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

2026 Medicare plan code

H2172-016-000

Kaiser Permanente Dual Complete Plan 1 MD (HMO D-SNP) · Kaiser Permanente · Calvert, Charles, Frederick, Montgomery, PG

Compact plan code: H2172016000

2026

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

● CMS 2026 plan record

Kaiser Permanente Dual Complete Plan 1 MD (HMO D-SNP)

H2172-016-000 Calvert, Charles, Frederick, Montgomery, PG HMO Dual-Eligible
Open in quick lookup
01

In-network

Inpatient hospital

Per admission $2,080 per stay
Plan-listed inpatient copay $2,080
02

Emergency transport

Ambulance

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

Emergency services

Emergency room

$115 copay

Waived if admitted

04

Medical maximum

Maximum out-of-pocket

In-network$9,250
Combined in + outNot reported
05

Skilled care at home

Home health

In-network$0 copay
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

H2172-001-000 Kaiser Permanente Medicare Advantage High DC (HMO-POS) DC · HMOPOS H2172-002-000 Kaiser Permanente Medicare Advantage High MD (HMO-POS) MD · HMOPOS H2172-005-000 Kaiser Permanente Medicare Advantage Liberty (HMO) DC, MD, VA · HMO H2172-008-000 Kaiser Permanente Medicare Advantage High VA (HMO-POS) Northern Virginia · HMOPOS H2172-009-000 Kaiser Permanente Medicare Advantage Standard 1 VA (HMO-POS) Northern Virginia · HMOPOS H2172-010-000 Kaiser Permanente Medicare Advantage Value 1 VA (HMO-POS) Alexandria, Arlington, Fairfax/City, Falls Church · HMOPOS H2172-013-000 Kaiser Permanente Medicare Advantage Care Plus VA (HMO-POS) Northern Virginia · HMOPOS H2172-014-000 Kaiser Permanente Medicare Advantage Care Plus MD (HMO-POS) Howard and Montgomery counties · HMOPOS

About this code

What H2172-016-000 identifies

H2172-016-000 is a Contract Year 2026 Medicare plan segment code. The compact form H2172016000 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.