Select Health Medicare Dual (HMO D-SNP) in Weber County, Utah — 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
Select Health Medicare Dual (HMO D-SNP) (H1994-015) is a $38-premium Medicare Advantage HMO D-SNP from Intermountain Health Care, Inc. available in Weber County, Utah in 2026, with a 3.5-star overall rating, a $8,850 in-network out-of-pocket maximum, and a $615 annual Part D drug deductible.
Plan facts (CMS CY2026 Landscape file)
| Organization | Intermountain Health Care, Inc. |
|---|---|
| Plan name | Select Health Medicare Dual (HMO D-SNP) |
| Contract ID | H1994 |
| Plan ID | 015 |
| Segment ID | 0 |
| Contract year | 2026 |
| Contract category | SNP |
| Plan type | HMO D-SNP |
| SNP | Yes — Dual-Eligible |
| Monthly consolidated premium | $37.60 |
| Part C premium | $0.00 |
| Part D basic premium | $37.60 |
| Part D total premium | $37.60 |
| Annual Part D deductible | $615.00 |
| Maximum out-of-pocket (in-network) | $8850.00 |
| Overall star rating | 3.5 |
How this plan is structured
- $38 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.
- $8,850 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 = Weber 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 Weber County
The CMS CY2026 Landscape file lists 38 Medicare Advantage plans in Weber County, Utah, of which 0 carry a 5.0-star overall rating and 21 have a $0 consolidated monthly premium. Consolidated premiums range from $0.00 to $135.00 per month, and in-network out-of-pocket maximums range from $3500.00 to $9250.00.
For the full county plan directory, see all Medicare plans in Weber County, Utah.
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 — H1994-015.
- Call the plan (Intermountain Health Care, Inc.) 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 H1994-015 means
CMS assigns every Medicare Advantage and Part D offering a plan identifier made of three parts. In H1994-015, the leading H marks the contract type (H = Medicare Advantage / Part C contract), the four digits 1994 are the contract number issued to the organization, and the three-digit 015 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 Select Health Medicare Dual (HMO D-SNP) an HMO or PPO?
Select Health Medicare Dual (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 Select Health Medicare Dual (HMO D-SNP) include prescription drug coverage?
Yes — Select Health Medicare Dual (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 Select Health Medicare Dual (HMO D-SNP)?
The 2026 in-network maximum out-of-pocket limit for Select Health Medicare Dual (HMO D-SNP) is $8850.00, per the CMS CY2026 Landscape file.
What counties offer Select Health Medicare Dual (HMO D-SNP) (H1994-015)?
Select Health Medicare Dual (HMO D-SNP) (H1994-015) is offered in six Utah counties: Davis County, Iron County, Salt Lake County, Utah County, Washington County, and Weber 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.