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

The Health Plan SecureCare SNP, 2027

H3672Contract019Plan

HMO D-SNP · special needs plan, dual-eligible · 55 counties in West Virginia

Run by The Health Plan of West Virginia, Inc. (contract H3672), sold as The Health Plan, owned by The Health Plan of West Virginia, Inc.

Renews in fewer counties

2026 star rating, contract H3672: 3.5 of 5

The Health Plan SecureCare SNP (H3672-019) costs $12.80 a month in 2027, down $4.90 from 2026, with an in-network out-of-pocket limit of $9,250. It leaves 77 counties it served in 2026, where 73 of its members lived; they choose another plan for 2027 (the counties are listed below).

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
Monthly premium	$17.70	$12.80	down $4.90
Drug deductible	$615	$700	up $85
Over-the-counter items, yearly	$1,200 a year	$1,140 a year	down $60
Counties served	132	55	down 77
17 lines do not change
In-network out-of-pocket limit	$9,250	$9,250	no change
Part B premium reduction, monthly	none	none	no 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	$200 a year	$200 a year	no change
Hearing aids, yearly limit for both ears	$1,000 a year	$1,000 a year	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 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	25% of the cost	25% of the cost
Tier 3	Preferred Brand	25% of the cost	25% of the cost
Tier 4	Non-Preferred Drug	25% of the cost	25% of the cost
Tier 5	Specialty Tier	25% of the cost	25% 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, 15 dual-eligible special needs plans are sold for 2027, this one included. Against the others, 2 plans have a lower out-of-pocket limit, 12 a higher one. On the premium, 11 plans have a lower premium, 3 the same.

Out-of-pocket limits of the 15 dual-eligible special needs plans

$0 to under $2,0000 plans

$2,000 to under $4,0000 plans

$4,000 to under $6,0001 plan

$6,000 to under $8,0001 plan

$8,000 to $10,000 (this plan)13 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?

It stops serving 77 counties it served in 2026 (listed in the next section).

The premium and the out-of-pocket limit are the same in all 55 counties: $12.80 a month and $9,250.

West Virginia

Barbour Berkeley Boone Braxton Brooke Cabell Calhoun Clay Doddridge Fayette Gilmer Grant Greenbrier Hampshire Hancock Hardy Harrison Jackson Jefferson Kanawha Lewis Lincoln Logan Marion Marshall Mason McDowell Mercer Mineral Mingo Monongalia Monroe Morgan Nicholas Ohio Pendleton Pleasants Pocahontas Preston Putnam Raleigh Randolph Ritchie Roane Summers Taylor Tucker Tyler Upshur Wayne Webster Wetzel Wirt Wood Wyoming

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

What if you live in a county it leaves?

Its 2026 members in the 77 counties listed below cannot stay in it for 2027; each county page lists the 2027 plans sold there.

Your coverage: This plan ends for you on December 31, 2026, because it is no longer 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, and because you have Medicaid, Medicare enrolls you in a drug plan.
If you choose Original Medicare: You have a guaranteed right to buy Medigap Plan A, B, C, D, F, G, K or L sold in your state by any insurance company; if you were new to Medicare on or after January 1, 2020, Plans D and G take the place of C and F. Apply from 60 days before to 63 days after the plan ends; the policy starts once your Medicare Advantage coverage ends. Other Medigap plans are not covered by this right.
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.

The 77 counties it leaves, most members first
County	Members, Sept. 2026
Belmont, OH	60
Jefferson, OH	13
Adams, OH	fewer than 11
Allen, OH	fewer than 11
Ashland, OH	fewer than 11
Ashtabula, OH	fewer than 11
Athens, OH	fewer than 11
Auglaize, OH	fewer than 11
Brown, OH	fewer than 11
Butler, OH	fewer than 11
Carroll, OH	fewer than 11
Champaign, OH	fewer than 11
Clark, OH	fewer than 11
Clermont, OH	fewer than 11
Clinton, OH	fewer than 11
Columbiana, OH	fewer than 11
Coshocton, OH	fewer than 11
Crawford, OH	fewer than 11
Cuyahoga, OH	fewer than 11
Darke, OH	fewer than 11

Show the other 57 counties

County	Members, Sept. 2026
Delaware, OH	fewer than 11
Fairfield, OH	fewer than 11
Fayette, OH	fewer than 11
Franklin, OH	fewer than 11
Fulton, OH	fewer than 11
Gallia, OH	fewer than 11
Geauga, OH	fewer than 11
Greene, OH	fewer than 11
Guernsey, OH	fewer than 11
Hardin, OH	fewer than 11
Harrison, OH	fewer than 11
Henry, OH	fewer than 11
Highland, OH	fewer than 11
Hocking, OH	fewer than 11
Holmes, OH	fewer than 11
Jackson, OH	fewer than 11
Knox, OH	fewer than 11
Lake, OH	fewer than 11
Lawrence, OH	fewer than 11
Licking, OH	fewer than 11
Logan, OH	fewer than 11
Lorain, OH	fewer than 11
Madison, OH	fewer than 11
Mahoning, OH	fewer than 11
Medina, OH	fewer than 11
Meigs, OH	fewer than 11
Mercer, OH	fewer than 11
Miami, OH	fewer than 11
Monroe, OH	fewer than 11
Montgomery, OH	fewer than 11
Morgan, OH	fewer than 11
Morrow, OH	fewer than 11
Muskingum, OH	fewer than 11
Noble, OH	fewer than 11
Ottawa, OH	fewer than 11
Paulding, OH	fewer than 11
Perry, OH	fewer than 11
Pickaway, OH	fewer than 11
Pike, OH	fewer than 11
Portage, OH	fewer than 11
Preble, OH	fewer than 11
Putnam, OH	fewer than 11
Richland, OH	fewer than 11
Ross, OH	fewer than 11
Scioto, OH	fewer than 11
Seneca, OH	fewer than 11
Shelby, OH	fewer than 11
Stark, OH	fewer than 11
Summit, OH	fewer than 11
Trumbull, OH	fewer than 11
Tuscarawas, OH	fewer than 11
Van Wert, OH	fewer than 11
Vinton, OH	fewer than 11
Warren, OH	fewer than 11
Washington, OH	fewer than 11
Wayne, OH	fewer than 11
Wyandot, OH	fewer than 11

Source: CMS plan crosswalk from 2026 to 2027 (Oct. 1, 2026); CMS monthly enrollment by plan and by county, September 2026 (CMS hides counts under 11); Medicare.gov, “Special enrollment periods” and “When can I buy Medigap?” (read Oct. 7, 2026).

Who runs this plan?

Plan ID: H3672-019
Legal name of the contract: The Health Plan of West Virginia, Inc.
Sold as: The Health Plan
Parent company: The Health Plan of West Virginia, Inc.
Plan type: HMO D-SNP
2026 star rating of the contract: 3.5 of 5 overall; health plan 3.5 of 5, drug plan 3.5 of 5
Members, September 2026: 2,734
Plan website, as filed with CMS: www.healthplan.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 Kanawha, WVWhere most of its members live; premiums and limits side by side
Every The Health Plan plan for 2027Its contracts, counties and plans that end
The other 4 plans of contract H3672Same 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.