Plan year 2027 · Medicare AdvantageCMS files of Sept. 22 and Oct. 1, 2026
PrimeWest Senior Health Complete, 2027
H2416Contract001Plan
HMO D-SNP · special needs plan, dual-eligible · 24 counties in Minnesota
Run by Primewest Rural MN Health Care Access Initiative (contract H2416), sold as PrimeWest Health, owned by PrimeWest Rural MN Health Care Access Initiative
PrimeWest Senior Health Complete (H2416-001) costs $24.60 a month in 2027, down $16.90 from 2026, with an in-network out-of-pocket limit of $9,850 ($9,250 in 2026).
What changes from 2026 to 2027?
| What you pay or get | 2026 | 2027 | Change |
|---|---|---|---|
| Monthly premium | $41.50 | $24.60 | ▼down $16.90 |
| In-network out-of-pocket limit | $9,250 | $9,850 | ▲up $600 |
| Drug deductible | $615 | $700 | ▲up $85 |
| Part B premium reduction, monthly | $0.60 | none | ▼dropped |
| Over-the-counter items, yearly | $300 a year | $240 a year | ▼down $60 |
| 11 lines do not change | |||
| Primary care visit | 20% of the cost | 20% of the cost | no change |
| Specialist visit | 20% of the cost | 20% of the cost | no change |
| Emergency room | 20% of the cost | 20% of the cost | 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 | not offered | not offered | no change |
| Hearing aids, yearly limit for both ears | not offered | not offered | no change |
| Counties served | 24 | 24 | 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.
How does it compare with plans sold where it is?
In the counties it serves, 2 dual-eligible special needs plans are sold for 2027, this one included. Against the others, 1 the same. On the premium, 1 the same.
Out-of-pocket limits of the 2 dual-eligible special needs 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 24 counties: $24.60 a month and $9,850.
Minnesota
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
- H2416-001
- Legal name of the contract
- Primewest Rural MN Health Care Access Initiative
- Sold as
- PrimeWest Health
- Parent company
- PrimeWest Rural MN Health Care Access Initiative
- Plan type
- HMO D-SNP
- 2026 star rating of the contract
- 4 of 5 overall; health plan 3.5 of 5, drug plan 4 of 5
- Members, September 2026
- 2,246
- Plan website, as filed with CMS
- www.primewest.org/pwshc
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 Douglas, MNWhere most of its members live; premiums and limits side by side
- Every PrimeWest Health plan for 2027Its contracts, counties and plans that end
- 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.