Skip to main content

Independent; not a government site. Official answers: Medicare.gov, 1-800-MEDICARE.

Plan year 2026 · coverage ends Dec. 31, 2026CMS crosswalk of Oct. 1, 2026

Wellpoint Dual Advantage is not offered under this ID in 2027

H1894Contract011Plan

HMO D-SNP · served 35 counties in Washington in 2026

Run by Wellpoint Washington, Inc. (contract H1894), sold as Wellpoint, owned by Elevance Health, Inc.

CMS crosswalk: renews as H8849-016 in 11 of its 35 counties; in the others the plan ends

Renews in part

Wellpoint Dual Advantage (H1894-011) is not offered under this ID in 2027. The CMS plan crosswalk of October 1, 2026 moves its members into Wellpoint Dual Advantage (H8849-016) (the plan renews under a new ID), in the 11 counties where that plan is sold (183 members in September 2026). In its other 24 counties (0 members) there is no plan to move into: coverage ends December 31, 2026, and members there need to choose a new plan (counties with fewer than 11 members are not counted).

What changes for its members in Wellpoint Dual Advantage?

For members in the 11 counties where Wellpoint Dual Advantage is sold: this plan's 2026 amounts beside Wellpoint Dual Advantage (H8849-016) in 2027. The changed lines are marked and come first.
What you pay or get20262027Change
Monthly premium$0$6.30up $6.30
In-network out-of-pocket limit$9,250$9,850up $600
Drug deductible$615$700up $85
Hearing aids, yearly limit for both ears$3,000 a year$1,500 a yeardown $1,500
Counties served3511down 24
16 lines do not change
Part B premium reduction, monthlynonenoneno change
Primary care visit$0 copay$0 copayno change
Specialist visit$0 copay$0 copayno change
Emergency room$115 copay$115 copayno change
Medical deductible, in networknonenoneno change
Hospital stay, in networknot filednot filedno change
Skilled nursing facility, in networknot filednot filedno change
Ground ambulance, in network20% of the cost20% of the costno change
Comprehensive dental, yearly limitnot offerednot offeredno change
Eyewear, yearly limit$200 a year$200 a yearno change
Over-the-counter items, yearlynot offerednot offeredno change
Drug tier 1, preferred generic$0$0no change
Drug tier 2, generic25% of the cost25% of the costno change
Drug tier 3, preferred brand25% of the cost25% of the costno change
Drug tier 4, non-preferred drug25% of the cost25% of the costno change
Drug tier 5, specialty tier25% of the cost25% of the costno change

Source: CMS plan crosswalk from 2026 to 2027 (Oct. 1, 2026); CMS Medicare Advantage and Part D landscape files for 2027 (Sept. 22, 2026, revised Sept. 30) and 2026 (Sept. 2, 2026 revision); CMS plan benefit package files, 2027 and 2026. Your plan's Annual Notice of Change is the letter that confirms your 2027 plan; confirm on Medicare Plan Finder.

What can members do, and by when?

If you live in Grays Harbor (WA), Jefferson (WA), King (WA), Kitsap (WA), Lewis (WA), Mason (WA), Pierce (WA), Skagit (WA), Snohomish (WA), Spokane (WA), Thurston (WA)

If you do nothing
You are moved into Wellpoint Dual Advantage on January 1, 2027.
October 15 to December 7, 2026
Open enrollment: choose another Medicare Advantage plan, or Original Medicare with a drug plan, instead.

If you live in Adams (WA), Benton (WA), Chelan (WA), Clallam (WA), Clark (WA), Columbia (WA), Cowlitz (WA), Douglas (WA), Ferry (WA), Franklin (WA), Garfield (WA), Grant (WA), Kittitas (WA), Klickitat (WA), Lincoln (WA), Okanogan (WA), Pacific (WA), Pend Oreille (WA), San Juan (WA), Skamania (WA), Wahkiakum (WA), Walla Walla (WA), Whitman (WA), Yakima (WA)

Your coverage
Ends December 31, 2026: Wellpoint Dual Advantage is not sold where you live.
October 15 to December 7, 2026
Open enrollment: join another Medicare Advantage plan, or Original Medicare with a drug plan. Coverage starts January 1, 2027.
December 8, 2026 to the end of February 2027
A special enrollment period because the plan is leaving: you can still join a plan, but coverage starts the first day of the month after you join, so choose by December 31 to have no gap.
If you do nothing
You are enrolled in Original Medicare when the plan ends, without a drug plan unless you join one (with Extra Help or full Medicaid, Medicare enrolls you in one).
Without a drug plan
Going 63 days or more in a row without drug coverage can mean a late enrollment penalty if you join a drug plan later; joining by the end of February keeps a January and February gap under 63 days, waiting longer does not.
If you have Medicaid or Extra Help
You can switch to a different drug plan, or leave a Medicare Advantage plan for Original Medicare with a drug plan, once a calendar month; the change starts the first day of the next month.

Source: Medicare.gov, “Special enrollment periods” and “Joining a plan” (read Oct. 7, 2026).

Where did its members live?

Where its members lived in September 2026; each county and state page lists the 2027 plans sold there.

All 35 counties, most members first; CMS hides counts under 11 per county, so the counties add up to a little less than the plan's total
CountyMembers, Sept. 2026For 2027
Grays Harbor, WA86moves into H8849-016
King, WA31moves into H8849-016
Pierce, WA23moves into H8849-016
Spokane, WA19moves into H8849-016
Kitsap, WA13moves into H8849-016
Snohomish, WA11moves into H8849-016
Adams, WAfewer than 11plan ends here
Benton, WAfewer than 11plan ends here
Chelan, WAfewer than 11plan ends here
Clallam, WAfewer than 11plan ends here
Clark, WAfewer than 11plan ends here
Columbia, WAfewer than 11plan ends here
Cowlitz, WAfewer than 11plan ends here
Douglas, WAfewer than 11plan ends here
Ferry, WAfewer than 11plan ends here
Franklin, WAfewer than 11plan ends here
Garfield, WAfewer than 11plan ends here
Grant, WAfewer than 11plan ends here
Jefferson, WAfewer than 11moves into H8849-016
Kittitas, WAfewer than 11plan ends here
Show the other 15 counties
CountyMembers, Sept. 2026For 2027
Klickitat, WAfewer than 11plan ends here
Lewis, WAfewer than 11moves into H8849-016
Lincoln, WAfewer than 11plan ends here
Mason, WAfewer than 11moves into H8849-016
Okanogan, WAfewer than 11plan ends here
Pacific, WAfewer than 11plan ends here
Pend Oreille, WAfewer than 11plan ends here
San Juan, WAfewer than 11plan ends here
Skagit, WAfewer than 11moves into H8849-016
Skamania, WAfewer than 11plan ends here
Thurston, WAfewer than 11moves into H8849-016
Wahkiakum, WAfewer than 11plan ends here
Walla Walla, WAfewer than 11plan ends here
Whitman, WAfewer than 11plan ends here
Yakima, WAfewer than 11plan ends here

Source: CMS monthly enrollment by plan and by county, September 2026 (CMS hides counts under 11).

What else should you check?