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CommuniCare Advantage ISNP (HMO I-SNP) Medicare Special Need Plan H3727-002-3 • 2027

CMS Rating: Not yet rated by CMS.
Monthly Premium
$21.10Plus Part B premium.
Medical Deductible
$0.00
Maximum Out-of-Pocket
$9850.00In-network
Part B Giveback
Not offered
Prescription Coverage
Basic, $700.00 deductible
Additional Benefits
Dental, Vision, Hearing
Service Area
See List
Total Enrollment
2,325 beneficiaries
Last update:

Introduction

CommuniCare Advantage ISNP is a Medicare Advantage Institutional Special Needs Plan (I-SNP) offered by Communicare Advantage. The plan uses a Health Maintenance Organization (HMO) provider network and includes Medicare Part D prescription drug coverage. For the 2027 plan year, it has a $21.10 monthly premium, $0.00 medical deductible, and $9850.00 in-network maximum out-of-pocket. CMS Plan ID H3727-002-3 identifies this plan. The 2027 Part D prescription drug deductible is $700.00.

CMS reports 2,325 beneficiaries enrolled across all service areas. You must live in the plan's service area to enroll: See List.

Eligibility

CommuniCare Advantage ISNP is an Facility-based Institutional (FI-SNP) plan for individuals requiring nursing-level care.

Special Needs Plan Type
Institutional Special Needs Plan (I-SNP)
Medicare Requirement
Must have Medicare Part A and Part B
Special Needs Requirement
This plan is for individuals living in a long-term care facility.
Service Area Requirement
Must live in the plan's service area
Prescription Drug Coverage
Medicare Part D prescription drug coverage is included.

Plan Benefits

CommuniCare Advantage ISNP has cost-sharing, meaning there are out-of-pocket costs when receiving covered healthcare services. The tables below detail the most common in-network out-of-pocket expenses for plan H3727-002-3.

Compare 2027 plan benefits with 2026.

Office Visits

Office visit costs by plan year.
Covered Service 2027 2026
Primary care In-network: 20% coinsurance In-network: 20% coinsurance
Specialist In-network: 20% coinsurance In-network: 20% coinsurance

Preventive and Wellness Services

Preventive and wellness service costs and benefits by plan year.
Covered Service 2027 2026
Annual wellness exam Not covered Not covered
Telehealth benefit In-network: $0 copay In-network: $0 copay
Routine chiropractic Not covered Not covered
Fitness benefits Coming soon Not covered
Health education Not covered Not covered
Counseling services Not covered Not covered
Over-the-counter drug benefits In-network: $0 copay In-network: $0 copay
Health transportation (non-emergency) Coming soon In-network: $0 copay

Diagnostic, Lab, and Imaging Services

Diagnostic, laboratory, and imaging service costs by plan year.
Covered Service 2027 2026
Diagnostic radiology services In-network: 20% coinsurance In-network: 20% coinsurance
Lab services In-network: 20% coinsurance In-network: 20% coinsurance
Outpatient x-rays In-network: 20% coinsurance In-network: 20% coinsurance
Diagnostic tests and procedures In-network: 20% coinsurance In-network: 20% coinsurance

Emergency and Urgent Care Services

Emergency, urgent care, hospital, ambulance, and skilled nursing costs by plan year.
Covered Service 2027 2026
Emergency room care $100 copay $100 copay
Worldwide emergency care Coming soon Not covered
Urgent care 20% coinsurance 20% coinsurance
Inpatient hospital care Tier 1
$0 per day for days 1-60
$434 per day for days 61-90
$868 per day for days 91-150		 Tier 1
$0 per day for days 1-60
$419 per day for days 61-90
$838 per day for days 91-150
Skilled Nursing Facility Tier 1
$0 per day for days 1-20
$217 per day for days 21-100		 Tier 1
$0 per day for days 1-20
$209.5 per day for days 21-100
Ground ambulance In-network: 20% coinsurance In-network: 20% coinsurance

