In-network
Inpatient hospital
CMS did not publish acute inpatient details
● CMS 2026 plan record
Cherry Blossom PACE - Medicare Only (PACE)
Choose and order benefitsSelections are saved only on this device.
Emergency transport
Ambulance
Ground · in-networkNot reported
Air · in-networkNot reported
Not reported in this CMS export
Emergency services
Emergency room
Not separately reported
Medical maximum
Maximum out-of-pocket
In-networkNot reported
Combined in + outNot reported
Skilled care at home
Home health
In-networkNot reported
Out-of-networkNot reported
Monthly cost
Premium & giveback
Part C premiumNot reported
Consolidated C + DNot reported
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Primary care physician
Not reported in this CMS export
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Specialist
Not reported in this CMS export
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Preventive care
Not reported in this CMS export
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Diagnostic procedures & tests
Not reported in this CMS export
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Laboratory services
Not reported in this CMS export
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X-rays & standard imaging
Not reported in this CMS export
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MRI, CT & PET imaging
Not reported in this CMS export
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Urgent care
Not reported in this CMS export
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Emergency room
In: Not separately reported
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Ground ambulance
Not reported in this CMS export
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Air ambulance
Not reported in this CMS export
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Outpatient hospital
Not reported in this CMS export
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Outpatient surgery / ASC
Not reported in this CMS export
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Home health
Not reported in this CMS export
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Skilled nursing facility
Not reported in this CMS export
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Cardiac & pulmonary rehabilitation
Not reported in this CMS export
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Occupational therapy
Not reported in this CMS export
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Physical & speech therapy
Not reported in this CMS export
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Mental health services
Not reported in this CMS export
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Substance use treatment
Not reported in this CMS export
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Podiatry
Not reported in this CMS export
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Chiropractic
Not reported in this CMS export
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Dental
Not reported in this CMS export
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Vision
Not reported in this CMS export
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Hearing
Not reported in this CMS export
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Transportation
Not reported in this CMS export
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Fitness & wellness
Not reported in this CMS export
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Over-the-counter allowance
Not reported in this CMS export
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Meals
Not reported in this CMS export
Plan details
All plan benefits
No benefits match that search.
Medical care3 benefits
Primary care physician
Not reported in this CMS exportNot reported in this CMS export
Specialist
Not reported in this CMS exportNot reported in this CMS export
Preventive care
Not reported in this CMS exportNot reported in this CMS export
Diagnostics & imaging4 benefits
Diagnostic procedures & tests
Not reported in this CMS exportNot reported in this CMS export
Laboratory services
Not reported in this CMS exportNot reported in this CMS export
X-rays & standard imaging
Not reported in this CMS exportNot reported in this CMS export
MRI, CT & PET imaging
Not reported in this CMS exportNot reported in this CMS export
Urgent & hospital care6 benefits
Urgent care
Not reported in this CMS exportNot reported in this CMS export
Emergency room
Not reported in this CMS exportIn-networkNot separately reported
Ground ambulance
Not reported in this CMS exportNot reported in this CMS export
Air ambulance
Not reported in this CMS exportNot reported in this CMS export
Outpatient hospital
Not reported in this CMS exportNot reported in this CMS export
Outpatient surgery / ASC
Not reported in this CMS exportNot reported in this CMS export
Recovery & therapy5 benefits
Home health
Not reported in this CMS exportNot reported in this CMS export
Skilled nursing facility
Not reported in this CMS exportNot reported in this CMS export
Cardiac & pulmonary rehabilitation
Not reported in this CMS exportNot reported in this CMS export
Occupational therapy
Not reported in this CMS exportNot reported in this CMS export
Physical & speech therapy
Not reported in this CMS exportNot reported in this CMS export
Behavioral health2 benefits
Mental health services
Not reported in this CMS exportNot reported in this CMS export
Substance use treatment
Not reported in this CMS exportNot reported in this CMS export
Specialty care2 benefits
Podiatry
Not reported in this CMS exportNot reported in this CMS export
Chiropractic
Not reported in this CMS exportNot reported in this CMS export
Supplemental benefits7 benefits
Dental
Not reported in this CMS exportNot reported in this CMS export
Vision
Not reported in this CMS exportNot reported in this CMS export
Hearing
Not reported in this CMS exportNot reported in this CMS export
Transportation
Not reported in this CMS exportNot reported in this CMS export
Fitness & wellness
Not reported in this CMS exportNot reported in this CMS export
Over-the-counter allowance
Not reported in this CMS exportNot reported in this CMS export
Meals
Not reported in this CMS exportNot reported in this CMS export
Plan costs & rulesCoverage overview
Premium & Part B giveback
Part C premium not reported · Part B giveback not separately reported
Maximum out-of-pocket (MOOP)
In-networkNot reported
Combined in + outNot reported
Medical deductibles
In-networkNot reported
Out-of-networkNot reported
Network & referrals
National PACE · Referrals: Not reported · Out-of-network coverage: No
Prescription drugs0 tiers
Part D deductible
This plan is not present in the public CMS Landscape release
Using this plan
Understand H3991-002-000
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
Cherry Blossom PACE - Medicare Only (PACE) is a 2026 National PACE offered by Cherry Blossom PACE in Northern Virginia. The CMS record does not indicate routine out-of-network coverage.
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
- Northern Virginia
- Plan type
- National PACE
- Contract / plan
- H3991-002
- 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.
Plan-specific answers
Frequently asked questions
Where is H3991-002-000 available?
Cherry Blossom PACE - Medicare Only (PACE) is listed for Northern Virginia. Enrollment generally requires Medicare eligibility and residence in the plan's service area.
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.
Plan context
Where H3991-002-000 fits
- Full CMS plan ID
H3991-002-000- Contract
H3991- Base plan code
H3991-002- Segment
000- Carrier
- Cherry Blossom PACE
- Plan type
- National PACE
- Service area
- Northern Virginia
County/service-area foundation
CMS service-area entries
These named entries come from a CMS contract-level service-area file. They describe the contract's published geography and must not be treated as proof that every segment has identical county-level rules.
- Entire United States (CMS coverage marker)
About this code
What H3991-002-000 identifies
H3991-002-000 is a Contract Year 2026 Medicare plan segment code. Searches written as H3991-002, H3991 002, or the compact full CMS ID H3991002000 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.