Medica Advantage Dual (PPO D-SNP) in Ward County, North Dakota — 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 Advantage Dual (PPO D-SNP) (H8889-016) is a $29-premium Medicare Advantage PPO D-SNP from Medica Holding Company available in Ward County, North Dakota in 2026, with a 3.5-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 | Medica Holding Company |
|---|---|
| Plan name | Medica Advantage Dual (PPO D-SNP) |
| Contract ID | H8889 |
| Plan ID | 016 |
| Segment ID | 0 |
| Contract year | 2026 |
| Contract category | SNP |
| Plan type | PPO D-SNP |
| SNP | Yes — Dual-Eligible |
| Monthly consolidated premium | $29.00 |
| Part C premium | $0.00 |
| Part D basic premium | $29.00 |
| Part D total premium | $29.00 |
| Annual Part D deductible | $615.00 |
| Maximum out-of-pocket (in-network) | $9250.00 |
| Overall star rating | 3.5 |
How this plan is structured
- $29 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 D-SNP plan type. Plan-type rules determine in-network use and referrals. 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 = Ward 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 Ward County
The CMS CY2026 Landscape file lists 14 Medicare Advantage plans in Ward County, North Dakota, of which 0 carry a 5.0-star overall rating and 6 have a $0 consolidated monthly premium. Consolidated premiums range from $29.00 to $334.70 per month, and in-network out-of-pocket maximums range from $2750.00 to $9250.00.
For the full county plan directory, see all Medicare plans in Ward County, North Dakota.
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 — H8889-016.
- 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.
- Get free, unbiased help from your State Health Insurance Assistance Program (SHIP) — see free unbiased Medicare help from SHIP.
What H8889-016 means
CMS assigns every Medicare Advantage and Part D offering a plan identifier made of three parts. In H8889-016, the leading H marks the contract type (H = Medicare Advantage / Part C contract), the four digits 8889 are the contract number issued to the organization, and the three-digit 016 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 Advantage Dual (PPO D-SNP) an HMO or PPO?
Medica Advantage Dual (PPO D-SNP) is a PPO D-SNP Medicare Advantage plan.
Does Medica Advantage Dual (PPO D-SNP) include prescription drug coverage?
Yes — Medica Advantage Dual (PPO 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 Advantage Dual (PPO D-SNP)?
The 2026 in-network maximum out-of-pocket limit for Medica Advantage Dual (PPO D-SNP) is $9250.00, per the CMS CY2026 Landscape file.
What counties offer Medica Advantage Dual (PPO D-SNP) (H8889-016)?
Medica Advantage Dual (PPO D-SNP) (H8889-016) is offered in eight North Dakota counties: Barnes County, Burleigh County, Cass County, Grand Forks County, Morton County, Stark County, Stutsman County, and Ward 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.