The Health Plan SecureChoice Optimum (PPO) in Harrison County, West Virginia — 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 Harrison County, West Virginia in 2026, with a 3.5-star overall rating, a $6,500 in-network out-of-pocket maximum, and a $150 annual Part D drug deductible.
Plan facts (CMS CY2026 Landscape file)
| Organization | The Health Plan of West Virginia, Inc. |
|---|---|
| Plan name | The Health Plan SecureChoice Optimum (PPO) |
| Contract ID | H8604 |
| Plan ID | 014 |
| Segment ID | 2 |
| Contract year | 2026 |
| Contract category | MA-PD |
| Plan type | PPO |
| SNP | No |
| 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) | $6500.00 |
| Overall star rating | 3.5 |
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.
- PPO plan type. Plan-type rules determine in-network use and referrals. See how Medicare Advantage HMO and PPO plans differ.
- $6,500 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 = Harrison 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 Harrison County
The CMS CY2026 Landscape file lists 47 Medicare Advantage plans in Harrison County, West Virginia, 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 $134.00 per month, and in-network out-of-pocket maximums range from $4000.00 to $9250.00.
For the full county plan directory, see all Medicare plans in Harrison County, West Virginia.
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 — H8604-014.
- 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.
- 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 2 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 $6500.00, 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 55 West Virginia counties: Barbour County, Berkeley County, Boone County, Braxton County, Brooke County, Cabell County, Calhoun County, Clay County, Doddridge County, Fayette County, Gilmer County, Grant County, Greenbrier County, Hampshire County, Hancock County, Hardy County, Harrison County, Jackson County, Jefferson County, Kanawha County, Lewis County, Lincoln County, Logan County, Marion County, Marshall County, Mason County, McDowell County, Mercer County, Mineral County, Mingo County, Monongalia County, Monroe County, Morgan County, Nicholas County, Ohio County, Pendleton County, Pleasants County, Pocahontas County, Preston County, Putnam County, Raleigh County, Randolph County, Ritchie County, Roane County, Summers County, Taylor County, Tucker County, Tyler County, Upshur County, Wayne County, Webster County, Wetzel County, Wirt County, Wood County, and Wyoming 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.