Medica Advantage Value (PPO)
Available to residents of Day County, SD for 2026. Contract H8889, plan 017, segment 0.
Plan details
| Monthly drug premium | $0.00 |
|---|---|
| Drug deductible | $615.00Tier 1 and 2 exempt |
| Plan type | Medicare Advantage |
| Contract / plan | H8889-017-0 |
| 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 | $5.00 |
| Tier 3 | 18% |
| Tier 4 | 50% |
| Tier 5 | 25% |
Also available in 17 other SD counties
Plan facts come from the CMS quarterly prescription drug plan public use files.