Plan year 2026 · coverage ends Dec. 31, 2026CMS crosswalk of Oct. 1, 2026
Medica Advantage Value is not offered under this ID in 2027
H8889Contract017Plan
PPO · served 18 counties in South Dakota in 2026
Run by Medica Health Plans (contract H8889), sold as Medica, owned by Medica Holding Company
CMS crosswalk: renews as H8889-027
Medica Advantage Value (H8889-017) is not offered under this ID in 2027: the CMS plan crosswalk of October 1, 2026 moves its members into Medica Advantage Essential (H8889-027) (the plan renews under a new ID), which is sold in every county it served. 5,288 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 Medica Advantage Essential?
| What you pay or get | 2026 | 2027 | Change |
|---|---|---|---|
| Plan name | Medica Advantage Value | Medica Advantage Essential | renamed |
| Monthly premium | $25 | $34 to $40 | ▲up $9 |
| In-network out-of-pocket limit | $6,750 | $7,150 | ▲up $400 |
| Drug deductible | $615 | $700 | ▲up $85 |
| Specialist visit (best in its area) | $60 copay | $75 copay | ▲up $15 |
| Medical deductible, in network (best in its area) | $300 | $150 | ▼down $150 |
| Hospital stay, in network (best in its area) | $500 a day for days 1–5, then $0 a day for days 6–90 | $459 a day for days 1–6, then $0 a day for days 7–90 | ▼down $205for 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 21–52, 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 |
| Eyewear, yearly limit (best in its area) | $75 a year | not offered | ▼dropped |
| Over-the-counter items, yearly (best in its area) | $60 a year | $30 a year | ▼down $30 |
| Counties served | 18 | 27 | ▲up 9 |
| Drug tier 2, generic | $5 | $10 | ▲up $5 |
| Drug tier 3, preferred brand | 18% of the cost | 15% of the cost | ▼down 3 points |
| Drug tier 4, non-preferred drug | 50% of the cost | 25% of the cost | ▼down 25 points |
| 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) | $0 copay | $0 copay | no change |
| Emergency room (best in its area) | $130 copay | $130 copay | no change |
| Ground ambulance, in network (best in its area) | $370 copay | $370 copay | no change |
| Comprehensive dental, yearly limit (best in its area) | not offered | not offered | no change |
| Hearing aids, yearly limit for both ears (best in its area) | not offered | not offered | 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 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 Medica Advantage Essential 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 |
|---|---|---|
| Pennington, SD | 1,366 | moves into H8889-027 |
| Codington, SD | 1,109 | moves into H8889-027 |
| Lawrence, SD | 415 | moves into H8889-027 |
| Meade, SD | 363 | moves into H8889-027 |
| Brookings, SD | 325 | moves into H8889-027 |
| Davison, SD | 261 | moves into H8889-027 |
| Butte, SD | 198 | moves into H8889-027 |
| Custer, SD | 198 | moves into H8889-027 |
| Hamlin, SD | 185 | moves into H8889-027 |
| Clark, SD | 132 | moves into H8889-027 |
| Fall River, SD | 131 | moves into H8889-027 |
| Spink, SD | 117 | moves into H8889-027 |
| Roberts, SD | 103 | moves into H8889-027 |
| Deuel, SD | 101 | moves into H8889-027 |
| Day, SD | 92 | moves into H8889-027 |
| Kingsbury, SD | 90 | moves into H8889-027 |
| Marshall, SD | 55 | moves into H8889-027 |
| Sanborn, SD | 25 | moves into H8889-027 |
Source: CMS monthly enrollment by plan and by county, September 2026 (CMS hides counts under 11).
What else should you check?
- 2027 plans in Pennington, SDThe plans you can join instead
- Medica plans for 2027Plans the same company still offers
- Every plan not offered in 2027764 Medicare Advantage and drug plans