Great Plains Medicare Advantage (HMO I-SNP) in Madison County, Nebraska — 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
Great Plains Medicare Advantage (HMO I-SNP) (H7511-001) is a $34-premium Medicare Advantage HMO I-SNP from Sanford Health available in Madison County, Nebraska in 2026, with a —-star overall rating, a $9,070 in-network out-of-pocket maximum, and a $615 annual Part D drug deductible.
Plan facts (CMS CY2026 Landscape file)
| Organization | Sanford Health |
|---|---|
| Plan name | Great Plains Medicare Advantage (HMO I-SNP) |
| Contract ID | H7511 |
| Plan ID | 001 |
| Segment ID | 0 |
| Contract year | 2026 |
| Contract category | SNP |
| Plan type | HMO I-SNP |
| SNP | Yes — Institutional |
| Monthly consolidated premium | $33.90 |
| Part C premium | $0.00 |
| Part D basic premium | $33.90 |
| Part D total premium | $33.90 |
| Annual Part D deductible | $615.00 |
| Maximum out-of-pocket (in-network) | $9070.00 |
| Overall star rating | — |
How this plan is structured
- $34 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 I-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.
- $9,070 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 = Madison 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 Madison County
The CMS CY2026 Landscape file lists 38 Medicare Advantage plans in Madison County, Nebraska, of which 0 carry a 5.0-star overall rating and 19 have a $0 consolidated monthly premium. Consolidated premiums range from $0.00 to $155.00 per month, and in-network out-of-pocket maximums range from $2500.00 to $9250.00.
For the full county plan directory, see all Medicare plans in Madison County, Nebraska.
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 — H7511-001.
- Call the plan (Sanford Health) 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 H7511-001 means
CMS assigns every Medicare Advantage and Part D offering a plan identifier made of three parts. In H7511-001, the leading H marks the contract type (H = Medicare Advantage / Part C contract), the four digits 7511 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 Great Plains Medicare Advantage (HMO I-SNP) an HMO or PPO?
Great Plains Medicare Advantage (HMO I-SNP) is an HMO I-SNP — a Health Maintenance Organization-style Medicare Advantage plan, meaning in-network care and referral rules generally apply.
Does Great Plains Medicare Advantage (HMO I-SNP) include prescription drug coverage?
Yes — Great Plains Medicare Advantage (HMO I-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 Great Plains Medicare Advantage (HMO I-SNP)?
The 2026 in-network maximum out-of-pocket limit for Great Plains Medicare Advantage (HMO I-SNP) is $9070.00, per the CMS CY2026 Landscape file.
What counties offer Great Plains Medicare Advantage (HMO I-SNP) (H7511-001)?
Great Plains Medicare Advantage (HMO I-SNP) (H7511-001) is offered in 56 Nebraska counties: Adams County, Antelope County, Boone County, Boyd County, Brown County, Buffalo County, Burt County, Butler County, Cass County, Cedar County, Clay County, Colfax County, Cuming County, Custer County, Dakota County, Dixon County, Dodge County, Douglas County, Fillmore County, Franklin County, Furnas County, Gage County, Gosper County, Hall County, Hamilton County, Harlan County, Holt County, Howard County, Jefferson County, Johnson County, Kearney County, Knox County, Lancaster County, Madison County, Merrick County, Nance County, Nemaha County, Nuckolls County, Otoe County, Pawnee County, Phelps County, Pierce County, Platte County, Polk County, Rock County, Saline County, Sarpy County, Saunders County, Seward County, Sherman County, Stanton County, Valley County, Washington County, Wayne County, Webster County, and York 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.