Medica Advantage Select (PPO)
Available to residents of Pierce County, NE for 2026. Contract H8889, plan 015, segment 0.
Plan details
| Monthly drug premium | $0.00 |
|---|---|
| Drug deductible | $355.00Tier 1 and 2 exempt |
| Plan type | Medicare Advantage |
| Contract / plan | H8889-015-0 |
| Offered by | Medica |
| Parent organization | Medica Holding Company |
| Formulary drugs | 3,520 |
CMS star ratings
- Overall
- 3.5 out of 5 stars for Overall
- Health plan (Part C)
- 3.5 out of 5 stars for Health plan (Part C)
- Drug plan (Part D)
- 3.5 out of 5 stars for Drug plan (Part D)
Published per contract — every plan under contract H8889 shares this rating.
Drug tiers — preferred pharmacy, initial coverage
| Tier | Cost-sharing |
|---|---|
| Tier 1 | $0.00 |
| Tier 2 | $7.00 |
| Tier 3 | 18% |
| Tier 4 | 50% |
| Tier 5 | 29% |
Also available in 48 other NE counties
- Adams
- Antelope
- Boone
- Buffalo
- Butler
- Cass
- Cedar
- Clay
- Cuming
- Custer
- Dixon
- Dodge
- Douglas
- Franklin
- Frontier
- Furnas
- Garfield
- Gosper
- Greeley
- Hall
- Hamilton
- Harlan
- Holt
- Howard
- Jefferson
- Kearney
- Knox
- Lancaster
- Loup
- Madison
- Merrick
- Nance
- Nemaha
- Nuckolls
- Pawnee
- Phelps
- Platte
- Sarpy
- Saunders
- Sherman
- Stanton
- Thayer
- Thurston
- Valley
- Washington
- Wayne
- Webster
- Wheeler
Plan facts come from the CMS quarterly prescription drug plan public use files.