Plan year 2027 · Medicare AdvantageCMS files of Sept. 22 and Oct. 1, 2026
The Health Plan SecureCare: Option II, 2027
H3672Contract020Plan
HMO · 63 counties in Ohio, 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.
The Health Plan SecureCare: Option II (H3672-020) costs $13 a month in 2027, up $13 from 2026, with an in-network out-of-pocket limit of $7,500 ($6,700 in 2026). It takes in the members of H3672-023.
What changes from 2026 to 2027?
| What you pay or get | 2026 | 2027 | Change |
|---|---|---|---|
| Monthly premium | $0 | $13 | ▲up $13 |
| In-network out-of-pocket limit | $6,700 | $7,500 | ▲up $800 |
| Primary care visit | $0 copay | $15 copay | ▲up $15 |
| Emergency room | $130 copay | $115 copay | ▼down $15 |
| Hospital stay, in network | $325 a day for days 1–6, then $0 a day for days 7–90 | $375 a day for days 1–6, then $0 a day for days 7–90 | ▲up $250for a 5-day stay |
| Skilled nursing facility, in network | $0 a day for days 1–20, then $218 a day for days 21–100 | $0 a day for days 1–20, then $221 a day for days 21–100 | ▲up $30for a 30-day stay |
| Eyewear, yearly limit | $200 a year | $150 a year | ▼down $50 |
| Over-the-counter items, yearly | $220 a year | not offered | ▼dropped |
| Counties served | 57 | 63 | ▲up 6 |
| Drug tier 4, non-preferred drug | 40% of the cost | 25% of the cost | ▼down 15 points |
| Drug tier 5, specialty tier | 28% of the cost | 29% of the cost | ▲up 1 point |
| 10 lines do not change | |||
| Drug deductible | $395 | $395 | no change |
| Part B premium reduction, monthly | none | none | no change |
| Specialist visit | $45 copay | $45 copay | no change |
| Medical deductible, in network | none | none | no change |
| Ground ambulance, in network | $250 copay | $250 copay | no change |
| Comprehensive dental, yearly limit | $1,000 a year | $1,000 a year | no change |
| Hearing aids, yearly limit for both ears | not offered | not offered | no change |
| Drug tier 1, preferred generic | $13 | $13 | no change |
| Drug tier 2, generic | $20 | $20 | no change |
| Drug tier 3, preferred brand | 20% of the cost | 20% 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?
| Tier | What the tier holds | 2026, standard pharmacy | 2027, standard pharmacy | 2027, preferred pharmacy |
|---|---|---|---|---|
| Tier 1 | Preferred Generic | $13 | $13 | $0 |
| Tier 2 | Generic | $20 | $20 | $5 |
| Tier 3 | Preferred Brand | 20% of the cost | 20% of the cost | 20% of the cost |
| Tier 4 | Non-Preferred Drug | 40% of the cost | 25% of the cost | 25% of the cost |
| Tier 5 | Specialty Tier | 28% of the cost | 29% of the cost | 29% 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, 111 plans open to everyone are sold for 2027, this one included. Against the others, 74 plans have a lower out-of-pocket limit, 2 the same, 34 a higher one. On the premium, 70 plans have a lower premium, 40 a higher one.
Out-of-pocket limits of the 111 plans open to everyone
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 63 counties: $13 a month and $7,500.
Ohio
West Virginia
Source: CMS Medicare Advantage and Part D landscape files for 2027 (Sept. 22, 2026, revised Sept. 30) and 2026 (Sept. 2, 2026 revision).
Which 2026 plans move into it, and what changes for their members?
For 2027 this plan takes in the members of 1 other plan, beside its own 2,541 members. In 2027 it costs $13 a month with a $7,500 limit; each row compares that with the plan its members had in 2026.
| 2026 plan | Members, Sept. 2026 | Members who move | Premium 2026 | Premium change | Limit 2026 | Limit change |
|---|---|---|---|---|---|---|
| The Health Plan SecureCare Capitol PlanH3672-023 | 116 | 107 | $0 | ▲up $13 | $6,500 | ▲up $1,000 |
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); CMS Medicare Advantage and Part D landscape files for 2027 (Sept. 22, 2026, revised Sept. 30) and 2026 (Sept. 2, 2026 revision). Each moving plan's own page lists every line that changes for its members.
Who runs this plan?
- Plan ID
- H3672-020
- 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
- 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
- 2,541
- 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 Belmont, OHWhere 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.