Medica DUAL Solution (HMO D-SNP) in Hennepin 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

Medica DUAL Solution (HMO D-SNP) (H2458-002) is a $42-premium Medicare Advantage HMO D-SNP from Medica Holding Company available in Hennepin County, Minnesota in 2026, with a 3.0-star overall rating, a $9,200 in-network out-of-pocket maximum, and a $615 annual Part D drug deductible.

Plan facts (CMS CY2026 Landscape file)

OrganizationMedica Holding Company
Plan nameMedica DUAL Solution (HMO D-SNP)
Contract IDH2458
Plan ID002
Segment ID0
Contract year2026
Contract categorySNP
Plan typeHMO D-SNP
SNPYes — Dual-Eligible
Monthly consolidated premium$41.50
Part C premium$0.00
Part D basic premium$41.50
Part D total premium$41.50
Annual Part D deductible$615.00
Maximum out-of-pocket (in-network)$9200.00
Overall star rating3.0

How this plan is structured

  • $42 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.
  • $9,200 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 = Hennepin 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 Hennepin County

The CMS CY2026 Landscape file lists 32 Medicare Advantage plans in Hennepin County, Minnesota, of which 0 carry a 5.0-star overall rating and 14 have a $0 consolidated monthly premium. Consolidated premiums range from $0.00 to $210.00 per month, and in-network out-of-pocket maximums range from $0.00 to $9250.00.

For the full county plan directory, see all Medicare plans in Hennepin 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 — H2458-002.
  2. Call the plan (Medica Holding Company) 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 H2458-002 means

CMS assigns every Medicare Advantage and Part D offering a plan identifier made of three parts. In H2458-002, the leading H marks the contract type (H = Medicare Advantage / Part C contract), the four digits 2458 are the contract number issued to the organization, and the three-digit 002 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 Medica DUAL Solution (HMO D-SNP) an HMO or PPO?

Medica DUAL Solution (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 Medica DUAL Solution (HMO D-SNP) include prescription drug coverage?

Yes — Medica DUAL Solution (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 Medica DUAL Solution (HMO D-SNP)?

The 2026 in-network maximum out-of-pocket limit for Medica DUAL Solution (HMO D-SNP) is $9200.00, per the CMS CY2026 Landscape file.

What counties offer Medica DUAL Solution (HMO D-SNP) (H2458-002)?

Medica DUAL Solution (HMO D-SNP) (H2458-002) is offered in 50 Minnesota counties: Aitkin County, Anoka County, Becker County, Benton County, Blue Earth County, Carlton County, Carver County, Cass County, Chisago County, Clay County, Crow Wing County, Dakota County, Faribault County, Fillmore County, Hennepin County, Houston County, Isanti County, Kittson County, Koochiching County, Lac qui Parle County, Lake County, Lake of the Woods County, Le Sueur County, Mahnomen County, Marshall County, Mille Lacs County, Morrison County, Mower County, Nicollet County, Norman County, Olmsted County, Otter Tail County, Pennington County, Pine County, Polk County, Ramsey County, Red Lake County, Rice County, Roseau County, Scott County, Sherburne County, St. Louis County, Stearns County, Todd County, Wadena County, Washington County, Watonwan County, Wilkin County, Winona County, and Wright County.

Sources