Plan year 2026 · coverage ends Dec. 31, 2026CMS crosswalk of Oct. 1, 2026
Medica Advantage Select is not offered under this ID in 2027
H8889Contract018Plan
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 H8889-028
Medica Advantage Select (H8889-018) is not offered under this ID in 2027: the CMS plan crosswalk of October 1, 2026 moves its members into Medica Advantage Select (H8889-028) (the plan renews under a new ID), which is sold in every county it served. 8,527 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 Select?
| What you pay or get | 2026 | 2027 | Change |
|---|---|---|---|
| In-network out-of-pocket limit | $5,000 | $7,150 | ▲up $2,150 |
| Drug deductible | $355 | $455 | ▲up $100 |
| Specialist visit (best in its area) | $50 copay | $0 copay | ▼down $50 |
| Hospital stay, in network (best in its area) | $450 a stay | $350 a day for days 1–6, then $0 a day for days 7–90 | changed |
| Skilled nursing facility, in network (best in its area) | $0 a day for days 1–20, then $218 a day for days 21–44, then $0 a day for days 45–100 | $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 (best in its area) | $375 copay | $395 copay | ▲up $20 |
| Eyewear, yearly limit (best in its area) | $150 a year | not offered | ▼dropped |
| Over-the-counter items, yearly (best in its area) | $70 a year | $40 a year | ▼down $30 |
| Counties served | 18 | 27 | ▲up 9 |
| Drug tier 2, generic | $7 | $10 | ▲up $3 |
| Drug tier 3, preferred brand | 20% of the cost | 18% of the cost | ▼down 2 points |
| Drug tier 4, non-preferred drug | 50% of the cost | 25% of the cost | ▼down 25 points |
| Drug tier 5, specialty tier | 29% of the cost | 28% of the cost | ▼down 1 point |
| 8 lines do not change | |||
| Monthly premium | $80 | $80 | no 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 |
| Medical deductible, in network (best in its area) | none | none | 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 |
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 Select 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 | 2,988 | moves into H8889-028 |
| Codington, SD | 1,125 | moves into H8889-028 |
| Lawrence, SD | 903 | moves into H8889-028 |
| Meade, SD | 704 | moves into H8889-028 |
| Brookings, SD | 539 | moves into H8889-028 |
| Custer, SD | 339 | moves into H8889-028 |
| Butte, SD | 285 | moves into H8889-028 |
| Davison, SD | 275 | moves into H8889-028 |
| Hamlin, SD | 236 | moves into H8889-028 |
| Fall River, SD | 206 | moves into H8889-028 |
| Roberts, SD | 164 | moves into H8889-028 |
| Day, SD | 156 | moves into H8889-028 |
| Spink, SD | 141 | moves into H8889-028 |
| Marshall, SD | 130 | moves into H8889-028 |
| Deuel, SD | 108 | moves into H8889-028 |
| Clark, SD | 89 | moves into H8889-028 |
| Kingsbury, SD | 88 | moves into H8889-028 |
| Sanborn, SD | 22 | moves into H8889-028 |
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