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

2026 Medicare plan code

H1290-043-000

DEVOTED DUAL 043 FL (HMO D-SNP) · Devoted Health · Escambia, Santa Rosa Counties

Compact plan code: H1290043000

2026

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

● CMS 2026 plan record

DEVOTED DUAL 043 FL (HMO D-SNP)

H1290-043-000 Escambia, Santa Rosa Counties HMO Dual-Eligible
Open in quick lookup
01

In-network

Inpatient hospital

Days 1–6 $275 / day
Days 7–90 $0 / day
Total of listed copays · 6 charged days $1,650
02

Emergency transport

Ambulance

Ground · in-network$0–$295 copay
Air · in-network20% coinsurance
03

Emergency services

Emergency room

$130 copay

Waived if admitted within 24 hours

04

Medical maximum

Maximum out-of-pocket

In-network$6,700
Combined in + outNot reported
05

Skilled care at home

Home health

In-networkNo cost share reported
Out-of-networkNot separately reported
06

Monthly cost

Premium & giveback

Part C premium$0 / month
Consolidated C + D$0 / month

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. Quick-reference values should be confirmed in current official plan documents.

PBP benefits ↗ Landscape data ↗

Same CMS contract

H1290-001-000 DEVOTED CORE 001 FL (HMO) Miami-Dade County · HMO H1290-002-000 DEVOTED CORE 002 FL (HMO) Broward County · HMO H1290-003-000 DEVOTED CORE 003 FL (HMO) Palm Beach County · HMO H1290-005-000 DEVOTED CORE 005 FL (HMO) Osceola, Seminole, and Orange Counties · HMO H1290-013-000 DEVOTED GIVEBACK 013 FL (HMO) Miami-Dade County · HMO H1290-014-000 DEVOTED GIVEBACK 014 FL (HMO) Broward County · HMO H1290-015-000 DEVOTED GIVEBACK 015 FL (HMO) Palm Beach County · HMO H1290-018-000 DEVOTED GIVEBACK 018 FL (HMO) Osceola, Seminole, and Orange Counties · HMO

About this code

What H1290-043-000 identifies

H1290-043-000 is a Contract Year 2026 Medicare plan segment code. The compact form H1290043000 refers to the same normalized contract, plan, and segment shown on this page.

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.