Plan year 2027 · Medicare AdvantageCMS files of Sept. 22 and Oct. 1, 2026

Select Health Medicare Essential, 2027

H1994Contract012Plan

HMO · 2 counties in Nevada

Run by SelectHealth, Inc. (contract H1994), sold as Select Health, owned by Intermountain Health Care, Inc.

Renews for 2027

2026 star rating, contract H1994: 4.5 of 5

Select Health Medicare Essential (H1994-012) costs $0 a month in 2027, the same as in 2026, with an in-network out-of-pocket limit of $1,000.

What changes from 2026 to 2027?

The changed lines are marked and come first. In-network amounts; members keep paying the Part B premium unless the plan reduces it.
What you pay or get	2026	2027	Change
Part B premium reduction, monthly	$1.90	none	dropped
Skilled nursing facility, in network	$0 a day for days 1–20, then $125 a day for days 21–100	$20 a day for days 1–20, then $221 a day for days 21–100	up $1,360for a 30-day stay
Ground ambulance, in network	$250 copay	$300 copay	up $50
Over-the-counter items, yearly	$200 a year	$100 a year	down $100
17 lines do not change
Monthly premium	$0	$0	no change
In-network out-of-pocket limit	$1,000	$1,000	no change
Drug deductible	$0	$0	no change
Primary care visit	$0 copay	$0 copay	no change
Specialist visit	$0 copay	$0 copay	no change
Emergency room	$150 copay	$150 copay	no change
Medical deductible, in network	none	none	no change
Hospital stay, in network	$0 a stay	$0 a stay	no change
Comprehensive dental, yearly limit	not offered	not offered	no change
Eyewear, yearly limit	$200 a year	$200 a year	no change
Hearing aids, yearly limit for both ears	not offered	not offered	no change
Counties served	2	2	no change
Drug tier 1, preferred generic	$0	$0	no change
Drug tier 2, generic	$0	$0	no change
Drug tier 3, preferred brand	$47	$47	no change
Drug tier 4, non-preferred drug	$100	$100	no change
Drug tier 5, specialty tier	33% of the cost	33% of the cost	no change

Source: 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; CMS plan crosswalk from 2026 to 2027 (Oct. 1, 2026). Plan details can change during the year; confirm on Medicare Plan Finder.

What will prescriptions cost?

Your share for a 30-day supply at a retail pharmacy, as filed with CMS; tiers whose share changes are marked
Tier	What the tier holds	2026	2027
Tier 1	Preferred Generic	$0	$0
Tier 2	Generic	$0	$0
Tier 3	Preferred Brand	$47	$47
Tier 4	Non-Preferred Drug	$100	$100
Tier 5	Specialty Tier	33% of the cost	33% of the cost

Source: CMS plan benefit package files, 2027 and 2026. Insulin is capped at $35 a month by law. A drug's tier is set by the plan's formulary.

How does it compare with plans sold where it is?

In the counties it serves, 39 plans open to everyone are sold for 2027, this one included. Against the others, 7 plans have a lower out-of-pocket limit, 31 a higher one. On the premium, 35 the same, 3 a higher one.

Out-of-pocket limits of the 39 plans open to everyone

$0 to under $2,000 (this plan)16 plans

$2,000 to under $4,0006 plans

$4,000 to under $6,0007 plans

$6,000 to $8,00010 plans

Source: CMS Medicare Advantage and Part D landscape files for 2027 (Sept. 22, 2026, revised Sept. 30) and 2026 (Sept. 2, 2026 revision).

Where is it sold, and what does it cost there?

The premium and the out-of-pocket limit are the same in all 2 counties: $0 a month and $1,000.

Nevada

Clark Nye

Source: CMS Medicare Advantage and Part D landscape files for 2027 (Sept. 22, 2026, revised Sept. 30) and 2026 (Sept. 2, 2026 revision).

Who runs this plan?

Plan ID: H1994-012
Legal name of the contract: SelectHealth, Inc.
Sold as: Select Health
Parent company: Intermountain Health Care, Inc.
Plan type: HMO
2026 star rating of the contract: 4.5 of 5 overall; health plan 4 of 5, drug plan 3 of 5
Members, September 2026: 3,910
Plan website, as filed with CMS: www.selecthealth.org/medicare

Source: CMS Medicare Advantage and Part D landscape files for 2027 (Sept. 22, 2026, revised Sept. 30) and 2026 (Sept. 2, 2026 revision); CMS 2026 Star Ratings (October 2025); CMS monthly enrollment by plan and by county, September 2026 (CMS hides counts under 11). CMS publishes the 2027 Star Ratings in October 2026.

What else should you check?

Other 2027 plans in Clark, NVWhere most of its members live; premiums and limits side by side
Every Select Health plan for 2027Its contracts, counties and plans that end
The other 12 plans of contract H1994Same company, same contract
Is your prescription covered?Coverage share and tier for 2,259 drugs

Data, not advice. These are the plan's filed amounts, not a quote for you; confirm on Medicare Plan Finder or call the plan before you enroll.