MercyOne Health Plan Choice (PPO) in Marion County, Iowa — 2026 plan details
Last updated Jul 18, 2026
Reviewed by Jason Burns, Editorial Steward
Published by Senior Direct Answers · Licensed under Citation License 1.0
MercyOne Health Plan Choice (PPO) (H1846-007) is a $0-premium Medicare Advantage PPO from Trinity Health Corporation available in Marion County, Iowa in 2026, with a 4.0-star overall rating, a $4,400 in-network out-of-pocket maximum, and a $200 annual Part D drug deductible.
Plan facts (CMS CY2026 Landscape file)
| Organization | Trinity Health Corporation |
|---|---|
| Plan name | MercyOne Health Plan Choice (PPO) |
| Contract ID | H1846 |
| Plan ID | 007 |
| Segment ID | 0 |
| Contract year | 2026 |
| Contract category | MA-PD |
| Plan type | PPO |
| SNP | No |
| Monthly consolidated premium | $0.00 |
| Part C premium | $0.00 |
| Part D basic premium | $0.00 |
| Part D total premium | $0.00 |
| Annual Part D deductible | $200.00 |
| Maximum out-of-pocket (in-network) | $4400.00 |
| Overall star rating | 4.0 |
How this plan is structured
- $0 consolidated premium. A $0 or near-$0 consolidated premium does not remove the Part B premium — the standard 2026 Part B premium is $202.90 per month and still applies. See the 2026 Medicare Part B premium.
- PPO plan type. Plan-type rules determine in-network use and referrals. See how Medicare Advantage HMO and PPO plans differ.
- $4,400 in-network out-of-pocket maximum. The MOOP is the annual cap on what a member pays in-network for covered Part A and Part B services. See how the Medicare Advantage MOOP works.
- Service area = Marion County. Medicare Advantage plans are sold by service area; moving out of the plan's service area triggers a Special Enrollment Period to switch plans. See how moving changes your Medicare options.
How it compares in Marion County
The CMS CY2026 Landscape file lists 28 Medicare Advantage plans in Marion County, Iowa, of which 0 carry a 5.0-star overall rating and 12 have a $0 consolidated monthly premium. Consolidated premiums range from $0.00 to $138.00 per month, and in-network out-of-pocket maximums range from $3900.00 to $9250.00.
For the full county plan directory, see all Medicare plans in Marion County, Iowa.
How to verify your doctors take this plan
Network participation changes throughout the year; we hold no provider-network data, so verify directly with these three sources before you decide:
- Open the plan's official Medicare.gov page and use its provider-directory link: Medicare.gov Plan Finder — H1846-007.
- Call the plan (Trinity Health Corporation) using the member-services number listed on that plan page and ask whether each doctor, hospital, and pharmacy is in-network for 2026.
- Get free, unbiased help from your State Health Insurance Assistance Program (SHIP) — see free unbiased Medicare help from SHIP.
What H1846-007 means
CMS assigns every Medicare Advantage and Part D offering a plan identifier made of three parts. In H1846-007, the leading H marks the contract type (H = Medicare Advantage / Part C contract), the four digits 1846 are the contract number issued to the organization, and the three-digit 007 is the plan benefit package under that contract. The segment ID 0 identifies the service-area segment within the plan (0 = the default single segment).
Frequently asked questions
Is MercyOne Health Plan Choice (PPO) an HMO or PPO?
MercyOne Health Plan Choice (PPO) is a PPO Medicare Advantage plan.
Does MercyOne Health Plan Choice (PPO) include prescription drug coverage?
Yes — MercyOne Health Plan Choice (PPO) is a Medicare Advantage plan with prescription drug coverage (MA-PD) and a $200.00 annual Part D drug deductible for 2026.
What is the maximum out-of-pocket cost for MercyOne Health Plan Choice (PPO)?
The 2026 in-network maximum out-of-pocket limit for MercyOne Health Plan Choice (PPO) is $4400.00, per the CMS CY2026 Landscape file.
What counties offer MercyOne Health Plan Choice (PPO) (H1846-007)?
MercyOne Health Plan Choice (PPO) (H1846-007) is offered in 57 Iowa counties: Adair County, Adams County, Appanoose County, Benton County, Black Hawk County, Boone County, Bremer County, Buchanan County, Butler County, Cedar County, Cerro Gordo County, Chickasaw County, Clarke County, Clayton County, Clinton County, Dallas County, Decatur County, Delaware County, Fayette County, Floyd County, Franklin County, Greene County, Grundy County, Guthrie County, Hamilton County, Hancock County, Hardin County, Henry County, Humboldt County, Iowa County, Jackson County, Jasper County, Jefferson County, Jones County, Keokuk County, Kossuth County, Louisa County, Lucas County, Madison County, Mahaska County, Marion County, Marshall County, Mitchell County, Monroe County, Muscatine County, Polk County, Poweshiek County, Ringgold County, Scott County, Tama County, Union County, Warren County, Washington County, Wayne County, Winnebago County, Worth County, and Wright County.
Sources
- CMS, Plan Year 2026 Medicare Advantage & Part D Landscape source file (March 2026) — retrieved 2026-07-18. Overall star rating year: 2026.
- Medicare.gov Plan Finder — compare plans and enroll.