2026 Medicare plan code

H2256-019-007

Tufts Medicare Preferred HMO Value No Rx (HMO) · Tufts Health Plan · Brnstbl, Brstl, Mddlsx, Nrflk, Plmth Counties

Compact plan code: H2256019007

2026

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

● CMS 2026 plan record

Tufts Medicare Preferred HMO Value No Rx (HMO)

H2256-019-007 Brnstbl, Brstl, Mddlsx, Nrflk, Plmth Counties HMO
Open in quick lookup
01

In-network

Inpatient hospital

Days 1–5 $200 / day
Days 6–90 $0 / day
Total of listed copays · 5 charged days $1,000
02

Emergency transport

Ambulance

Ground · in-network$225 copay
Air · in-network$225 copay
03

Emergency services

Emergency room

$125 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$123 / month
Consolidated C + DNot reported

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 H2256-019-007 identifies

H2256-019-007 is a Contract Year 2026 Medicare plan segment code. The compact form H2256019007 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.