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
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?
| What you pay or get | 2026 | 2027 | Change |
|---|---|---|---|
| Monthly premium | $0 | $6.30 | ▲up $6.30 |
| In-network out-of-pocket limit | $9,250 | $9,850 | ▲up $600 |
| Drug deductible | $615 | $700 | ▲up $85 |
| Hearing aids, yearly limit for both ears | $3,000 a year | $1,500 a year | ▼down $1,500 |
| Counties served | 35 | 11 | ▼down 24 |
| 16 lines do not change | |||
| Part B premium reduction, monthly | none | none | no change |
| Primary care visit | $0 copay | $0 copay | no change |
| Specialist visit | $0 copay | $0 copay | no change |
| Emergency room | $115 copay | $115 copay | no change |
| Medical deductible, in network | none | none | no change |
| Hospital stay, in network | not filed | not filed | no change |
| Skilled nursing facility, in network | not filed | not filed | no change |
| Ground ambulance, in network | 20% of the cost | 20% of the cost | no change |
| Comprehensive dental, yearly limit | not offered | not offered | no change |
| Eyewear, yearly limit | $200 a year | $200 a year | no change |
| Over-the-counter items, yearly | not offered | not offered | no change |
| Drug tier 1, preferred generic | $0 | $0 | no change |
| Drug tier 2, generic | 25% of the cost | 25% of the cost | no change |
| Drug tier 3, preferred brand | 25% of the cost | 25% of the cost | no change |
| Drug tier 4, non-preferred drug | 25% of the cost | 25% of the cost | no change |
| Drug tier 5, specialty tier | 25% of the cost | 25% of the cost | no 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.
| County | Members, Sept. 2026 | For 2027 |
|---|---|---|
| Grays Harbor, WA | 86 | moves into H8849-016 |
| King, WA | 31 | moves into H8849-016 |
| Pierce, WA | 23 | moves into H8849-016 |
| Spokane, WA | 19 | moves into H8849-016 |
| Kitsap, WA | 13 | moves into H8849-016 |
| Snohomish, WA | 11 | moves into H8849-016 |
| Adams, WA | fewer than 11 | plan ends here |
| Benton, WA | fewer than 11 | plan ends here |
| Chelan, WA | fewer than 11 | plan ends here |
| Clallam, WA | fewer than 11 | plan ends here |
| Clark, WA | fewer than 11 | plan ends here |
| Columbia, WA | fewer than 11 | plan ends here |
| Cowlitz, WA | fewer than 11 | plan ends here |
| Douglas, WA | fewer than 11 | plan ends here |
| Ferry, WA | fewer than 11 | plan ends here |
| Franklin, WA | fewer than 11 | plan ends here |
| Garfield, WA | fewer than 11 | plan ends here |
| Grant, WA | fewer than 11 | plan ends here |
| Jefferson, WA | fewer than 11 | moves into H8849-016 |
| Kittitas, WA | fewer than 11 | plan ends here |
Show the other 15 counties
| County | Members, Sept. 2026 | For 2027 |
|---|---|---|
| Klickitat, WA | fewer than 11 | plan ends here |
| Lewis, WA | fewer than 11 | moves into H8849-016 |
| Lincoln, WA | fewer than 11 | plan ends here |
| Mason, WA | fewer than 11 | moves into H8849-016 |
| Okanogan, WA | fewer than 11 | plan ends here |
| Pacific, WA | fewer than 11 | plan ends here |
| Pend Oreille, WA | fewer than 11 | plan ends here |
| San Juan, WA | fewer than 11 | plan ends here |
| Skagit, WA | fewer than 11 | moves into H8849-016 |
| Skamania, WA | fewer than 11 | plan ends here |
| Thurston, WA | fewer than 11 | moves into H8849-016 |
| Wahkiakum, WA | fewer than 11 | plan ends here |
| Walla Walla, WA | fewer than 11 | plan ends here |
| Whitman, WA | fewer than 11 | plan ends here |
| Yakima, WA | fewer than 11 | plan ends here |
Source: CMS monthly enrollment by plan and by county, September 2026 (CMS hides counts under 11).
What else should you check?
- 2027 plans in Grays Harbor, WAThe plans you can join instead
- Wellpoint plans for 2027Plans the same company still offers
- Every plan not offered in 2027764 Medicare Advantage and drug plans