Wellpoint Medicare Advantage (HMO-POS) — 2027
Plan year 2027 · Source: CMS · Checked October 29, 2026
Plan ID: H5828-013-0 · Sold by Wellpoint
What this plan is
This is a Medicare Advantage plan sold as an HMO-POS in Tennessee, which means most care stays inside the plan's network and you choose a main doctor. For some care you can go outside the network, but you often pay more when you do. It covers both medical care and prescription drugs in one plan.
The same plan name can appear under other Wellpoint contracts in other states, and those versions are different plans with their own costs. The numbers on this page belong to this contract only. See the [Wellpoint company page](/medicare-advantage/wellpoint/) for its full list of plans, or [all companies compared](/medicare-advantage/) for the whole field.
Medicare rates this plan's contract 3 out of 5 stars overall for 2027, with 3 stars for health care and 3 stars for drug care.
What it costs
- Monthly premium: $40 for the medical and drug parts together. The medical part alone is $4. You still pay your Part B premium each month, just as you would with any Medicare Advantage plan.
- Yearly limit on in-network care: $6,750. Once your copays and coinsurance for Part A and Part B care reach this amount in a year, you pay nothing more for covered in-network care that year.
- Drug deductible: $475 a year. Your drug copays then depend on which tier each of your drugs sits on in the plan's drug list.
A monthly premium does not mean care is free when you use it, because copays for visits, hospital stays, and drugs still add up across the year. The yearly limit above is the cap on the medical side of that cost.
Where it is sold
This plan is sold in 95 counties in Tennessee, and the full list is in this page's data record. A plan with the same name under a different contract is a different plan with its own costs, even when the company name on the card looks the same.
Before you join
Before you join, check that your doctors are in the network and that your drugs are on the plan's drug list. Care and Living Guide does not sell or enroll anyone in a plan, so to sign up or check your own case, use Medicare.gov, call 1-800-MEDICARE, or talk with a licensed insurance agent.
Care and Living Guide is not connected with or endorsed by the U.S. government or the federal Medicare program. For official information visit Medicare.gov or call 1-800-MEDICARE.