2026 Medicare plan code

H1290-044-001

DEVOTED PREMIUM 044 FL (HMO) · Devoted Health · Lake, Marion, & Sumter Counties

Compact plan code: H1290044001

2026

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

● CMS 2026 plan record

DEVOTED PREMIUM 044 FL (HMO)

H1290-044-001 Lake, Marion, & Sumter Counties HMO
Open in quick lookup
01

In-network

Inpatient hospital

Days 1–6 $150 / day
Days 7–90 $0 / day
Total of listed copays · 6 charged days $900
02

Emergency transport

Ambulance

Ground · in-network$0–$300 copay
Air · in-network20% coinsurance
03

Emergency services

Emergency room

$150 copay

Waived if admitted within 24 hours

04

Medical maximum

Maximum out-of-pocket

In-network$3,900
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$4.80 / 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.

About this code

What H1290-044-001 identifies

H1290-044-001 is a Contract Year 2026 Medicare plan segment code. The compact form H1290044001 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.