Plan year 2026 · coverage ends Dec. 31, 2026CMS crosswalk of Oct. 1, 2026
The Health Plan SecureChoice: Option II is not offered under this ID in 2027
H8604Contract011Plan
PPO · served 132 counties in Ohio, West Virginia in 2026
Run by Thp Insurance Company (contract H8604), sold as The Health Plan, owned by The Health Plan of West Virginia, Inc.
CMS crosswalk: members move into H8604-014
The Health Plan SecureChoice: Option II (H8604-011) is not offered under this ID in 2027: the CMS plan crosswalk of October 1, 2026 moves its members into The Health Plan SecureChoice Optimum (H8604-014), which is sold in every county it served. 400 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 SecureChoice Optimum?
| What you pay or get | 2026 | 2027 | Change |
|---|---|---|---|
| Plan name | The Health Plan SecureChoice: Option II | The Health Plan SecureChoice Optimum | renamed |
| Monthly premium | $109 | $0 to $45 | ▼down $109 |
| In-network out-of-pocket limit | $6,700 | $7,000 | ▲up $300 |
| Drug deductible | $275 | $425 | ▲up $150 |
| Emergency room (best in its area) | $125 copay | $130 copay | ▲up $5 |
| Medical deductible, in network (best in its area) | $1,500 | none | ▼dropped |
| Hospital stay, in network (best in its area) | $295 a day for days 1–6, then $0 a day for days 7–90 | $395 a day for days 1–6, then $0 a day for days 7–90 | ▲up $500for a 5-day stay |
| Skilled nursing facility, in network (best in its area) | $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 |
| Ground ambulance, in network (best in its area) | $200 copay | $250 copay | ▲up $50 |
| Comprehensive dental, yearly limit (best in its area) | not offered | $1,000 a year | ▲added |
| Over-the-counter items, yearly (best in its area) | $220 a year | $200 a year | ▼down $20 |
| Drug tier 3, preferred brand | $47 | 20% of the cost | changed |
| Drug tier 4, non-preferred drug | $100 | 25% of the cost | changed |
| Drug tier 5, specialty tier | 29% of the cost | 28% of the cost | ▼down 1 point |
| 8 lines do not change | |||
| Part B premium reduction, monthly (best in its area) | none | none | no change |
| Primary care visit (best in its area) | $10 copay | $10 copay | no change |
| Specialist visit (best in its area) | $45 copay | $45 copay | no change |
| Eyewear, yearly limit (best in its area) | $150 a year | $150 a year | no change |
| Hearing aids, yearly limit for both ears (best in its area) | not offered | not offered | no change |
| Counties served | 132 | 132 | no change |
| Drug tier 1, preferred generic | $13 | $13 | no change |
| Drug tier 2, generic | $20 | $20 | 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 SecureChoice Optimum 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.
| State | Counties | Members, Sept. 2026 |
|---|---|---|
| Ohio | 77 | 136 |
| West Virginia | 55 | 102 |
Source: CMS monthly enrollment by plan and by county, September 2026 (CMS hides counts under 11).
What else should you check?
- 2027 plans in Belmont, OHThe 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