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

PriorityMedicare Dual Premier, 2027

H8379Contract003Plan

HMO D-SNP · special needs plan, dual-eligible · 10 counties in Michigan

Run by Priority Health Choice, Inc. (contract H8379), sold as Priority Health Medicare, owned by Corewell Health

Renews for 2027

2026 star rating, contract H8379: 3.5 of 5

PriorityMedicare Dual Premier (H8379-003) costs $6.30 a month in 2027, down $2.50 from 2026, with an in-network out-of-pocket limit of $9,850 ($9,250 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. The plan files its benefits in parts for different counties, so lines marked ◆ show the most generous part of its area and some counties get less: the plan's Evidence of Coverage gives your county's amounts.
What you pay or get	2026	2027	Change
Monthly premium	$8.80	$6.30	down $2.50
In-network out-of-pocket limit	$9,250	$9,850	up $600
Drug deductible	$615	$700	up $85
Eyewear, yearly limit (best in its area)	$200 a year	not offered	dropped
17 lines do not change
Part B premium reduction, monthly (best in its area)	none	none	no change
Primary care visit (best in its area)	$0 copay	$0 copay	no change
Specialist visit (best in its area)	$0 copay	$0 copay	no change
Emergency room (best in its area)	$115 copay	$115 copay	no change
Medical deductible, in network (best in its area)	none	none	no change
Hospital stay, in network (best in its area)	$2,000 a stay	$2,000 a stay	no change
Skilled nursing facility, in network (best in its area)	$0 a day for days 1–20, then $218 a day for days 21–100	$0 a day for days 1–20, then $218 a day for days 21–100	no change
Ground ambulance, in network (best in its area)	35% of the cost	35% of the cost	no change
Comprehensive dental, yearly limit (best in its area)	not offered	not offered	no change
Hearing aids, yearly limit for both ears (best in its area)	not offered	not offered	no change
Over-the-counter items, yearly (best in its area)	not offered	not offered	no change
Counties served	10	10	no change
Drug tier 1, preferred generic	$0	$0	no change
Drug tier 2, generic	$0	$0	no change
Drug tier 3, preferred brand	25% of the cost	25% of the cost	no change
Drug tier 4, non-preferred drug	25% of the cost	25% of the cost	no change
Drug tier 5, specialty tier	25% of the cost	25% of the cost	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	$0	$0
Tier 3	Preferred Brand	25% of the cost	25% of the cost
Tier 4	Non-Preferred Drug	25% of the cost	25% of the cost
Tier 5	Specialty Tier	25% of the cost	25% of the cost

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, 9 dual-eligible special needs plans are sold for 2027, this one included. Against the others, 8 the same. On the premium, 7 plans have a lower premium, 1 the same.

Out-of-pocket limits of the 9 dual-eligible special needs plans

$0 to under $2,0000 plans

$2,000 to under $4,0000 plans

$4,000 to under $6,0000 plans

$6,000 to under $8,0000 plans

$8,000 to $10,000 (this plan)9 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 10 counties: $6.30 a month and $9,850.

Michigan

Barry Berrien Branch Calhoun Cass Kalamazoo Macomb St. Joseph Van Buren Wayne

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: H8379-003
Legal name of the contract: Priority Health Choice, Inc.
Sold as: Priority Health Medicare
Parent company: Corewell Health
Plan type: HMO D-SNP
2026 star rating of the contract: 3.5 of 5 overall; health plan 3.5 of 5, drug plan 3.5 of 5
Members, September 2026: 1,128
Plan website, as filed with CMS: priorityhealth.com/dsnp

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 Wayne, MIWhere most of its members live; premiums and limits side by side
Every Priority Health Medicare plan for 2027Its contracts, counties and plans that end
The other 1 plan of contract H8379Same 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.