In-network
Inpatient hospital
inpatient coinsurance is selected but its percentage is missing
● CMS 2026 plan record
Aspire Health Group Plus (HMO-POS)
Choose and order benefitsSelections are saved only on this device.
Emergency transport
Ambulance
Ground · in-networkVerify in plan documents
Air · in-networkVerify in plan documents
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
Emergency services
Emergency room
Cost share not reported
Medical maximum
Maximum out-of-pocket
In-network$0
Combined in + outNot reported
Skilled care at home
Home health
In-networkVerify in plan documents
Out-of-networkNot separately reported
Monthly cost
Premium & giveback
Part C premiumNot reported
Consolidated C + DNot reported
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Primary care physician
In: Verify in plan documents · Out: Not separately reported
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Specialist
In: Verify in plan documents · Out: Not separately reported
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Preventive care
In: Cost share not reported · Out: Not separately reported
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Diagnostic procedures & tests
In: Cost share not reported · Out: Not separately reported
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Laboratory services
In: Cost share not reported · Out: Not separately reported
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X-rays & standard imaging
In: Cost share not reported · Out: Not separately reported
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MRI, CT & PET imaging
In: Cost share not reported · Out: Not separately reported
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Urgent care
In: Cost share not reported · Out: Not separately reported
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Emergency room
In: Cost share not reported · Out: Not separately reported
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Ground ambulance
In: Verify in plan documents · Out: Not separately reported
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Air ambulance
In: Verify in plan documents · Out: Not separately reported
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Outpatient hospital
In: Verify in plan documents · Out: Not separately reported
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Outpatient surgery / ASC
In: Verify in plan documents · Out: Not separately reported
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Home health
In: Verify in plan documents · Out: Not separately reported
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Skilled nursing facility
In: Cost share not reported · Out: Not separately reported
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Cardiac & pulmonary rehabilitation
In: Cost share not reported · Out: Not separately reported
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Occupational therapy
In: Verify in plan documents · Out: Not separately reported
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Physical & speech therapy
In: Verify in plan documents · Out: Not separately reported
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Mental health services
In: Cost share not reported · Out: Not separately reported
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Substance use treatment
In: Cost share not reported · Out: Not separately reported
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Podiatry
In: Verify in plan documents · Out: Not separately reported
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Chiropractic
In: Cost share not reported · Out: Not separately reported
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Dental
In: Verify in plan documents · Out: Not separately reported
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Vision
In: Verify in plan documents · Out: Not separately reported
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Hearing
In: Verify in plan documents · Out: Not separately reported
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Transportation
In: Cost share not reported · Out: Not separately reported
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Fitness & wellness
In: Cost share not reported · Out: Not separately reported
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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
Verify in plan documentsIn-networkVerify in plan documents
Out-of-networkNot separately reported
Specialist
Verify in plan documentsIn-networkVerify in plan documents
Out-of-networkNot separately reported
Preventive care
Verify in plan documentsIn-networkCost share not reported
Out-of-networkNot separately reported
Diagnostics & imaging4 benefits
Diagnostic procedures & tests
Verify in plan documentsIn-networkCost share not reported
Out-of-networkNot separately reported
Laboratory services
Verify in plan documentsIn-networkCost share not reported
Out-of-networkNot separately reported
X-rays & standard imaging
Verify in plan documentsIn-networkCost share not reported
Out-of-networkNot separately reported
MRI, CT & PET imaging
Verify in plan documentsIn-networkCost share not reported
Out-of-networkNot separately reported
Urgent & hospital care6 benefits
Urgent care
In-networkCost share not reported
Out-of-networkNot separately reported
Emergency room
In-networkCost share not reported
Out-of-networkNot separately reported
Ground ambulance
Verify in plan documentsIn-networkVerify in plan documents
Out-of-networkNot separately reported
Air ambulance
Verify in plan documentsIn-networkVerify in plan documents
Out-of-networkNot separately reported
Outpatient hospital
Verify in plan documentsIn-networkVerify in plan documents
Out-of-networkNot separately reported
Outpatient surgery / ASC
Verify in plan documentsIn-networkVerify in plan documents
Out-of-networkNot separately reported
Recovery & therapy5 benefits
Home health
Verify in plan documentsIn-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 documentsIn-networkCost share not reported
Out-of-networkNot separately reported
Occupational therapy
Verify in plan documentsIn-networkVerify in plan documents
Out-of-networkNot separately reported
Physical & speech therapy
Verify in plan documentsIn-networkVerify in plan documents
Out-of-networkNot separately reported
Behavioral health2 benefits
Mental health services
Verify in plan documentsIn-networkCost share not reported
Out-of-networkNot separately reported
Substance use treatment
Verify in plan documentsIn-networkCost share not reported
Out-of-networkNot separately reported
Specialty care2 benefits
Podiatry
Verify in plan documentsIn-networkVerify in plan documents
Out-of-networkNot separately reported
Chiropractic
In-networkCost share not reported
Out-of-networkNot separately reported
Supplemental benefits7 benefits
Dental
Verify in plan documentsIn-networkVerify in plan documents
Out-of-networkNot separately reported
Vision
Verify in plan documentsIn-networkVerify in plan documents
Out-of-networkNot separately reported
Hearing
Verify in plan documentsIn-networkVerify in plan documents
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
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-network$0
Combined in + outNot reported
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
This plan is not present in the public CMS Landscape release
Using this plan
Understand H8764-801-000
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
Aspire Health Group Plus (HMO-POS) is a 2026 HMOPOS offered by Aspire Health in Monterey County. 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
- Cost share not reported
- MRI, CT & PET imaging
- Cost share not reported
- Outpatient hospital
- Verify in plan documents
The service setting and billing details can change what you pay.
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
- Monterey County (CA)
- Plan type
- HMOPOS
- Contract / plan
- H8764-801
- Coverage year
- 2026
Enrollment is limited to people eligible through the sponsoring employer or group. 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.
DentalVerify in plan documents
VisionVerify in plan documents
HearingVerify in plan documents
Fitness & wellnessCost share not reported
TransportationCost share not reported
Plan-specific answers
Frequently asked questions
Where is H8764-801-000 available?
Aspire Health Group Plus (HMO-POS) is listed for Monterey County (CA). Enrollment is limited to people eligible through the sponsoring employer or group.
What is the in-network maximum out-of-pocket limit for H8764-801-000?
The 2026 CMS record lists an in-network medical maximum out-of-pocket limit of $0. Prescription drug spending generally does not count toward this medical limit.
Does H8764-801-000 report extra benefits?
Yes. CMS reports dental, vision, hearing, fitness & wellness, transportation. 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.
Plan context
Where H8764-801-000 fits
- Full CMS plan ID
H8764-801-000- Contract
H8764- Base plan code
H8764-801- Segment
000- Carrier
- Aspire Health
- Plan type
- HMOPOS
- Service area
- Monterey County (CA)
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.
- Monterey, CA
About this code
What H8764-801-000 identifies
H8764-801-000 is a Contract Year 2026 Medicare plan segment code. Searches written as H8764-801, H8764 801, or the compact full CMS ID H8764801000 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.