Mental Health Services

Mental health therapy and inpatient psychiatric care costs by plan year.
Covered Service 2027 2026
Outpatient individual therapy In-network: 20% coinsurance In-network: 20% coinsurance
Outpatient group therapy In-network: 20% coinsurance In-network: 20% coinsurance
Inpatient psychiatric hospital care Tier 1
$0 per day for days 1-60
$434 per day for days 61-90
$868 per day for days 91-150		 Tier 1
$0 per day for days 1-60
$419 per day for days 61-90
$838 per day for days 91-150

Rehabilitation Services

Physical, speech, and occupational therapy costs by plan year.
Covered Service 2027 2026
Physical therapy and speech and language therapy In-network: 20% coinsurance In-network: 20% coinsurance
Occupational therapy In-network: 20% coinsurance In-network: 20% coinsurance

Medical Equipment and Supplies

Diabetes supplies, durable medical equipment, and prosthetic costs by plan year.
Covered Service 2027 2026
Diabetes supplies In-network: 20% coinsurance In-network: 20% coinsurance
Durable medical equipment In-network: 20% coinsurance In-network: 20% coinsurance
Prosthetics In-network: 20% coinsurance In-network: 20% coinsurance

Medicare Part B Drugs

Chemotherapy and other Medicare Part B-covered drug costs by plan year.
Covered Service 2027 2026
Chemotherapy In-network: 0%-20% coinsurance In-network: 0%-20% coinsurance
Other Part B drugs (Medicare-covered) In-network: 0%-20% coinsurance In-network: 0%-20% coinsurance

Dental Services

Preventive and comprehensive dental service costs by plan year.
Covered Service 2027 2026
Oral exam In-network: $0 copay In-network: $0 copay
Dental x-rays In-network: $0 copay In-network: $0 copay
Cleaning In-network: $0 copay In-network: $0 copay
Periodontics In-network: $0 copay In-network: $0 copay
Endodontics In-network: $0 copay In-network: $0 copay
Restorative services In-network: $0 copay In-network: $0 copay
Implant services In-network: $0 copay In-network: $0 copay
Orthodontics Not covered Not covered
Oral/Maxillofacial surgery In-network: $0 copay In-network: $0 copay

Vision Services

Routine eye exams, contact lenses, and eyewear costs by plan year.
Covered Service 2027 2026
Routine eye exam In-network: $0 copay In-network: $0 copay
Contact lenses In-network: $0 copay Not covered
Eyeglass frames only In-network: $0 copay Not covered
Eyeglass lenses only In-network: $0 copay Not covered
Eyeglasses (frames & lenses) In-network: $0 copay In-network: $0 copay
Upgrades In-network: $0 copay Not covered

Hearing Services

Hearing exams, fittings, and hearing aid costs by plan year.
Covered Service 2027 2026
Hearing exam In-network: $0 copay In-network: $0 copay
Fitting/evaluation In-network: $0 copay In-network: $0 copay
Prescription hearing aids In-network: $0 copay In-network: $0 copay
OTC hearing aids Not covered Not covered

Additional and Special Needs Services

Additional and special needs service costs and benefits by plan year.
Covered Service 2027 2026
Adult day health services Not covered Not covered
Home-based palliative care Not covered Not covered
Personal emergency response system Coming soon Not covered
Weight management programs Not covered Not covered
Wigs for chemotherapy-related hair loss Coming soon Not covered
Alternative therapies Not covered Not covered
Massage therapy Not covered Not covered
Home/bathroom safety devices Not covered Not covered

Certain preventive services are covered 100% by CommuniCare Advantage ISNP as a Part B benefit.

Prescription Drug Coverage

CommuniCare Advantage ISNP includes a Medicare Part D prescription drug plan (PDP). Plan type and coverage level are defined by CMS and may vary between basic and enhanced benefit designs.

