Synthetic demoPlan-year review2026 to 2027
What exactly changed between 2026 and 2027 for this plan?
H9999-001
A broker must review the evidence before deciding next steps. Change flags are not suitability recommendations.
Crosswalk
Renews as H9999-001
CMS file crosswalk_2027.csv, row 1: Renewal Plan
Flagged for review
Why
- Premium up $25 a month
The 15 fields, side by side
| Field | 2026 | 2027 | Change | Category |
|---|---|---|---|---|
| Monthly premium | $0.00 a month H9999-001_2026_SB, page 1 | $25.00 a month H9999-001_2027_SB, page 1 | Up | Premium |
| Medical deductible | $0.00 a year H9999-001_2026_SB, page 1 | $0.00 a year H9999-001_2027_SB, page 1 | No change | Deductible |
| Maximum out-of-pocket (in network) | $4,900.00 a year H9999-001_2026_SB, page 1 | $4,900.00 a year H9999-001_2027_SB, page 1 | No change | Maximum out-of-pocket |
| Primary care visit | $0.00 copay a visit H9999-001_2026_SB, page 1 | $0.00 copay a visit H9999-001_2027_SB, page 1 | No change | Copays |
| Specialist visit | $45.00 copay a visit H9999-001_2026_SB, page 1 Source text: $45 per visit PDF and CMS disagree; value unconfirmed. Check Trust before quoting. | $45.00 copay a visit H9999-001_2027_SB, page 1 | Needs review | Copays |
| Emergency room | $125.00 copay a visit H9999-001_2026_SB, page 1 | $125.00 copay a visit H9999-001_2027_SB, page 1 | No change | Copays |
| Urgent care | $40.00 copay a visit H9999-001_2026_SB, page 1 | $40.00 copay a visit H9999-001_2027_SB, page 1 | No change | Copays |
| Inpatient hospital stay | $325.00 copay a day H9999-001_2026_SB, page 1 | $325.00 copay a day H9999-001_2027_SB, page 1 | No change | Copays |
| Outpatient surgery | $250.00 copay a visit H9999-001_2026_SB, page 2 | $250.00 copay a visit H9999-001_2027_SB, page 2 | No change | Copays |
| Drug deductible | $0.00 a year H9999-001_2026_SB, page 2 | $0.00 a year H9999-001_2027_SB, page 2 | No change | Drugs |
| Drug tier 1 | $0.00 copay a prescription H9999-001_2026_SB, page 2 | $0.00 copay a prescription H9999-001_2027_SB, page 2 | No change | Drugs |
| Drug tier 2 | $8.00 copay a prescription H9999-001_2026_SB, page 2 | $8.00 copay a prescription H9999-001_2027_SB, page 2 | No change | Drugs |
| Drug tier 3 | $47.00 copay a prescription H9999-001_2026_SB, page 2 | $47.00 copay a prescription H9999-001_2027_SB, page 2 | No change | Drugs |
| Dental allowance | $2,000.00 a year H9999-001_2026_SB, page 2 | $2,000.00 a year H9999-001_2027_SB, page 2 | No change | Allowances |
| Over-the-counter allowance | $50.00 a quarter H9999-001_2026_SB, page 2 | $50.00 a quarter H9999-001_2027_SB, page 2 | No change | Allowances |
Review items for this plan
MediumPDF and CMS disagreeSpecialist visit, 2026
PDF says $45.00 per visit, CMS says $40.00 per visit (values differ)H9999-001_2026_SB, page 1CMS file pbp_b7_health_prof.txt, row 1
MediumCannot be checked against CMSDental allowance, 2026
PDF says $2,000.00 per year, CMS says $2,000.00 (period not comparable)H9999-001_2026_SB, page 2CMS file pbp_b16_dental.txt, row 1
MediumCannot be checked against CMSDental allowance, 2027
PDF says $2,000.00 per year, CMS says $2,000.00 (period not comparable)H9999-001_2027_SB, page 2CMS file pbp_b16_dental.txt, row 1
MediumCannot be checked against CMSOver-the-counter allowance, 2026
PDF says $50.00 per quarter, CMS says $200.00 (period not comparable)H9999-001_2026_SB, page 2CMS file pbp_b13_other_services.txt, row 1
MediumCannot be checked against CMSOver-the-counter allowance, 2027
PDF says $50.00 per quarter, CMS says $200.00 (period not comparable)H9999-001_2027_SB, page 2CMS file pbp_b13_other_services.txt, row 1