Plan year 2027 · Medicare AdvantageCMS files of Sept. 22 and Oct. 1, 2026
Medica Advantage Preferred, 2027
H8889Contract029Plan
PPO · 27 counties in South Dakota
Run by Medica Health Plans (contract H8889), sold as Medica, owned by Medica Holding Company
Medica Advantage Preferred (H8889-029) costs $247 to $296 a month in 2027, with an in-network out-of-pocket limit of $4,450. It is a new plan for 2027.
What changes from 2026 to 2027?
| What you pay or get | 2026 | 2027 | Change |
|---|---|---|---|
| Monthly premium | not offered | $247 to $296 | new for 2027 |
| In-network out-of-pocket limit | not filed | $4,450 | new for 2027 |
| Drug deductible | not filed | $280 | new for 2027 |
| Primary care visit (best in its area) | not offered | $0 copay | changed |
| Specialist visit (best in its area) | not offered | $20 copay | changed |
| Emergency room (best in its area) | not offered | $150 copay | changed |
| Hospital stay, in network (best in its area) | not offered | $300 a day for days 1–6, then $0 a day for days 7–90 | changed |
| Skilled nursing facility, in network (best in its area) | not offered | $0 a day for days 1–20, then $221 a day for days 21–42, then $0 a day for days 43–100 | changed |
| Ground ambulance, in network (best in its area) | not offered | $250 copay | changed |
| Eyewear, yearly limit (best in its area) | not offered | $200 a year | ▲added |
| Over-the-counter items, yearly (best in its area) | not offered | $120 a year | ▲added |
| 5 lines do not change | |||
| Part B premium reduction, monthly (best in its area) | none | none | 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 |
| Counties served | not offered | 27 | new for 2027 |
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?
| Tier | What the tier holds | 2026 | 2027 |
|---|---|---|---|
| Tier 1 | Preferred Generic | not offered | $0 |
| Tier 2 | Generic | not offered | $10 |
| Tier 3 | Preferred Brand | not offered | 20% of the cost |
| Tier 4 | Non-Preferred Drug | not offered | 25% of the cost |
| Tier 5 | Specialty Tier | not offered | 30% 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, 1 the same, 10 a higher one. On the premium, 11 plans have a lower premium.
Out-of-pocket limits of the 12 plans open to everyone
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?
| Monthly premium | Out-of-pocket limit | Where |
|---|---|---|
| $247 | $4,450 | Brookings (SD), Clark (SD), Codington (SD), Davison (SD), Day (SD), Deuel (SD), Hamlin (SD), Kingsbury (SD), Marshall (SD), Roberts (SD), Sanborn (SD), Spink (SD) |
| $296 | $4,450 | Butte (SD), Campbell (SD), Corson (SD), Custer (SD), Dewey (SD), Fall River (SD), Haakon (SD), Harding (SD), Jackson (SD), Lawrence (SD), Meade (SD), Pennington (SD), Perkins (SD), Walworth (SD), Ziebach (SD) |
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
- H8889-029
- 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
- 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 Pennington, SDWhere 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.