ProCare Advantage (HMO-POS I-SNP)

Available to residents of Bosque County, TX for 2027. Contract H3467, plan 001, segment 0.

2027 drug-by-drug coverage is not published by CMS yet. The drug lookup covers 2026, whose formulary is live.

Renewed, service area expanded for 2027. CMS carries this plan forward from 2026.

Plan details

Monthly premium (Part C + D)	$0.00
— medical (Part C) part	$0.00
— drug (Part D) part	$0.00
In-network out-of-pocket maximum	$9,850.00
Drug deductible	$700.00Tier 1 and 2 exempt
Drug out-of-pocket threshold	$2,400.00
Plan type	HMO-POS I-SNP
Special needs plan	Institutional SNP
Contract / plan	H3467-001-0
Offered by	ProCare Advantage
Parent organization	First Sacramento Capital Funding LLC
Formulary tiers	5
Member services	(844)206-3719TTY 711

CMS star ratings

Overall: —
Health plan (Part C): —
Drug plan (Part D): 2.5 out of 5 stars for Drug plan (Part D)

Published per contract — every plan under contract H3467 shares this rating.

Drug tiers — preferred pharmacy, initial coverage

Tier	Cost-sharing
Tier 1 · Preferred Generic	19%
Tier 2 · Generic	21%
Tier 3 · Preferred Brand	25%
Tier 4 · Non-Preferred Drug	25%
Tier 5 · Specialty Tier	25%

Star rating measures

Measures are paired between the two years by name, not by the C/D number: CMS reuses those numbers, and in 2027 nineteen of them refer to a different measure than they did in 2026. A measure introduced for 2027 has no 2026 score to show. Published per contract — every plan under H3467 shares it.

Also available in 113 other TX counties

Plan facts come from the CMS plan Landscape file and the CMS plan benefit package (PBP) files.

Measure	2027	2026
Staying Healthy: Screenings, Tests and Vaccines
Colorectal Cancer Screening · C02	1 out of 5 stars for Colorectal Cancer Screening	no data
Managing Chronic (Long Term) Conditions
Special Needs Plan (SNP) Care Management · C07	4 out of 5 stars for Special Needs Plan (SNP) Care Management	5 out of 5 stars for Special Needs Plan (SNP) Care Management
Care for Older Adults – Medication Review · C08	5 out of 5 stars for Care for Older Adults – Medication Review	3 out of 5 stars for Care for Older Adults – Medication Review
Care for Older Adults - Functional Status Assessment · C09	5 out of 5 stars for Care for Older Adults - Functional Status Assessment	new measure
Diabetes Care – Eye Exam · C11	3 out of 5 stars for Diabetes Care – Eye Exam	no data
Diabetes Care – Blood Sugar Controlled · C12	1 out of 5 stars for Diabetes Care – Blood Sugar Controlled	2 out of 5 stars for Diabetes Care – Blood Sugar Controlled
Kidney Health Evaluation for Patients with Diabetes · C13	1 out of 5 stars for Kidney Health Evaluation for Patients with Diabetes	1 out of 5 stars for Kidney Health Evaluation for Patients with Diabetes
Plan All-Cause Readmissions · C17	2 out of 5 stars for Plan All-Cause Readmissions	no data
Follow-up after Emergency Department Visit for People with Multiple High-Risk Chronic Conditions · C20	3 out of 5 stars for Follow-up after Emergency Department Visit for People with Multiple High-Risk Chronic Conditions	4 out of 5 stars for Follow-up after Emergency Department Visit for People with Multiple High-Risk Chronic Conditions
Member Complaints and Changes in the Health Plan's Performance
Complaints about the Health Plan · C27	3 out of 5 stars for Complaints about the Health Plan	3 out of 5 stars for Complaints about the Health Plan
Members Choosing to Leave the Plan · C28	4 out of 5 stars for Members Choosing to Leave the Plan	5 out of 5 stars for Members Choosing to Leave the Plan
Health Plan Customer Service
Plan Makes Timely Decisions about Appeals · C30	5 out of 5 stars for Plan Makes Timely Decisions about Appeals	not enough data
Reviewing Appeals Decisions · C31	1 out of 5 stars for Reviewing Appeals Decisions	not enough data
Call Center – Foreign Language Interpreter and TTY Availability · C32	3 out of 5 stars for Call Center – Foreign Language Interpreter and TTY Availability	4 out of 5 stars for Call Center – Foreign Language Interpreter and TTY Availability
DD1: Drug Plan Customer Service
Call Center – Foreign Language Interpreter and TTY Availability · D01	4 out of 5 stars for Call Center – Foreign Language Interpreter and TTY Availability	4 out of 5 stars for Call Center – Foreign Language Interpreter and TTY Availability
DD2: Member Complaints and Changes in the Drug Plan’s Performance
Complaints about the Drug Plan · D02	3 out of 5 stars for Complaints about the Drug Plan	3 out of 5 stars for Complaints about the Drug Plan
Members Choosing to Leave the Plan · D03	4 out of 5 stars for Members Choosing to Leave the Plan	5 out of 5 stars for Members Choosing to Leave the Plan
Drug Plan Quality Improvement · D04	2 out of 5 stars for Drug Plan Quality Improvement	4 out of 5 stars for Drug Plan Quality Improvement
DD4: Drug Safety and Accuracy of Drug Pricing
MPF Price Accuracy · D07	5 out of 5 stars for MPF Price Accuracy	5 out of 5 stars for MPF Price Accuracy
Medication Adherence for Diabetes Medications · D08	2 out of 5 stars for Medication Adherence for Diabetes Medications	3 out of 5 stars for Medication Adherence for Diabetes Medications
Medication Adherence for Hypertension (RAS antagonists) · D09	1 out of 5 stars for Medication Adherence for Hypertension (RAS antagonists)	1 out of 5 stars for Medication Adherence for Hypertension (RAS antagonists)
Medication Adherence for Cholesterol (Statins) · D10	1 out of 5 stars for Medication Adherence for Cholesterol (Statins)	1 out of 5 stars for Medication Adherence for Cholesterol (Statins)
Statin Use in Persons with Diabetes (SUPD) · D11	4 out of 5 stars for Statin Use in Persons with Diabetes (SUPD)	2 out of 5 stars for Statin Use in Persons with Diabetes (SUPD)
Concurrent Use of Opioids and Benzodiazepines (COB) · D12	2 out of 5 stars for Concurrent Use of Opioids and Benzodiazepines (COB)	new measure
Polypharmacy: Use of Multiple Anticholinergic Medications in Older Adults (Poly-ACH) · D13	2 out of 5 stars for Polypharmacy: Use of Multiple Anticholinergic Medications in Older Adults (Poly-ACH)	new measure