Synthetic demoPlan-year review2026 to 2027
What exactly changed between 2026 and 2027 for this plan?
H9999-004
A broker must review the evidence before deciding next steps. Change flags are not suitability recommendations.
Crosswalk
Renews as H9999-004
CMS file crosswalk_2027.csv, row 4: Renewal Plan
Undecided, needs review
Why it is undecided
- Maximum out-of-pocket change flag needs review: 2027 value read with confidence 0.6, below 0.7
Original recorded reason
maximum out-of-pocket cannot decide shop again: 2027 value read with confidence 0.6, below 0.7
The 15 fields, side by side
| Field | 2026 | 2027 | Change | Category |
|---|---|---|---|---|
| Monthly premium | $0.00 a month H9999-004_2026_SB, page 1 | $0.00 a month H9999-004_2027_SB, page 1 | No change | Premium |
| Medical deductible | $0.00 a year H9999-004_2026_SB, page 1 | $0.00 a year H9999-004_2027_SB, page 1 | No change | Deductible |
| Maximum out-of-pocket (in network) | $3,400.00 a year H9999-004_2026_SB, page 1 | $3,400.00 a year H9999-004_2027_SB, page 1 Source text: $3,400 / $5,900 Read with confidence 0.6, below 0.7 | Needs review | Maximum out-of-pocket |
| Primary care visit | $0.00 copay a visit H9999-004_2026_SB, page 1 | $0.00 copay a visit H9999-004_2027_SB, page 1 | No change | Copays |
| Specialist visit | $45.00 copay a visit H9999-004_2026_SB, page 1 | $45.00 copay a visit H9999-004_2027_SB, page 1 | No change | Copays |
| Emergency room | $125.00 copay a visit H9999-004_2026_SB, page 1 | $125.00 copay a visit H9999-004_2027_SB, page 1 | No change | Copays |
| Urgent care | $40.00 copay a visit H9999-004_2026_SB, page 1 | $40.00 copay a visit H9999-004_2027_SB, page 1 | No change | Copays |
| Inpatient hospital stay | $295.00 copay a day H9999-004_2026_SB, page 1 | $295.00 copay a day H9999-004_2027_SB, page 1 | No change | Copays |
| Outpatient surgery | 20% coinsurance a visit H9999-004_2026_SB, page 2 | 20% coinsurance a visit H9999-004_2027_SB, page 2 | No change | Copays |
| Drug deductible | $0.00 a year H9999-004_2026_SB, page 2 | $0.00 a year H9999-004_2027_SB, page 2 | No change | Drugs |
| Drug tier 1 | $0.00 copay a prescription H9999-004_2026_SB, page 2 | $0.00 copay a prescription H9999-004_2027_SB, page 2 | No change | Drugs |
| Drug tier 2 | $5.00 copay a prescription H9999-004_2026_SB, page 2 | $5.00 copay a prescription H9999-004_2027_SB, page 2 | No change | Drugs |
| Drug tier 3 | $47.00 copay a prescription H9999-004_2026_SB, page 2 | $47.00 copay a prescription H9999-004_2027_SB, page 2 | No change | Drugs |
| Dental allowance | $1,500.00 a year H9999-004_2026_SB, page 2 | $1,500.00 a year H9999-004_2027_SB, page 2 | No change | Allowances |
| Over-the-counter allowance | $50.00 a quarter H9999-004_2026_SB, page 2 | $50.00 a quarter H9999-004_2027_SB, page 2 | No change | Allowances |
Review items for this plan
HighChange flag needs reviewMaximum out-of-pocket (in network), 2027
Maximum out-of-pocket change flag needs review: 2027 value read with confidence 0.6, below 0.7Original recorded reason
maximum out-of-pocket cannot decide shop again: 2027 value read with confidence 0.6, below 0.7
H9999-004_2026_SB, page 1H9999-004_2027_SB, page 1
LowTwo values in one cellMaximum out-of-pocket (in network), 2027
Two or more values in one cell: '$3,400 / $5,900'; took the first valueH9999-004_2027_SB, page 1