2026 Medicare plan code

H2256-001-002

Tufts Medicare Preferred HMO Prime Rx Plus (HMO) · Tufts Health Plan · Brnstbl, Brstl, Mddlsx, Nrflk, Plmth Counties

Compact plan code: H2256001002

2026

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

● CMS 2026 plan record

Tufts Medicare Preferred HMO Prime Rx Plus (HMO)

H2256-001-002 Brnstbl, Brstl, Mddlsx, Nrflk, Plmth Counties HMO
Open in quick lookup
01

In-network

Inpatient hospital

Per admission $200 per stay
Plan-listed inpatient copay $200
02

Emergency transport

Ambulance

Ground · in-network$150 copay
Air · in-network$150 copay
03

Emergency services

Emergency room

$110 copay

Waived if admitted

04

Medical maximum

Maximum out-of-pocket

In-network$3,850
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$160 / month
Consolidated C + D$227 / 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 H2256-001-002 identifies

H2256-001-002 is a Contract Year 2026 Medicare plan segment code. The compact form H2256001002 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.