HealthSpring TotalCare Plus (HMO D-SNP) (H4513-105) in 2027
We are not affiliated with HealthSpring. Plan and company names are shown only to identify plans.
HMO D-SNP: about this plan type · For people with Medicare and Medicaid: about Special Needs Plans · Legal name: HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.
This plan is new for 2027. No 2026 plan had this plan ID, but CMS moves some members of other 2026 plans into it (listed below). It is offered in 36 counties in 2027.
Check Your Plan with Your ZIP Code
Members Moved Into This Plan
CMS's 2027 plan crosswalk moves some or all members of these 2026 plans into this plan, in the counties listed. Your Annual Notice of Change says whether this applies to you.
- HealthSpring TotalCare (HMO D-SNP) · H4513-027
In 6 counties
Gregg County, Harrison County, Rusk County, Smith County, Upshur County, Van Zandt County
- HealthSpring TotalCare (HMO D-SNP) · H4513-060
In 30 counties
Angelina County, Brazoria County, Cameron County, Chambers County, Collin County, Dallas County, Denton County, Fort Bend County, Galveston County, Hardin County, Harris County, Hidalgo County, Hood County, Jasper County, Jefferson County, Johnson County, Liberty County, Montgomery County, Nacogdoches County, Orange County, Parker County, Polk County, San Jacinto County, Tarrant County, Tyler County, Walker County, Waller County, Webb County, Willacy County, Wise County
Texas
See the 36 counties in TexasHide the counties
Costs and Star Rating
| What | 2027 |
|---|---|
| Monthly premium (without Extra Help) | $0 a month |
| Maximum you pay for covered medical care | Covered by Medicaid (see note) |
| Drug deductible | $300 |
| Overall star rating (from CMS) | 3.5 out of 5 stars |
Covered by Medicaid: if you have Medicare and Medicaid, most of your costs are covered. What you pay depends on your Medicaid level.
CMS rates contracts, so plans under one contract share its rating. For costs with Extra Help, use the lookup.
What Happens Next
To see this plan next to the other plans offered in your county, use the lookup.
These numbers come from CMS's plan files. If you're in this plan, confirm with your Annual Notice of Change or the letter from your plan.
Source: CMS CY2027 Landscape, data as of October 18, 2026 (release 202610). Enrollment: CMS Monthly Enrollment by Contract/Plan/State/County, October 2026. Plan moves: CMS 2027 Plan Crosswalk, file dated October 1, 2026. See how we get our numbers.