Medica Advantage Select (PPO) in Fall River County, South 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 Select (PPO) (H8889-018) is a $80-premium Medicare Advantage PPO from Medica Holding Company available in Fall River County, South Dakota in 2026, with a 3.5-star overall rating, a $5,000 in-network out-of-pocket maximum, and a $355 annual Part D drug deductible.
Plan facts (CMS CY2026 Landscape file)
| Organization | Medica Holding Company |
|---|---|
| Plan name | Medica Advantage Select (PPO) |
| Contract ID | H8889 |
| Plan ID | 018 |
| Segment ID | 0 |
| Contract year | 2026 |
| Contract category | MA-PD |
| Plan type | PPO |
| SNP | No |
| Monthly consolidated premium | $80.00 |
| Part C premium | $80.00 |
| Part D basic premium | $16.20 |
| Part D total premium | $0.00 |
| Annual Part D deductible | $355.00 |
| Maximum out-of-pocket (in-network) | $5000.00 |
| Overall star rating | 3.5 |
How this plan is structured
- $80 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 plan type. Plan-type rules determine in-network use and referrals. See how Medicare Advantage HMO and PPO plans differ.
- $5,000 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 = Fall River 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 Fall River County
The CMS CY2026 Landscape file lists 10 Medicare Advantage plans in Fall River County, South Dakota, of which 0 carry a 5.0-star overall rating and 3 have a $0 consolidated monthly premium. Consolidated premiums range from $25.00 to $205.00 per month, and in-network out-of-pocket maximums range from $3300.00 to $9250.00.
For the full county plan directory, see all Medicare plans in Fall River County, South 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 — H8889-018.
- 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 H8889-018 means
CMS assigns every Medicare Advantage and Part D offering a plan identifier made of three parts. In H8889-018, 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 018 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 Select (PPO) an HMO or PPO?
Medica Advantage Select (PPO) is a PPO Medicare Advantage plan.
Does Medica Advantage Select (PPO) include prescription drug coverage?
Yes — Medica Advantage Select (PPO) is a Medicare Advantage plan with prescription drug coverage (MA-PD) and a $355.00 annual Part D drug deductible for 2026.
What is the maximum out-of-pocket cost for Medica Advantage Select (PPO)?
The 2026 in-network maximum out-of-pocket limit for Medica Advantage Select (PPO) is $5000.00, per the CMS CY2026 Landscape file.
What counties offer Medica Advantage Select (PPO) (H8889-018)?
Medica Advantage Select (PPO) (H8889-018) is offered in 18 South Dakota counties: Brookings County, Butte County, Clark County, Codington County, Custer County, Davison County, Day County, Deuel County, Fall River County, Hamlin County, Kingsbury County, Lawrence County, Marshall County, Meade County, Pennington County, Roberts County, Sanborn County, and Spink 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.