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

Medica Advantage Value, 2027

H8889Contract014Plan

PPO · 4 counties in North Dakota

Run by Medica Health Plans (contract H8889), sold as Medica, owned by Medica Holding Company

Renews for 2027

2026 star rating, contract H8889: 3.5 of 5

Medica Advantage Value (H8889-014) costs $14 a month in 2027, up $14 from 2026, with an in-network out-of-pocket limit of $7,150 ($6,750 in 2026).

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	$0	$14	up $14
In-network out-of-pocket limit	$6,750	$7,150	up $400
Drug deductible	$615	$700	up $85
Specialist visit	$60 copay	$50 copay	down $10
Hospital stay, in network	$450 a day for days 1–6, then $0 a day for days 7–90	$418 a day for days 1–6, then $0 a day for days 7–90	down $160for a 5-day stay
Skilled nursing facility, in network	$0 a day for days 1–20, then $218 a day for days 21–52, then $0 a day for days 53–100	$0 a day for days 1–20, then $221 a day for days 21–54, then $0 a day for days 55–100	up $30for a 30-day stay
Ground ambulance, in network	$375 copay	$395 copay	up $20
Eyewear, yearly limit	$100 a year	$75 a year	down $25
Over-the-counter items, yearly	$90 a year	not offered	dropped
Drug tier 2, generic	$6	$10	up $4
Drug tier 3, preferred brand	16% of the cost	15% of the cost	down 1 point
Drug tier 4, non-preferred drug	50% of the cost	25% of the cost	down 25 points
9 lines do not change
Part B premium reduction, monthly	none	none	no change
Primary care visit	$0 copay	$0 copay	no change
Emergency room	$130 copay	$130 copay	no change
Medical deductible, in network	none	none	no change
Comprehensive dental, yearly limit	not offered	not offered	no change
Hearing aids, yearly limit for both ears	not offered	not offered	no change
Counties served	4	4	no change
Drug tier 1, preferred generic	$0	$0	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	$6	$10
Tier 3	Preferred Brand	16% of the cost	15% of the cost
Tier 4	Non-Preferred Drug	50% of the cost	25% of the cost
Tier 5	Specialty Tier	25% of the cost	25% of the cost
Tier 6	Select Care Drugs	not offered	$0

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, 12 plans open to everyone are sold for 2027, this one included. Against the others, 6 plans have a lower out-of-pocket limit, 5 the same. On the premium, 5 plans have a lower premium, 6 a higher one.

Out-of-pocket limits of the 12 plans open to everyone

$0 to under $2,0000 plans

$2,000 to under $4,0001 plan

$4,000 to under $6,0004 plans

$6,000 to $8,000 (this plan)7 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 4 counties: $14 a month and $7,150.

North Dakota

Burleigh Grand Forks Morton Stutsman

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: H8889-014
Legal name of the contract: Medica Health Plans
Sold as: Medica
Parent company: Medica Holding Company
Plan type: PPO
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: 3,137
Plan website, as filed with CMS: medica.com/

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 Burleigh, NDWhere most of its members live; premiums and limits side by side
Every Medica plan for 2027Its contracts, counties and plans that end
The other 16 plans of contract H8889Same 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.