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

2026 Medicare plan code

H2041-014-000

DEVOTED C-SNP PREMIUM 014 MO (HMO C-SNP) · Devoted Health · Southwest/South Central Missouri

Compact plan code: H2041014000

2026

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

● CMS 2026 plan record

DEVOTED C-SNP PREMIUM 014 MO (HMO C-SNP)

H2041-014-000 Southwest/South Central Missouri HMO Chronic or Disabling Condition
Open in quick lookup
01

In-network

Inpatient hospital

Days 1–6 $380 / day
Days 7–90 $0 / day
Total of listed copays · 6 charged days $2,280
02

Emergency transport

Ambulance

Ground · in-network$0–$315 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$4,200
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$43 / 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

H2041-001-000 DEVOTED CORE 001 MO (HMO) St. Louis/Southeast Missouri · HMO H2041-002-000 DEVOTED GIVEBACK 002 MO (HMO) St. Louis/Southeast Missouri · HMO H2041-003-000 DEVOTED CORE 003 MO (HMO) Kansas City Metro/Northwest Missouri · HMO H2041-004-000 DEVOTED GIVEBACK 004 MO (HMO) Kansas City Metro/Northwest Missouri · HMO H2041-005-000 DEVOTED CORE 005 MO (HMO) Southwest/South Central Missouri · HMO H2041-006-000 DEVOTED GIVEBACK 006 MO (HMO) Southwest/South Central Missouri · HMO H2041-007-000 DEVOTED DUAL PLUS 007 MO (HMO D-SNP) Missouri · HMO H2041-008-000 DEVOTED DUAL 008 MO (HMO D-SNP) Missouri · HMO

About this code

What H2041-014-000 identifies

H2041-014-000 is a Contract Year 2026 Medicare plan segment code. The compact form H2041014000 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.