Public Texas runPlan-year review2026 to 2027
What exactly changed between 2026 and 2027 for this plan?
H0028-030
A broker must review the evidence before deciding next steps. Change flags are not suitability recommendations.
Crosswalk
Renews as H0028-030
CMS file crosswalk_2027.csv, row 15: Renewal Plan
Flagged for review
Why
- Drug deductible up $85
The 15 fields, side by side
| Field | 2026 | 2027 | Change | Category |
|---|---|---|---|---|
| Monthly premium | $0.00 a month | $0.00 a month | No change | Premium |
| Medical deductible | $0.00 a year | $0.00 a year | No change | Deductible |
| Maximum out-of-pocket (in network) | $3,400.00 a year | $3,900.00 a year | Up | Maximum out-of-pocket |
| Primary care visit | $0.00 copay a visit | $0.00 copay a visit | No change | Copays |
| Specialist visit | $15.00 copay a visit | $20.00 copay a visit | Up | Copays |
| Emergency room | $150.00 copay a visit | $150.00 copay a visit | No change | Copays |
| Urgent care | $65.00 copay a visit | $65.00 copay a visit | No change | Copays |
| Inpatient hospital stay | $95.00 copay a day | $150.00 copay a day | Up | Copays |
| Outpatient surgery | $100.00 copay a visit | $300.00 copay a visit | Up | Copays |
| Drug deductible | $615.00 a year | $700.00 a year | Up | Drugs |
| Drug tier 1 | $0.00 copay a prescription humana-h0028-030-sb-2026, page 11 Source text: Preferred Generic $0 $0 $10 $30 $0 $0 Read with confidence 0.6, below 0.7 | $0.00 copay a prescription humana-h0028-030-sb-2027, page 11 Source text: Preferred Generic $0 $0 $10 $30 $0 $0 Read with confidence 0.6, below 0.7 | Needs review | Drugs |
| Drug tier 2 | $0.00 copay a prescription humana-h0028-030-sb-2026, page 11 Source text: Generic $0 $0 $20 $60 $0 $0 Read with confidence 0.6, below 0.7 | $0.00 copay a prescription humana-h0028-030-sb-2027, page 11 Source text: Generic $0 $0 $20 $60 $0 $0 Read with confidence 0.6, below 0.7 | Needs review | Drugs |
| Drug tier 3 | $45.00 copay a prescription humana-h0028-030-sb-2026, page 11 Source text: Preferred Brand $45 $135 $47 $141 $45 $90 Read with confidence 0.6, below 0.7 | 17% coinsurance a prescription humana-h0028-030-sb-2027, page 11 Source text: Preferred Brand 17% 17% 17% 17% 17% 15% Read with confidence 0.6, below 0.7 | Needs review | Drugs |
| Dental allowance | $4,000.00 a year | $4,000.00 a year | No change | Allowances |
| Over-the-counter allowance | $75.00 a quarter | $60.00 a quarter | Down | Allowances |
Review items for this plan
MediumCannot be checked against CMSOutpatient surgery, 2026
PDF says $100.00 per visit, CMS says $0.00 to $100.00 per visit (CMS gives a range)humana-h0028-030-sb-2026, page 4CMS file pbp_b9_outpat_hosp.txt, row 13
MediumCannot be checked against CMSOutpatient surgery, 2027
PDF says $300.00 per visit, CMS says $0.00 to $300.00 per visit (CMS gives a range)humana-h0028-030-sb-2027, page 4CMS file pbp_b9_outpat_hosp.txt, row 13
LowTwo values in one cellMedical deductible, 2026
Two or more different values: '$0' (page 75), '- The amount you must pay for health care or prescriptions before our plan pays.' (page 173); kept page 75; a row with no readable value may hold a different onehumana-h0028-030-eoc-2026, page 75humana-h0028-030-eoc-2026, page 173
LowTwo values in one cellInpatient hospital stay, 2026
Two or more different values: 'stays $95 copayment per day for days 1 - 5' (page 12), 'Your inpatient cost share will begin' (page 55); kept page 12; a row with no readable value may hold a different onehumana-h0028-030-eoc-2026, page 12humana-h0028-030-eoc-2026, page 55
LowTwo values in one cellDrug deductible, 2026
Two or more values in one cell: '$0 deductible for Tier 1, Tier 2and Tier 3; $615 deductible for Tier 4and Tier 5'; took the highest tier deductible value (explicitly labeled highest tier deductible)LowTwo values in one cellDrug deductible, 2027
Two or more values in one cell: '$0 deductible for Tier 1, Tier 2 and Tier 3; $700 deductible for Tier 4 and Tier 5'; took the highest tier deductible value (explicitly labeled highest tier deductible)LowTwo values in one cellDrug tier 1, 2026
Two or more values in one cell: 'Preferred Generic $0 $0 $10 $30 $0 $0'; took the first valueLowTwo values in one cellDrug tier 1, 2027
Two or more values in one cell: 'Preferred Generic $0 $0 $10 $30 $0 $0'; took the first valueLowTwo values in one cellDrug tier 2, 2026
Two or more values in one cell: 'Generic $0 $0 $20 $60 $0 $0'; took the first valueLowTwo values in one cellDrug tier 2, 2027
Two or more values in one cell: 'Generic $0 $0 $20 $60 $0 $0'; took the first valueLowTwo values in one cellDrug tier 3, 2026
Two or more values in one cell: 'Preferred Brand $45 $135 $47 $141 $45 $90'; took the first valueLowTwo values in one cellDrug tier 3, 2027
Two or more values in one cell: 'Preferred Brand 17% 17% 17% 17% 17% 15%'; took the first value