Medicare Plan Lookup Official CMS data · Contract Year 2026
CMS 2026 data

2026 Medicare plan code

H2322-008

Medicare Plan

HAP Senior Plus (PPO) · HAP Senior Plus (PPO) · Local PPO · Southeast, West, Central and Northern Michigan

Full CMS plan ID: H2322-008-000

H2322-008-000 is the full CMS identifier for the H2322-008 Medicare plan. Common searches include H2322 008 and H2322008.

Historical 2026 record. Benefits and service areas shown apply to that year.

2026

Spaces or dashes work: H5216-435-002 · S2135 802

● CMS 2026 plan record

HAP Senior Plus (PPO)

H2322-008-000 Southeast, West, Central and Northern Michigan Local PPO

At-a-glance

Quick view

01

In-network

Inpatient hospital

Days 1–5 $250 / day
Days 6–90 $0 / day
Total of listed copays · 5 charged days $1,250
02

Emergency transport

Ambulance

Ground · in-network$250 copay
Air · in-network$250 copay
03

Emergency services

Emergency room

$150 copay

Waived if admitted

04

Medical maximum

Maximum out-of-pocket

In-network$4,150
Combined in + out$4,150
05

Skilled care at home

Home health

In-networkCost share not reported
Out-of-network25% coinsurance
06

Monthly cost

Premium & giveback

Part C premium$122.40 / month
Consolidated C + D$165 / month

Plan details

All plan benefits

Medical care3 benefits

Primary care physician

In-networkCost share not reported
Out-of-network25% coinsurance

Specialist

In-network$25 copay
Out-of-network25% coinsurance

Preventive care

In-networkCost share not reported
Out-of-network25% coinsurance
Diagnostics & imaging4 benefits

Diagnostic procedures & tests

In-network$0–$150 copay
Out-of-network25% coinsurance

Laboratory services

In-networkCost share not reported
Out-of-network25% coinsurance

X-rays & standard imaging

In-network$0–$150 copay
Out-of-network25% coinsurance

MRI, CT & PET imaging

In-network$40 copay
Out-of-network25% coinsurance
Urgent & hospital care6 benefits

Urgent care

In-networkCost share not reported
Out-of-networkNot separately reported

Emergency room

In-network$150 copay
Out-of-networkNot separately reported

Ground ambulance

In-network$250 copay
Out-of-network$250 copay

Air ambulance

In-network$250 copay
Out-of-network$250 copay

Outpatient hospital

In-network$0–$200 copay
Out-of-network25% coinsurance

Outpatient surgery / ASC

In-network$0–$180 copay
Out-of-network25% coinsurance
Recovery & therapy5 benefits

Home health

In-networkCost share not reported
Out-of-network25% coinsurance

Skilled nursing facility

In-networkCost share not reported
Out-of-networkNot separately reported

Cardiac & pulmonary rehabilitation

In-networkCost share not reported
Out-of-network25% coinsurance

Occupational therapy

In-network$15 copay
Out-of-network25% coinsurance

Physical & speech therapy

In-network$15 copay
Out-of-network25% coinsurance
Behavioral health2 benefits

Mental health services

In-network$55 copay
Out-of-network25% coinsurance

Substance use treatment

In-network$55 copay
Out-of-network25% coinsurance
Specialty care2 benefits

Podiatry

In-network$0–$25 copay
Out-of-network25% coinsurance

Chiropractic

In-network$20 copay
Out-of-network25% coinsurance
Supplemental benefits7 benefits

Dental

In-network$0–$25 copay
Out-of-network25% coinsurance

Vision

In-networkCost share not reported
Out-of-networkCost share not reported

Hearing

In-network$0–$1,575 copay
Out-of-networkCost share not reported

Transportation

In-networkCost share not reported
Out-of-networkCost share not reported

Fitness & wellness

In-networkCost share not reported
Out-of-networkCost share not reported

Over-the-counter allowance

In-networkCost share not reported
Out-of-networkCost share not reported

Meals

In-networkCost share not reported
Out-of-networkCost share not reported
Plan costs & rulesCoverage overview

Premium & Part B giveback

$122.40 Part C premium / month · Part B giveback not separately reported

Maximum out-of-pocket (MOOP)

In-network$4,150
Combined in + out$4,150

Medical deductibles

In-networkNot reported
Out-of-networkNot reported

Network & referrals

Local PPO · Referrals: Not required · Out-of-network coverage: Yes

Prescription drugs5 tiers

Part D deductible

Not reported

Drug tier 1

$9 retail copay · 30-day supply

Drug tier 2

$15 retail copay · 30-day supply

Drug tier 3

17% retail coinsurance · 30-day supply

Drug tier 4

39% retail coinsurance · 30-day supply

Drug tier 5

33% retail coinsurance · 30-day supply

Using this plan

Understand H2322-008-000

Plain-language context built from this plan’s 2026 CMS record. It is a guide to the reported benefits, not a personalized cost estimate.

