Wellpoint Dual Advantage (HMO D-SNP) in Skagit County, Washington — 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

Wellpoint Dual Advantage (HMO D-SNP) (H1894-011) is a $0-premium Medicare Advantage HMO D-SNP from Elevance Health, Inc. available in Skagit County, Washington in 2026, with a 3.0-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)

OrganizationElevance Health, Inc.
Plan nameWellpoint Dual Advantage (HMO D-SNP)
Contract IDH1894
Plan ID011
Segment ID0
Contract year2026
Contract categorySNP
Plan typeHMO D-SNP
SNPYes — Dual-Eligible
Monthly consolidated premium$0.00
Part C premium$0.00
Part D basic premium$1.40
Part D total premium$0.00
Annual Part D deductible$615.00
Maximum out-of-pocket (in-network)$9250.00
Overall star rating3.0

How this plan is structured

  • $0 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.
  • $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 = Skagit 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 Skagit County

The CMS CY2026 Landscape file lists 56 Medicare Advantage plans in Skagit County, Washington, of which 0 carry a 5.0-star overall rating and 28 have a $0 consolidated monthly premium. Consolidated premiums range from $0.00 to $87.00 per month, and in-network out-of-pocket maximums range from $3400.00 to $9250.00.

For the full county plan directory, see all Medicare plans in Skagit County, Washington.

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 — H1894-011.
  2. Call the plan (Elevance Health, 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 H1894-011 means

CMS assigns every Medicare Advantage and Part D offering a plan identifier made of three parts. In H1894-011, the leading H marks the contract type (H = Medicare Advantage / Part C contract), the four digits 1894 are the contract number issued to the organization, and the three-digit 011 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 Wellpoint Dual Advantage (HMO D-SNP) an HMO or PPO?

Wellpoint Dual Advantage (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 Wellpoint Dual Advantage (HMO D-SNP) include prescription drug coverage?

Yes — Wellpoint Dual Advantage (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 Wellpoint Dual Advantage (HMO D-SNP)?

The 2026 in-network maximum out-of-pocket limit for Wellpoint Dual Advantage (HMO D-SNP) is $9250.00, per the CMS CY2026 Landscape file.

What counties offer Wellpoint Dual Advantage (HMO D-SNP) (H1894-011)?

Wellpoint Dual Advantage (HMO D-SNP) (H1894-011) is offered in 35 Washington counties: Adams County, Benton County, Chelan County, Clallam County, Clark County, Columbia County, Cowlitz County, Douglas County, Ferry County, Franklin County, Garfield County, Grant County, Grays Harbor County, Jefferson County, King County, Kitsap County, Kittitas County, Klickitat County, Lewis County, Lincoln County, Mason County, Okanogan County, Pacific County, Pend Oreille County, Pierce County, San Juan County, Skagit County, Skamania County, Snohomish County, Spokane County, Thurston County, Wahkiakum County, Walla Walla County, Whitman County, and Yakima County.

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