $0 a month in 2027, down $4.80 from 2026, with an in-network out-of-pocket limit of $3,250 ($3,000 in 2026).

What changes from 2026 to 2027?

The changed lines are marked and come first. In-network amounts; members keep paying the Part B premium unless the plan reduces it.
What you pay or get	2026	2027	Change
Monthly premium	$4.80	$0	down $4.80
In-network out-of-pocket limit	$3,000	$3,250	up $250
Drug deductible	$615	$300	down $315
Hospital stay, in network	$50 a day for days 1–5, then $0 a day for days 6–90	$100 a day for days 1–5, then $0 a day for days 6–90	up $250for a 5-day stay
Eyewear, yearly limit	$195 a year	$175 a year	down $20
Over-the-counter items, yearly	$880 a year	$660 a year	down $220
Drug tier 2, generic	$12	$0	down $12
Drug tier 3, preferred brand	20% of the cost	25% of the cost	up 5 points
Drug tier 4, non-preferred drug	45% of the cost	35% of the cost	down 10 points
Drug tier 5, specialty tier	25% of the cost	30% of the cost	up 5 points
12 lines do not change
Part B premium reduction, monthly	none	none	no change
Primary care visit	$0 copay	$0 copay	no change
Specialist visit	$15 copay	$15 copay	no change
Emergency room	$150 copay	$150 copay	no change
Medical deductible, in network	none	none	no change
Skilled nursing facility, in network	$0 a day for days 1–20, then $160 a day for days 21–100	$0 a day for days 1–20, then $160 a day for days 21–100	no change
Ground ambulance, in network	$300 copay	$300 copay	no change
Comprehensive dental, yearly limit	not offered	not offered	no change
Hearing aids, yearly limit for both ears	$600 a year	$600 a year	no change
Counties served	8	8	no change
Drug tier 1, preferred generic	$0	$0	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?

Your share for a 30-day supply at a retail pharmacy, as filed with CMS; tiers whose share changes are marked
Tier	What the tier holds	2026	2027
Tier 1	Preferred Generic	$0	$0
Tier 2	Generic	$12	$0
Tier 3	Preferred Brand	20% of the cost	25% of the cost
Tier 4	Non-Preferred Drug	45% of the cost	35% of the cost
Tier 5	Specialty Tier	25% of the cost	30% of the cost
Tier 6	Select Care Drugs	$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, 47 plans open to everyone are sold for 2027, this one included. Against the others, 1 plan has a lower out-of-pocket limit, 45 a higher one. On the premium, 34 the same, 12 a higher one.

Out-of-pocket limits of the 47 plans open to everyone

$0 to under $2,0000 plans

$2,000 to under $4,000 (this plan)10 plans

$4,000 to under $6,0006 plans

$6,000 to under $8,00022 plans

$8,000 to $10,0009 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 8 counties: $0 a month and $3,250.

Texas

Cooke Deaf Smith Fannin Gray Grayson Moore Potter Randall

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: H7680-018
Legal name of the contract: Prominence Healthfirst of Texas
Sold as: Prominence Health Plan
Parent company: Universal Health Services, Inc.
Plan type: HMO
2026 star rating of the contract: 4.5 of 5 overall; health plan 4 of 5, drug plan 4 of 5
Members, September 2026: 304
Plan website, as filed with CMS: www.prominencemedicare.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 Potter, TXWhere most of its members live; premiums and limits side by side
Every Prominence Health Plan plan for 2027Its contracts, counties and plans that end
The other 12 plans of contract H7680Same 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.