Plan at a glance

A quick read on this plan

HAP Senior Plus (PPO) is a 2026 Local PPO offered by HAP Senior Plus (PPO) in Southeast, West, Central and Northern Michigan. The CMS record indicates out-of-network coverage, although member costs may differ from in-network care. The plan record does not require referrals. Its listed inpatient copay stages total $1,250 across 5 charged days.

Common benefit costs

What you may pay

These are individual in-network benefit amounts. A real visit may involve more than one separately billed service.

Routine care

Primary care physician
Cost share not reported
Specialist
$25 copay
Laboratory services
Cost share not reported

Separate visits or services; costs are not added together.

Tests & outpatient care

Diagnostic procedures & tests
$0–$150 copay
MRI, CT & PET imaging
$40 copay
Outpatient hospital
$0–$200 copay

The service setting and billing details can change what you pay.

Emergency & hospital care

Emergency room
$150 copay
Listed inpatient stages
$1,250 total

5 charged inpatient days are included in the calculated total. Actual costs depend on the care received and plan rules.

Helpful context

Terms worth knowing

Maximum out-of-pocket (MOOP)

This is the most you generally pay during the plan year for covered Part A and Part B medical services under the applicable network limit. Premiums and prescription drug costs generally do not count toward it.

Availability

Who can enroll

Service area
Southeast, West, Central and Northern Michigan (MI)
Plan type
Local PPO
Contract / plan
H2322-008
Coverage year
2026

Enrollment generally requires Medicare eligibility and residence in the plan's service area. Confirm eligibility and the exact service area with the plan before enrolling.

Supplemental coverage

Extra benefits reported

Availability is summarized here; allowances, frequency limits, networks, and prior-authorization rules may apply.

Dental$0–$25 copay
VisionCost share not reported
Hearing$0–$1,575 copay
Over-the-counter allowanceCost share not reported
Fitness & wellnessCost share not reported
TransportationCost share not reported
MealsCost share not reported

Plan-specific answers

Frequently asked questions

Where is H2322-008-000 available?

HAP Senior Plus (PPO) is listed for Southeast, West, Central and Northern Michigan (MI). Enrollment generally requires Medicare eligibility and residence in the plan's service area.

What is the in-network maximum out-of-pocket limit for H2322-008-000?

The 2026 CMS record lists an in-network medical maximum out-of-pocket limit of $4,150. Prescription drug spending generally does not count toward this medical limit.

What is the monthly plan premium for H2322-008-000?

The listed consolidated Part C and Part D premium is $165 per month. This does not replace the standard Medicare Part B premium.

What does an emergency room visit cost on H2322-008-000?

The plan record lists $150 copay, waived when an admission meets the plan's stated timing rule.

Does H2322-008-000 report extra benefits?

Yes. CMS reports dental, vision, hearing, over-the-counter allowance, fitness & wellness, and other supplemental benefits. See the detailed benefit rows and official plan documents for limits and conditions.

Source trail

Official CMS, Contract Year 2026

Plan identity and benefits come from CMS PBP data. Premium and MOOP figures are cross-checked against the August 2026 Landscape release; county identity is sourced from segment-level Landscape rows and stable codes are enriched from the aligned MA contract service-area release where matched. Quick-reference values should be confirmed in 2026 official plan documents.

PBP benefits ↗ Landscape data ↗ County service area ↗

Plan context

Where H2322-008-000 fits

Full CMS plan ID
H2322-008-000
Contract
H2322
Base plan code
H2322-008
Segment
000
Carrier
HAP Senior Plus (PPO)
Plan type
Local PPO
Service area
Southeast, West, Central and Northern Michigan (MI)

County/service-area foundation

CMS service-area entries

Named county entries are tied to this exact contract, plan, and segment in CMS Landscape data. County codes are enriched from the aligned CMS contract service-area release where a match exists.

  • Allegan, MI
  • Antrim, MI
  • Arenac, MI
  • Barry, MI
  • Bay, MI
  • Berrien, MI
  • Branch, MI
  • Calhoun, MI
  • Charlevoix, MI
  • Clare, MI
  • Clinton, MI
  • Crawford, MI

45 additional service-area entries are retained in the data record.

Same CMS contract

H2322-011-000 HAP Medicare Explore (PPO) Southeast, West, Central and Northern Michigan · Local PPO H2322-016-000 HAP Medicare Prime (PPO) Southeast, West, Central and Northern Michigan · Local PPO H2322-017-000 HAP Member Assist (PPO) Southeast, West, Central and Northern Michigan · Local PPO H2322-020-000 HAP Medicare Complete Assist (PPO D-SNP) Central, Southwest and Southeast Michigan Counties · Local PPO H2322-801-000 HAP Senior Plus Group (PPO) United States EG Area · Local PPO H2322-803-000 HAP Senior Plus Group (PPO) United States EG Area · Local PPO

About this code

What H2322-008-000 identifies

H2322-008-000 is a Contract Year 2026 Medicare plan segment code. Searches written as H2322-008, H2322 008, or the compact full CMS ID H2322008000 refer to this plan or its base plan code.

Medicare Plan Lookup uses official CMS data as a quick reference. Benefit details, eligibility, service-area rules, and cost sharing should be confirmed in the current Summary of Benefits or Evidence of Coverage.