The Health Plan SecureChoice Optimum (PPO) in Fulton County, Ohio — 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

The Health Plan SecureChoice Optimum (PPO) (H8604-014) is a $0-premium Medicare Advantage PPO from The Health Plan of West Virginia, Inc. available in Fulton County, Ohio in 2026, with a 3.5-star overall rating, a $5,900 in-network out-of-pocket maximum, and a $150 annual Part D drug deductible.

Plan facts (CMS CY2026 Landscape file)

OrganizationThe Health Plan of West Virginia, Inc.
Plan nameThe Health Plan SecureChoice Optimum (PPO)
Contract IDH8604
Plan ID014
Segment ID1
Contract year2026
Contract categoryMA-PD
Plan typePPO
SNPNo
Monthly consolidated premium$0.00
Part C premium$0.00
Part D basic premium$0.00
Part D total premium$0.00
Annual Part D deductible$150.00
Maximum out-of-pocket (in-network)$5900.00
Overall star rating3.5

How this plan is structured

How it compares in Fulton County

The CMS CY2026 Landscape file lists 95 Medicare Advantage plans in Fulton County, Ohio, of which 0 carry a 5.0-star overall rating and 47 have a $0 consolidated monthly premium. Consolidated premiums range from $0.00 to $149.00 per month, and in-network out-of-pocket maximums range from $3450.00 to $9250.00.

For the full county plan directory, see all Medicare plans in Fulton County, Ohio.

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 — H8604-014.
  2. Call the plan (The Health Plan of West Virginia, Inc.) 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 H8604-014 means

CMS assigns every Medicare Advantage and Part D offering a plan identifier made of three parts. In H8604-014, the leading H marks the contract type (H = Medicare Advantage / Part C contract), the four digits 8604 are the contract number issued to the organization, and the three-digit 014 is the plan benefit package under that contract. The segment ID 1 identifies the service-area segment within the plan (0 = the default single segment).

Frequently asked questions

Is The Health Plan SecureChoice Optimum (PPO) an HMO or PPO?

The Health Plan SecureChoice Optimum (PPO) is a PPO Medicare Advantage plan.

Does The Health Plan SecureChoice Optimum (PPO) include prescription drug coverage?

Yes — The Health Plan SecureChoice Optimum (PPO) is a Medicare Advantage plan with prescription drug coverage (MA-PD) and a $150.00 annual Part D drug deductible for 2026.

What is the maximum out-of-pocket cost for The Health Plan SecureChoice Optimum (PPO)?

The 2026 in-network maximum out-of-pocket limit for The Health Plan SecureChoice Optimum (PPO) is $5900.00, per the CMS CY2026 Landscape file.

What counties offer The Health Plan SecureChoice Optimum (PPO) (H8604-014)?

The Health Plan SecureChoice Optimum (PPO) (H8604-014) is offered in 77 Ohio counties: Adams County, Allen County, Ashland County, Ashtabula County, Athens County, Auglaize County, Belmont County, Brown County, Butler County, Carroll County, Champaign County, Clark County, Clermont County, Clinton County, Columbiana County, Coshocton County, Crawford County, Cuyahoga County, Darke County, Delaware County, Fairfield County, Fayette County, Franklin County, Fulton County, Gallia County, Geauga County, Greene County, Guernsey County, Hardin County, Harrison County, Henry County, Highland County, Hocking County, Holmes County, Jackson County, Jefferson County, Knox County, Lake County, Lawrence County, Licking County, Logan County, Lorain County, Madison County, Mahoning County, Medina County, Meigs County, Mercer County, Miami County, Monroe County, Montgomery County, Morgan County, Morrow County, Muskingum County, Noble County, Ottawa County, Paulding County, Perry County, Pickaway County, Pike County, Portage County, Preble County, Putnam County, Richland County, Ross County, Scioto County, Seneca County, Shelby County, Stark County, Summit County, Trumbull County, Tuscarawas County, Van Wert County, Vinton County, Warren County, Washington County, Wayne County, and Wyandot County.

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