Plan year 2026 · coverage ends Dec. 31, 2026CMS crosswalk of Oct. 1, 2026
The Health Plan SecureCare Capitol Plan is not offered under this ID in 2027
H3672Contract023Plan
HMO · served 6 counties in West Virginia in 2026
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.
CMS crosswalk: members move into H3672-020
The Health Plan SecureCare Capitol Plan (H3672-023) is not offered under this ID in 2027: the CMS plan crosswalk of October 1, 2026 moves its members into The Health Plan SecureCare: Option II (H3672-020), which is sold in every county it served. 116 people were enrolled in it in September 2026; they can also choose another plan during open enrollment, October 15 to December 7, 2026.
What changes for its members in The Health Plan SecureCare: Option II?
| What you pay or get | 2026 | 2027 | Change |
|---|---|---|---|
| Plan name | The Health Plan SecureCare Capitol Plan | The Health Plan SecureCare: Option II | renamed |
| Monthly premium | $0 | $13 | ▲up $13 |
| In-network out-of-pocket limit | $6,500 | $7,500 | ▲up $1,000 |
| Drug deductible | $250 | $395 | ▲up $145 |
| Primary care visit | $5 copay | $15 copay | ▲up $10 |
| Emergency room | $130 copay | $115 copay | ▼down $15 |
| Hospital stay, in network | $335 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 $200for 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 | $280 a year | not offered | ▼dropped |
| Counties served | 6 | 63 | ▲up 57 |
| Drug tier 4, non-preferred drug | 40% of the cost | 25% of the cost | ▼down 15 points |
| Drug tier 5, specialty tier | 30% of the cost | 29% of the cost | ▼down 1 point |
| 9 lines do not 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 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 do nothing
- You are moved into The Health Plan SecureCare: Option II 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.
- January 1 to March 31, 2027
- Medicare Advantage open enrollment: switch once to another Medicare Advantage plan or to Original Medicare.
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 |
|---|---|---|
| Kanawha, WV | 60 | moves into H3672-020 |
| Jackson, WV | 18 | moves into H3672-020 |
| Putnam, WV | 15 | moves into H3672-020 |
| Fayette, WV | 14 | moves into H3672-020 |
| Boone, WV | fewer than 11 | moves into H3672-020 |
| Clay, WV | fewer than 11 | moves into H3672-020 |
Source: CMS monthly enrollment by plan and by county, September 2026 (CMS hides counts under 11).
What else should you check?
- 2027 plans in Kanawha, WVThe plans you can join instead
- The Health Plan plans for 2027Plans the same company still offers
- Every plan not offered in 2027764 Medicare Advantage and drug plans