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

Wellpoint Dual Advantage, 2027

H8849Contract030Plan

HMO D-SNP · special needs plan, dual-eligible · 65 counties in Texas

Run by Wellpoint Insurance Company (contract H8849), sold as Wellpoint, owned by Elevance Health, Inc.

Takes in 6 plans

2026 star rating, contract H8849: 3.5 of 5

Wellpoint Dual Advantage (H8849-030) costs $0 a month in 2027, with an in-network out-of-pocket limit of $9,850. It is a new plan for 2027. It takes in the members of H2593-032, H2593-048, H2593-051, H2593-053, H8849-010, H8849-011.

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	not offered	$0	new for 2027
In-network out-of-pocket limit	not filed	$9,850	new for 2027
Drug deductible	not filed	$105	new for 2027
Primary care visit	not offered	$0 copay	changed
Specialist visit	not offered	$0 copay	changed
Emergency room	not offered	$115 copay	changed
Hospital stay, in network	not offered	not filed	changed
Skilled nursing facility, in network	not offered	not filed	changed
Ground ambulance, in network	not offered	20% of the cost	changed
Eyewear, yearly limit	not offered	$275 a year	added
Hearing aids, yearly limit for both ears	not offered	$1,500 a year	added
5 lines do not change
Part B premium reduction, monthly	none	none	no change
Medical deductible, in network	none	none	no change
Comprehensive dental, yearly limit	not offered	not offered	no change
Over-the-counter items, yearly	not offered	not offered	no change
Counties served	not offered	65	new for 2027

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	not offered	$0
Tier 2	Generic	not offered	$0
Tier 3	Preferred Brand	not offered	25% of the cost
Tier 4	Non-Preferred Drug	not offered	25% of the cost
Tier 5	Specialty Tier	not offered	32% 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, 69 dual-eligible special needs plans are sold for 2027, this one included. Against the others, 7 plans have a lower out-of-pocket limit, 61 the same. On the premium, 62 the same, 6 a higher one.

Out-of-pocket limits of the 69 dual-eligible special needs plans

$0 to under $2,0000 plans

$2,000 to under $4,0003 plans

$4,000 to under $6,0002 plans

$6,000 to under $8,0000 plans

$8,000 to $10,000 (this plan)64 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 65 counties: $0 a month and $9,850.

Texas

Anderson Angelina Atascosa Austin Bandera Bastrop Blanco Brazoria Burnet Caldwell Cameron Camp Cherokee Collin Colorado Comal Cooke Delta Denton El Paso Ellis Fayette Franklin Galveston Gonzales Grayson Gregg Grimes Guadalupe Hamilton Hays Henderson Hidalgo Hood Hopkins Hudspeth Hunt Johnson Kaufman Kendall Lampasas Lee Matagorda Medina Mills Montague Montgomery Nacogdoches Navarro Parker Rains Rockwall Rusk San Saba Smith Titus Travis Upshur Van Zandt Waller Wharton Williamson Wilson Wise Wood

Source: CMS Medicare Advantage and Part D landscape files for 2027 (Sept. 22, 2026, revised Sept. 30) and 2026 (Sept. 2, 2026 revision).

Which 2026 plans move into it, and what changes for their members?

For 2027 this plan takes in the members of 6 other plans. In 2027 it costs $0 a month with a $9,850 limit; each row compares that with the plan its members had in 2026.

2026 plan	Members, Sept. 2026	Members who move	Premium 2026	Premium change	Limit 2026	Limit change
Wellpoint Dual Advantage 2H2593-032	1,135	218	$0	no change	$9,250	up $600
Wellpoint Full Dual Advantage 2H2593-048	117	fewer than 11 a county	$4.80	down $4.80	$9,250	up $600
Wellpoint Full Dual Advantage 2H2593-051	1,571	118	$4.80	down $4.80	$9,250	up $600
Wellpoint Full Dual AdvantageH2593-053	629	627	$0	no change	$9,250	up $600
Wellpoint Full Dual AdvantageH8849-010	34,952	8,639	$2.40	down $2.40	$9,250	up $600
Wellpoint Dual AdvantageH8849-011	1,804	445	$4.80	down $4.80	$9,250	up $600

Only the members of Wellpoint Dual Advantage 2 (H2593-032) who live in the 46 counties where this plan is sold move into it (218 of its 1,135 members); in its other 38 counties the plan ends and members choose a new one. What happens where.

Only the members of Wellpoint Full Dual Advantage 2 (H2593-048) who live in the 7 counties where this plan is sold move into it (0 of its 117 members); in its other 2 counties the plan ends and members choose a new one. What happens where.

Only the members of Wellpoint Full Dual Advantage 2 (H2593-051) who live in the 7 counties where this plan is sold move into it (118 of its 1,571 members); in its other 1 county the plan ends and members choose a new one. What happens where.

Only the members of Wellpoint Full Dual Advantage (H8849-010) who live in the 42 counties where this plan is sold move into it (8,639 of its 34,952 members); in its other 34 counties the plan ends and members choose a new one. What happens where.

Only the members of Wellpoint Dual Advantage (H8849-011) who live in the 50 counties where this plan is sold move into it (445 of its 1,804 members); in its other 38 counties the plan ends and members choose a new one. What happens where.

Source: CMS plan crosswalk from 2026 to 2027 (Oct. 1, 2026); CMS monthly enrollment by plan and by county, September 2026 (CMS hides counts under 11); CMS Medicare Advantage and Part D landscape files for 2027 (Sept. 22, 2026, revised Sept. 30) and 2026 (Sept. 2, 2026 revision). Each moving plan's own page lists every line that changes for its members.

Who runs this plan?

Plan ID: H8849-030
Legal name of the contract: Wellpoint Insurance Company
Sold as: Wellpoint
Parent company: Elevance Health, Inc.
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
Plan website, as filed with CMS: https://shop.wellpoint.com/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 Collin, TXWhere most of its members live; premiums and limits side by side
Every Wellpoint plan for 2027Its contracts, counties and plans that end
The other 22 plans of contract H8849Same 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.