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

2026 Medicare plan code

H2001-030-000

UHC Dual Complete WV-S001 (PPO D-SNP) · UnitedHealthcare · State of West Virginia

Compact plan code: H2001030000

2026

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

● CMS 2026 plan record

UHC Dual Complete WV-S001 (PPO D-SNP)

H2001-030-000 State of West Virginia Local PPO Dual-Eligible
Open in quick lookup
01

In-network

Inpatient hospital

Per admission $2,070 per stay
Plan-listed inpatient copay $2,070
02

Emergency transport

Ambulance

Ground · in-network20% coinsurance
Air · in-network20% coinsurance
03

Emergency services

Emergency room

$115 copay

Waived if admitted within 24 hours

04

Medical maximum

Maximum out-of-pocket

In-network$9,250
Combined in + out$13,900
05

Skilled care at home

Home health

In-network$0 copay
Out-of-network$0 copay
06

Monthly cost

Premium & giveback

Part C premium$0 / month
Consolidated C + D$31 / 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

H2001-010-000 AARP Medicare Advantage from UHC ME-0003 (PPO) Select Counties in Maine · Local PPO H2001-017-000 AARP Medicare Advantage from UHC UT-0001 (PPO) Iron and Washington Counties · Local PPO H2001-019-000 AARP Medicare Advantage from UHC ME-0005 (PPO) Select Counties in Maine · Local PPO H2001-021-000 AARP Medicare Advantage Patriot No Rx ME-MA01 (PPO) State of Maine · Local PPO H2001-023-000 AARP Medicare Advantage from UHC UT-0002 (PPO) Iron and Washington Counties · Local PPO H2001-028-000 UHC Medicare Advantage NH-001A (PPO) Select Counties of New Hampshire · Local PPO H2001-031-000 UHC Dual Complete CT-S001 (PPO D-SNP) State of Connecticut · Local PPO H2001-032-000 UHC Dual Complete SC-S001 (PPO D-SNP) Select Counties in South Carolina · Local PPO

About this code

What H2001-030-000 identifies

H2001-030-000 is a Contract Year 2026 Medicare plan segment code. The compact form H2001030000 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.