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

2026 Medicare plan code

H3551-003

Medicare Plan

eternalHealth Valor Give Back (HMO-POS) · eternalHealth · HMOPOS · Maricopa, Pima, Pinal and Graham Counties

Full CMS plan ID: H3551-003-000

H3551-003-000 is the full CMS identifier for the H3551-003 Medicare plan. Common searches include H3551 003 and H3551003.

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

eternalHealth Valor Give Back (HMO-POS)

H3551-003-000 Maricopa, Pima, Pinal and Graham Counties HMOPOS

At-a-glance

Quick view

01

In-network

Inpatient hospital

inpatient copayment is selected but its amount is missing

02

Emergency transport

Ambulance

Ground · in-network20% coinsurance
Air · in-network20% coinsurance

Ground ambulance: In-network: cost sharing varies by a CMS plan-defined group; Air ambulance: In-network: cost sharing varies by a CMS plan-defined group

03

Emergency services

Emergency room

20% coinsurance

Waived if admitted within 24 hours

04

Medical maximum

Maximum out-of-pocket

In-network$5,500
Combined in + out$9,000
05

Skilled care at home

Home health

In-networkVerify in plan documents
Out-of-networkNot separately reported
06

Monthly cost

Premium & giveback

Part C premium$0 / month
Consolidated C + DNot reported

Plan details

All plan benefits

Medical care3 benefits

Primary care physician

Verify in plan documents
In-networkVerify in plan documents
Out-of-networkNot separately reported

Specialist

Verify in plan documents
In-networkVerify in plan documents
Out-of-networkNot separately reported

Preventive care

Verify in plan documents
In-network20% coinsurance
Out-of-networkNot separately reported
Diagnostics & imaging4 benefits

Diagnostic procedures & tests

Verify in plan documents
In-network20% coinsurance
Out-of-networkNot separately reported

Laboratory services

Verify in plan documents
In-networkCost share not reported
Out-of-networkNot separately reported

X-rays & standard imaging

Verify in plan documents
In-network20% coinsurance
Out-of-networkNot separately reported

MRI, CT & PET imaging

Verify in plan documents
In-network20% coinsurance
Out-of-networkNot separately reported
Urgent & hospital care6 benefits

Urgent care

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

Emergency room

In-network20% coinsurance
Out-of-networkNot separately reported

Ground ambulance

Verify in plan documents
In-network20% coinsurance
Out-of-networkNot separately reported

Air ambulance

Verify in plan documents
In-network20% coinsurance
Out-of-networkNot separately reported

Outpatient hospital

Verify in plan documents
In-network20% coinsurance
Out-of-networkNot separately reported

Outpatient surgery / ASC

Verify in plan documents
In-network20% coinsurance
Out-of-networkNot separately reported
Recovery & therapy5 benefits

Home health

Verify in plan documents
In-networkVerify in plan documents
Out-of-networkNot separately reported

Skilled nursing facility

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

Cardiac & pulmonary rehabilitation

Verify in plan documents
In-network20% coinsurance
Out-of-networkNot separately reported

Occupational therapy

Verify in plan documents
In-network$30 copay
Out-of-networkNot separately reported

Physical & speech therapy

Verify in plan documents
In-network$30 copay
Out-of-networkNot separately reported
Behavioral health2 benefits

Mental health services

Verify in plan documents
In-network20% coinsurance
Out-of-networkNot separately reported

Substance use treatment

Verify in plan documents
In-network20% coinsurance
Out-of-networkNot separately reported
Specialty care2 benefits

Podiatry

Verify in plan documents
In-network$20 copay
Out-of-networkNot separately reported

Chiropractic

In-network$25 copay
Out-of-networkNot separately reported
Supplemental benefits7 benefits

Dental

Verify in plan documents
In-network20% coinsurance
Out-of-networkNot separately reported

Vision

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

Hearing

In-network$595–$895 copay
Out-of-networkNot separately reported

Transportation

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

Fitness & wellness

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

Over-the-counter allowance

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

Meals

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

Premium & Part B giveback

$0 Part C premium / month · Part B giveback not separately reported

Maximum out-of-pocket (MOOP)

In-network$5,500
Combined in + out$9,000

Medical deductibles

In-networkNot reported
Out-of-networkNot reported

Network & referrals

HMOPOS · Referrals: Not required · Out-of-network coverage: Not reported

Prescription drugs0 tiers

Part D deductible

CMS did not publish a supported Part D deductible amount

Using this plan

Understand H3551-003-000

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

eternalHealth Valor Give Back (HMO-POS) is a 2026 HMOPOS offered by eternalHealth in Maricopa, Pima, Pinal and Graham Counties. The plan record does not require referrals.

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
Verify in plan documents
Specialist
Verify in plan documents
Laboratory services
Cost share not reported

Separate visits or services; costs are not added together.

Tests & outpatient care

Diagnostic procedures & tests
20% coinsurance
MRI, CT & PET imaging
20% coinsurance
Outpatient hospital
20% coinsurance

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

Emergency & hospital care

Emergency room
20% coinsurance

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
Maricopa, Pima, Pinal and Graham Counties (AZ)
Plan type
HMOPOS
Contract / plan
H3551-003
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.

Dental20% coinsurance
VisionCost share not reported
Hearing$595–$895 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 H3551-003-000 available?

eternalHealth Valor Give Back (HMO-POS) is listed for Maricopa, Pima, Pinal and Graham Counties (AZ). Enrollment generally requires Medicare eligibility and residence in the plan's service area.

What is the in-network maximum out-of-pocket limit for H3551-003-000?

The 2026 CMS record lists an in-network medical maximum out-of-pocket limit of $5,500. Prescription drug spending generally does not count toward this medical limit.

What is the monthly plan premium for H3551-003-000?

The listed Part C premium is $0 per month. This does not replace the standard Medicare Part B premium.

What does an emergency room visit cost on H3551-003-000?

The plan record lists 20% coinsurance, waived when an admission meets the plan's stated timing rule.

Does H3551-003-000 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 H3551-003-000 fits

Full CMS plan ID
H3551-003-000
Contract
H3551
Base plan code
H3551-003
Segment
000
Carrier
eternalHealth
Plan type
HMOPOS
Service area
Maricopa, Pima, Pinal and Graham Counties (AZ)

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.

  • Graham, AZ
  • Maricopa, AZ
  • Pima, AZ
  • Pinal, AZ

Same CMS contract

H3551-001-000 eternalHealth Horizon (HMO) Maricopa, Pima, Pinal, and Graham Counties · HMO H3551-002-000 eternalHealth Grand Give Back (HMO) Maricopa, Pima, Pinal and Graham Counties · HMO H3551-004-000 eternalHealth + Fry's Medicare Advantage (HMO) Maricopa, Pinal, Pima, and Graham counties · HMO

About this code

What H3551-003-000 identifies

H3551-003-000 is a Contract Year 2026 Medicare plan segment code. Searches written as H3551-003, H3551 003, or the compact full CMS ID H3551003000 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.