Highmark Wholecare Medicare Assured Diamond (HMO D-SNP) CY2027
Offered by Highmark Health (company name as listed by CMS) · Plan ID H5932-001-000 · Medicare Advantage with drug coverage, Special Needs Plan (D-SNP)
Available in 2027 in: 57 counties in Pennsylvania. See full service area
2027 Overall Star Rating: 3.5 out of 5 stars What star ratings mean
We do not offer every plan available in your area. Currently we represent 11 organizations which offer 45 products in your area. Please contact Medicare.gov or 1-800-MEDICARE to get information on all of your options. 1-800-MEDICARE (1-800-633-4227) is open 24 hours a day, 7 days a week. TTY users call 1-877-486-2048.
Medicare evaluates plans every year based on a 5-star rating system. Star Ratings shown are 2027 Star Ratings released by CMS on October 8, 2026.
This plan's 2027 documents
Summary of Benefits (PDF, carrier document, 2027)
The Summary of Benefits is the plan's own description of its costs and benefits. It comes from the plan company.
Key numbers from CMS files
- Monthly plan premium
- $12.80. You still pay your Part B premium.
- Most you pay in-network in a year (MOOP)
- $9,850CMS lists this as a zero-dollar cost-sharing plan for people with Medicare and Medicaid. As long as you keep your Medicaid, you generally pay $0 for covered Medicare Part A and Part B services from in-network providers. Drug copays may apply. The amount shown is the plan's in-network yearly limit on Part A and Part B cost sharing.
- Drug deductible
- $700
- Part B giveback
- None
- Over-the-counter or benefit card
- Benefit card: $100 per month (covers OTC items, Home and Bathroom Safety Devices and Modifications, extra benefits for members who qualify)
- Extra benefits listed
- Dental, Vision, Benefit card
These numbers come from CMS files. For what each benefit covers and costs, read the Summary of Benefits above. We do not write our own descriptions of plan benefits.
See all benefits
- Preventive dental, most the plan pays
- $3,000 per year
- Comprehensive dental, most the plan pays
- one limit shared with preventive dental (amount above)
- Eyewear, most the plan pays
- Contacts: $600 per year; Frames: $600 per year
Amounts are the most the plan pays, as listed in CMS benefit files.
Compared with 2026
Compared with Highmark Wholecare Medicare Assured Diamond (HMO D-SNP) (H5932-001-0), the 2026 plan.
| Item | 2026 | 2027 |
|---|---|---|
| Monthly premium | $16 | $12.80 |
| Most you pay in-network (MOOP) | $9,250 | $9,850 |
| Drug deductible | $615 | $700 |
| Overall star rating | 4 out of 5 | 3.5 out of 5 |
Service area
Pennsylvania (57)
Adams County, Allegheny County, Armstrong County, Beaver County, Bedford County, Berks County, Blair County, Bradford County, Butler County, Cambria County, Cameron County, Carbon County, Centre County, Clarion County, Clearfield County, Clinton County, Crawford County, Cumberland County, Dauphin County, Elk County, Erie County, Fayette County, Forest County, Franklin County, Fulton County, Greene County, Huntingdon County, Indiana County, Jefferson County, Juniata County, Lancaster County, Lawrence County, Lebanon County, Lehigh County, Lycoming County, McKean County, Mercer County, Mifflin County, Monroe County, Montour County, Northampton County, Perry County, Potter County, Schuylkill County, Snyder County, Somerset County, Sullivan County, Susquehanna County, Tioga County, Union County, Venango County, Warren County, Washington County, Wayne County, Westmoreland County, Wyoming County, York County
Data used on this page
- CMS CY2027 Landscape Source File, November 2026 release (202611)
- CMS CY2027 plan benefit files and the Medicare Plan Finder benefit summary file dated October 15, 2026
- 2027 Star Ratings data tables dated October 8, 2026
- Summary of Benefits files collected from plan company websites, October 28 to November 11, 2026
- How we build these pages