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

Health New England Medicare Basic No Rx, 2027

H8578Contract009Plan

HMO · 4 counties in Massachusetts

Run by Health New England, Inc. (contract H8578), sold as Health New England Medicare Advantage Plans, owned by Baystate Health, Inc.

Renews for 2027

2026 star rating, contract H8578: 3 of 5

Health New England Medicare Basic No Rx (H8578-009) costs $0 a month in 2027, the same as in 2026, with an in-network out-of-pocket limit of $5,500.

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
Ground ambulance, in network	$350 copay	$340 copay	down $10
14 lines do not change
Monthly premium	$0	$0	no change
In-network out-of-pocket limit	$5,500	$5,500	no change
Part B premium reduction, monthly	none	none	no change
Primary care visit	$15 copay	$15 copay	no change
Specialist visit	$40 copay	$40 copay	no change
Emergency room	$130 copay	$130 copay	no change
Medical deductible, in network	none	none	no change
Hospital stay, in network	$300 a day for days 1–6, then $0 a day for days 7–90	$300 a day for days 1–6, then $0 a day for days 7–90	no change
Skilled nursing facility, in network	$10 a day for days 1–20, then $200 a day for days 21–50, then $0 a day for days 51–100	$10 a day for days 1–20, then $200 a day for days 21–50, then $0 a day for days 51–100	no change
Comprehensive dental, yearly limit	not offered	not offered	no change
Eyewear, yearly limit	$100 a year	$100 a year	no change
Hearing aids, yearly limit for both ears	not offered	not offered	no change
Over-the-counter items, yearly	$400 a year	$400 a year	no change
Counties served	4	4	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, 38 plans open to everyone are sold for 2027, this one included. Against the others, 12 plans have a lower out-of-pocket limit, 1 the same, 24 a higher one. On the premium, 15 the same, 22 a higher one.

Out-of-pocket limits of the 38 plans open to everyone

$0 to under $2,0000 plans

$2,000 to under $4,0005 plans

$4,000 to under $6,000 (this plan)9 plans

$6,000 to under $8,00018 plans

$8,000 to $10,0006 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 4 counties: $0 a month and $5,500.

Massachusetts

Berkshire Franklin Hampden Hampshire

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: H8578-009
Legal name of the contract: Health New England, Inc.
Sold as: Health New England Medicare Advantage Plans
Parent company: Baystate Health, Inc.
Plan type: HMO
2026 star rating of the contract: 3 of 5 overall; health plan 3 of 5, drug plan 3.5 of 5
Members, September 2026: 160
Plan website, as filed with CMS: www.healthnewengland.org/medicare

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 Hampden, MAWhere most of its members live; premiums and limits side by side
Every Health New England Medicare Advantage Plans plan for 2027Its contracts, counties and plans that end
The other 6 plans of contract H8578Same 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.