Prime Health Complete (HMO D-SNP) in Big Stone County, Minnesota — 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

Prime Health Complete (HMO D-SNP) (H2926-001) is a $40-premium Medicare Advantage HMO D-SNP from PrimeWest Rural MN Health Care Access Initiative available in Big Stone County, Minnesota 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)

OrganizationPrimeWest Rural MN Health Care Access Initiative
Plan namePrime Health Complete (HMO D-SNP)
Contract IDH2926
Plan ID001
Segment ID0
Contract year2026
Contract categorySNP
Plan typeHMO D-SNP
SNPYes — Dual-Eligible
Monthly consolidated premium$39.70
Part C premium$0.00
Part D basic premium$39.70
Part D total premium$39.70
Annual Part D deductible$615.00
Maximum out-of-pocket (in-network)$9250.00
Overall star rating

How this plan is structured

  • $40 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 = Big Stone 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 Big Stone County

The CMS CY2026 Landscape file lists 15 Medicare Advantage plans in Big Stone County, Minnesota, of which 0 carry a 5.0-star overall rating and 5 have a $0 consolidated monthly premium. Consolidated premiums range from $0.00 to $243.00 per month, and in-network out-of-pocket maximums range from $3000.00 to $9250.00.

For the full county plan directory, see all Medicare plans in Big Stone County, Minnesota.

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:

  1. Open the plan's official Medicare.gov page and use its provider-directory link: Medicare.gov Plan Finder — H2926-001.
  2. Call the plan (PrimeWest Rural MN Health Care Access Initiative) using the member-services number listed on that plan page and ask whether each doctor, hospital, and pharmacy is in-network for 2026.
  3. Get free, unbiased help from your State Health Insurance Assistance Program (SHIP) — see free unbiased Medicare help from SHIP.

What H2926-001 means

CMS assigns every Medicare Advantage and Part D offering a plan identifier made of three parts. In H2926-001, the leading H marks the contract type (H = Medicare Advantage / Part C contract), the four digits 2926 are the contract number issued to the organization, and the three-digit 001 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 Prime Health Complete (HMO D-SNP) an HMO or PPO?

Prime Health Complete (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 Prime Health Complete (HMO D-SNP) include prescription drug coverage?

Yes — Prime Health Complete (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 Prime Health Complete (HMO D-SNP)?

The 2026 in-network maximum out-of-pocket limit for Prime Health Complete (HMO D-SNP) is $9250.00, per the CMS CY2026 Landscape file.

What counties offer Prime Health Complete (HMO D-SNP) (H2926-001)?

Prime Health Complete (HMO D-SNP) (H2926-001) is offered in 24 Minnesota counties: Beltrami County, Big Stone County, Chippewa County, Clearwater County, Cottonwood County, Douglas County, Grant County, Hubbard County, Jackson County, Kandiyohi County, Lac qui Parle County, Lincoln County, Lyon County, McLeod County, Meeker County, Nobles County, Pipestone County, Pope County, Redwood County, Renville County, Stevens County, Swift County, Traverse County, and Yellow Medicine County.

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