2027 Health & Insurance Changes
It’s Annual Enrollment Time—Review Your Health & Insurance Options!
Annual Enrollment is October 13 through October 30, 2026. Pfizer benefits support each of life’s moments, but we know that your needs can change. Don’t miss this once-a-year chance to review your health and insurance benefit options and elect the coverage that is best for you and your family for next year.
Need help picking your plan options? Check out the 2027 enrollment resources including the medical plan option modeler, the life insurance needs estimator and the Long-Term Disability Video Overview to learn more!
2027 Health and Insurance Changes
This is a summary of important changes affecting your health and insurance coverage options. For more details and additional changes, review the Summary of 2027 Benefit Changes.
Medical
Deductibles and/or out-of-pocket maximums are increasing for some medical plan options. For out-of-network services, the basis for determining the maximum allowed amount for those services is changing. See the Summary of 2027 Benefit Changes for more information.
See the Medical Plan Comparison Chart to compare the available plan options.
2027 Contributions
For 2027, there will be increases to medical contributions. Contributions for dental and vision remain unchanged. Rates will also be increasing for LTD coverage. Remember, contributions for Supplemental Life, AD&D and LTD may also change year to year if your covered pay changes or if you reach a new age band (for life insurance).
Prescription Drug
The prescription drug per prescription minimums and maximums for non-Pfizer brand medications and Pfizer medications (when a generic is available) are increasing. The out-of-pocket maximums are also increasing.
The copay for non-Pfizer biosimilar medications is increasing. If you continue to fill the reference product for the biosimilar medication without a prior authorization through CVS Caremark, you will be required to pay your regular coinsurance plus an additional fee of $500 per 30-day supply (this additional fee will not count toward your deductible or out-of-pocket maximum). For 2027, this will affect members taking Epogen, Procrit, Prolia and Remicade; these will be in addition to Humira and Stelara.
- Eligible Pfizer biosimilar medications dispensed through a pharmacy remain at no cost to you (unless you are enrolled in the HSA Copay option, then they will be covered at no cost after your deductible is met, unless they are on the HSA Preventive Drug List).
Coverage for Pfizer’s Xeljanz and certain forms of Premarin medications will be changing. Effective January 1, 2027, these medications will no longer be covered at no cost. Now that generics are available, these medications will be covered as a Pfizer Medication (when a generic is available) and you will pay the applicable cost share under your Pfizer prescription drug coverage. Review the Zero Cost Prescription Drug List.
See the Prescription Drug Summary Chart.
Health Savings Accounts
If you elect the HSA Copay medical plan option, most colleagues are eligible to receive a Company contribution to their Pfizer HSA. For 2027, the pay bands for the Pfizer funding are increasing and the amount Pfizer contributes for the Less than $90,000 pay band is increasing as well. The following changes will apply.
The annual maximum HSA contribution set by the IRS will increase:
- Individual coverage — from $4,400 to $4,500
- Family coverage — from $8,750 to $9,000
Keep in mind, if you will be at least age 55 during 2027, you may contribute an additional $1,000 to your HSA as an HSA catch-up contribution.
Note: The annual HSA contribution limits noted above include your contributions plus Pfizer’s Company contribution, if applicable. Remember, the HSA Copay option is the only option that includes the ability to contribute to a Health Savings Account—and receive a Company contribution from Pfizer if you are eligible depending on your annual base pay.
Limited Purpose (LPHCA) and General Purpose (GPHCA) Health Care Accounts
If you elect the 2026 maximum contribution limit of $3,400, your 2027 LPHCA/GPHCA election will automatically increase to the 2027 limit after it is announced by the IRS. Remember, this election may not be changed mid-year. Refer to the Health Care Accounts Summary for more information.
Long-Term Disability
Contributions are increasing for all options with the highest increase for the 70% option; the 50% option continues to be provided at no cost. To learn more about the different LTD options and evaluate your coverage, review the Long-Term Disability Video Overview and attend a webinar through the Virtual Annual Enrollment Benefits Fair to learn more.
Supplemental Life Insurance
During the 2027 Annual Enrollment period ONLY, the amount of Supplemental Life Insurance you can obtain without providing Proof of Good Health is increasing. You may elect or increase your supplemental life insurance coverage up to 3x annual pay, up to $1 million, without Proof of Good Health, regardless of whether you have no coverage, previously failed Proof of Good Health or have less than 3x annual pay (up to $1 million).
Remember, if enrolled in Supplemental Life for you or your spouse/domestic partner, your contributions are based on age as of December 31, 2027, and may increase due to increases in pay and/or moving to a higher age bracket (rates increase every five years, e.g., age 25, 30, 35, 40, 45, etc.).
Pfizer Benefits Extras - Powered by Corestream
There will be several changes including a new pet care benefit in the Pfizer Benefit Extras program for January 1, 2027:
- Legal Services — Contributions for Legal Services coverage will be increasing.
- Identity (ID) Theft Protection — The carrier will change from Allstate to Norton LifeLock, an industry leader in identity protection and cyber safety. If you are enrolled in this coverage, you will receive additional details about this change by late October.
- Pet Health Care — Additional pet coverage for routine veterinary expenses will be offered through the Wagmo Wellness Plan.
Before making your elections:
Use the Enrollment Resources to help you understand your options and choose which coverage will work best for you in 2027. You can also access plan legal documents via the Reference Library on netbenefits.com.
Meet with benefit representatives either onsite at certain Pfizer locations or through the Virtual Annual Enrollment Benefits Fair. Can’t make the date? Check out your benefit contacts.
Use the Pfizer Medical Plan Option Modeler to help you pick the best medical plan option and watch this video to help you understand how the plan options work.
View the Check Drug Cost Tool to understand your out-of-pocket costs and options for covered medications.
Don’t forget to review the “enroll anytime” benefits through Pfizer Benefit Extras, including Pet Care and Identity Protection.
Understand what you need to do if you need to add a dependent to both your 2026 and 2027 health insurance. If you have a qualified life event during the last quarter of 2026, and would like to add your dependent to both your 2026 and 2027 health and insurance coverage, you must:
Initiate a life event within 31 days (at netbenefits.com or call Fidelity at the Pfizer Benefits Center) and add your dependent to your 2026 coverage, and
Add your dependent to your 2027 coverage during Annual Enrollment. Annual Enrollment elections are effective January 1 and do not apply to or affect your current coverage.
Understand what happens If You Don’t Enroll. Most elections carry over each year but some important ones do not.
Pfizer Company Contribution to the HSA
(As of September 1, 2026 or hire date if later)
(individual/family)
Allowed Amount
The Allowed Amount for out-of-network medical (including mental health) services is generally defined as 200% of the Medicare reimbursement rate. This is a change from the 250% maximum reimbursement rate used in 2026. For covered services and supplies where Medicare does not provide a reimbursable rate, the Allowed Amount for these out-of-network services will be determined based on the method utilized by your plan administrator. You may also be responsible for any non-covered costs, or the difference between the billed charges and the allowance for out-of-network providers. Contact your plan administrator if you are billed for amounts in excess of the Allowed Amount to determine if they can provide you with any balance billing support.