Highmark Health Options Duals (HMO D-SNP) CY2027
Offered by Highmark Health (company name as listed by CMS) · Plan ID H6224-001-000 · Medicare Advantage with drug coverage, Special Needs Plan (D-SNP)
Available in 2027 in: 40 counties in West Virginia. See full service area
2027 Star Rating: Plan too new to be measured What star ratings mean
We do not offer every plan available in your area. Currently we represent 11 organizations which offer 45 products in your area. Please contact Medicare.gov or 1-800-MEDICARE to get information on all of your options. 1-800-MEDICARE (1-800-633-4227) is open 24 hours a day, 7 days a week. TTY users call 1-877-486-2048.
Medicare evaluates plans every year based on a 5-star rating system. Star Ratings shown are 2027 Star Ratings released by CMS on October 8, 2026.
This plan's 2027 documents
Summary of Benefits (PDF, carrier document, 2027)
The Summary of Benefits is the plan's own description of its costs and benefits. It comes from the plan company.
Key numbers from CMS files
- Monthly plan premium
- $12.80. You still pay your Part B premium.
- Most you pay in-network in a year (MOOP)
- $9,850CMS lists this as a zero-dollar cost-sharing plan for people with Medicare and Medicaid. As long as you keep your Medicaid, you generally pay $0 for covered Medicare Part A and Part B services from in-network providers. Drug copays may apply. The amount shown is the plan's in-network yearly limit on Part A and Part B cost sharing.
- Drug deductible
- $700
- Part B giveback
- None
- Over-the-counter or benefit card
- Benefit card: $40 per month (covers OTC items, Home and Bathroom Safety Devices and Modifications, extra benefits for members who qualify)
- Extra benefits listed
- Dental, Vision, Benefit card
These numbers come from CMS files. For what each benefit covers and costs, read the Summary of Benefits above. We do not write our own descriptions of plan benefits.
See all benefits
- Preventive dental, most the plan pays
- $2,500 per year
- Comprehensive dental, most the plan pays
- one limit shared with preventive dental (amount above)
- Eyewear, most the plan pays
- Contacts: $200 per year; Frames: $200 per year
Amounts are the most the plan pays, as listed in CMS benefit files.
Compared with 2026
Compared with Highmark Health Options Duals (HMO D-SNP) (H6224-001-0), the 2026 plan.
| Item | 2026 | 2027 |
|---|---|---|
| Monthly premium | $32.70 | $12.80 |
| Most you pay in-network (MOOP) | $9,250 | $9,850 |
| Drug deductible | $615 | $700 |
| Overall star rating | Plan too new to be measured | Plan too new to be measured |
Service area
West Virginia (40)
Boone County, Braxton County, Cabell County, Calhoun County, Clay County, Doddridge County, Fayette County, Gilmer County, Grant County, Greenbrier County, Hampshire County, Hardy County, Jackson County, Kanawha County, Lewis County, Lincoln County, Logan County, Marshall County, Mason County, McDowell County, Mingo County, Monroe County, Nicholas County, Ohio County, Pendleton County, Pleasants County, Pocahontas County, Putnam County, Raleigh County, Ritchie County, Roane County, Summers County, Tucker County, Tyler County, Wayne County, Webster County, Wetzel County, Wirt County, Wood County, Wyoming County
Data used on this page
- CMS CY2027 Landscape Source File, November 2026 release (202611)
- CMS CY2027 plan benefit files and the Medicare Plan Finder benefit summary file dated October 15, 2026
- 2027 Star Ratings data tables dated October 8, 2026
- Summary of Benefits files collected from plan company websites, October 28 to November 11, 2026
- How we build these pages