Healthy Blue Full Dual Advantage (HMO D-SNP) in Sheridan County, Kansas — 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
Healthy Blue Full Dual Advantage (HMO D-SNP) (H6316-005) is a $22-premium Medicare Advantage HMO D-SNP from Elevance Health, Inc. available in Sheridan County, Kansas in 2026, with a —-star overall rating, a $9,250 in-network out-of-pocket maximum, and a $615 annual Part D drug deductible.
Plan facts (CMS CY2026 Landscape file)
| Organization | Elevance Health, Inc. |
|---|---|
| Plan name | Healthy Blue Full Dual Advantage (HMO D-SNP) |
| Contract ID | H6316 |
| Plan ID | 005 |
| Segment ID | 0 |
| Contract year | 2026 |
| Contract category | SNP |
| Plan type | HMO D-SNP |
| SNP | Yes — Dual-Eligible |
| Monthly consolidated premium | $21.70 |
| Part C premium | $0.00 |
| Part D basic premium | $21.70 |
| Part D total premium | $21.70 |
| Annual Part D deductible | $615.00 |
| Maximum out-of-pocket (in-network) | $9250.00 |
| Overall star rating | — |
How this plan is structured
- $22 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.
- HMO D-SNP plan type. In an HMO-style Medicare Advantage plan, in-network care and primary-care referral rules generally apply. See how Medicare Advantage HMO and PPO plans differ.
- $9,250 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 = Sheridan 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 Sheridan County
The CMS CY2026 Landscape file lists 8 Medicare Advantage plans in Sheridan County, Kansas, of which 0 carry a 5.0-star overall rating and 3 have a $0 consolidated monthly premium. Consolidated premiums range from $0.00 to $118.00 per month, and in-network out-of-pocket maximums range from $3500.00 to $9250.00.
For the full county plan directory, see all Medicare plans in Sheridan County, Kansas.
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 — H6316-005.
- Call the plan (Elevance Health, Inc.) 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 H6316-005 means
CMS assigns every Medicare Advantage and Part D offering a plan identifier made of three parts. In H6316-005, the leading H marks the contract type (H = Medicare Advantage / Part C contract), the four digits 6316 are the contract number issued to the organization, and the three-digit 005 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 Healthy Blue Full Dual Advantage (HMO D-SNP) an HMO or PPO?
Healthy Blue Full Dual Advantage (HMO D-SNP) is an HMO D-SNP — a Health Maintenance Organization-style Medicare Advantage plan, meaning in-network care and referral rules generally apply.
Does Healthy Blue Full Dual Advantage (HMO D-SNP) include prescription drug coverage?
Yes — Healthy Blue Full Dual Advantage (HMO D-SNP) is a Medicare Advantage plan with prescription drug coverage (MA-PD) and a $615.00 annual Part D drug deductible for 2026.
What is the maximum out-of-pocket cost for Healthy Blue Full Dual Advantage (HMO D-SNP)?
The 2026 in-network maximum out-of-pocket limit for Healthy Blue Full Dual Advantage (HMO D-SNP) is $9250.00, per the CMS CY2026 Landscape file.
What counties offer Healthy Blue Full Dual Advantage (HMO D-SNP) (H6316-005)?
Healthy Blue Full Dual Advantage (HMO D-SNP) (H6316-005) is offered in 93 Kansas counties: Allen County, Anderson County, Atchison County, Barber County, Bourbon County, Brown County, Butler County, Chase County, Chautauqua County, Cherokee County, Clark County, Clay County, Coffey County, Comanche County, Cowley County, Crawford County, Decatur County, Dickinson County, Doniphan County, Douglas County, Elk County, Ellsworth County, Finney County, Franklin County, Geary County, Gove County, Graham County, Gray County, Greeley County, Greenwood County, Hamilton County, Harper County, Harvey County, Haskell County, Jackson County, Jefferson County, Jewell County, Johnson County, Kingman County, Kiowa County, Labette County, Lane County, Leavenworth County, Lincoln County, Linn County, Logan County, Lyon County, Marion County, Marshall County, McPherson County, Meade County, Miami County, Mitchell County, Montgomery County, Morris County, Nemaha County, Neosho County, Ness County, Norton County, Osage County, Osborne County, Ottawa County, Pawnee County, Phillips County, Pottawatomie County, Pratt County, Rawlins County, Reno County, Republic County, Rice County, Rooks County, Rush County, Russell County, Saline County, Scott County, Sedgwick County, Shawnee County, Sheridan County, Sherman County, Smith County, Stafford County, Stanton County, Stevens County, Sumner County, Thomas County, Trego County, Wabaunsee County, Wallace County, Washington County, Wichita County, Wilson County, Woodson County, and Wyandotte 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.