Prescription Drug Plan Premium

The Part D prescription drug plan premium is included in the overall Medicare Advantage plan cost. Additional adjustments may apply through the Low-Income Subsidy (LIS) program, also known as Extra Help, administered by Social Security. LIS benefits are separate from Medicare Special Needs Plan coverage.

CommuniCare Advantage ISNP (H3727-002-3) Prescription Drug Plan Premium Details
Part D Premium Component Amount
Basic Part D Premium:$21.10
Supplemental Part D Premium:$0.00
Total Part D Premium:$21.10
Low-Income Premium Subsidy:$21.05
Low-Income Premium Subsidy Paid by CMS:$21.10
Low-Income Subsidy Premium:$0.00

For more details, visit the Social Security Extra Help program .

Prescription Drug Plan Deductible

This plan has a $700.00 annual Part D deductible. You'll pay this deductible at the pharmacy before Communicare Advantage starts contributing towards your prescription costs.

Prescription Drug Plan Out-of-Pocket Costs

Beyond premiums and deductibles, CommuniCare Advantage ISNP may have additional costs at pharmacies. The table below outlines out-of-pocket expenses by drug tier.

CommuniCare Advantage ISNP (H3727-002-3) Pharmacy Out-of-Pocket Costs by Drug Tier
Drug Tier Retail Mail Order
Brand-name drugs25% coinsurance25% coinsurance
Generic drugs25% coinsurance25% coinsurance
*Deductible does not apply.

CMS 5-Star Performance Ratings (Contract ID: H3727)

CMS star ratings reflect how well a Medicare plan performs across key quality measures, such as managing chronic conditions, member satisfaction, and customer service. Ratings range from 1 to 5 stars and are updated each year by Medicare.

2027 Medicare Star Ratings for Contract H3727
CMS Measure Star Rating
2027 Overall Rating ☆☆☆☆☆
Staying Healthy: Screenings, Tests, Vaccines Not enough data available
Managing Chronic (Long Term) Conditions Not enough data available
Member Experience with Health Plan Not enough data available
Complaints and Changes in Plans Performance ☆☆☆☆☆
Health Plan Customer Service Not enough data available
Drug Plan Customer Service ☆☆☆☆☆
Complaints and Changes in the Drug Plan ☆☆☆☆☆
Member Experience with the Drug Plan Not enough data available
Drug Safety and Accuracy of Drug Pricing ☆☆☆☆☆

Contact Information for Communicare Advantage

Website
Communicare Advantage Plan Page
Providers
Communicare Advantage Providers Page
Formulary
Communicare Advantage Formulary Page
Pharmacy
Communicare Advantage Pharmacy Page
New Member Health Plan Help
(866)212-4582
New Member Health Plan TTY
711
New Member Part D Help
(866)212-4582
New Member Part D TTY Users
711

Enrollment status and eligibility information are available through the Social Security Administration. Additional information about Medicare Advantage is available at Medicare.gov.

Medicare Plan Data Sources and Methodology
Primary CMS datasets used for this Medicare Advantage Plan resource.
Data Source Publisher CMS Version
Landscape Source Files Centers for Medicare & Medicaid Services CY2027 Landscape (202609.1)
Medicare Part C & D Performance Centers for Medicare & Medicaid Services 2027 Star Ratings Data Tables
Plan Benefits Package Centers for Medicare & Medicaid Services PBP Benefits-2027
Monthly Enrollment by Contract/Plan/State/County Centers for Medicare & Medicaid Services 2026-09

Data sources and methodology documentation.

Official plan information and secondary Medicare references.
Publisher Reference Last Accessed
Communicare Advantage (official source) http://www.communicare-advantage.com October 4, 2026
CMS.gov Institutional Special Needs Plans (I-SNPs) April 28, 2026
CMS.gov Medicare Advantage Plan Fact Sheet April 28, 2026
AARP.org The Big Choice: Original Medicare vs. Medicare Advantage April 28, 2026

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Data provenance is documented in accordance with the U.S. Core Data for Interoperability (USCDI) Provenance standard.