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

2026 Medicare plan code

H2256-026-003

Tufts Medicare Preferred HMO Basic Rx (HMO) · Tufts Health Plan · Hampden and Hampshire Counties

Compact plan code: H2256026003

2026

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

● CMS 2026 plan record

Tufts Medicare Preferred HMO Basic Rx (HMO)

H2256-026-003 Hampden and Hampshire Counties HMO
Open in quick lookup
01

In-network

Inpatient hospital

Days 1–5 $275 / day
Days 6–90 $0 / day
Total of listed copays · 5 charged days $1,375
02

Emergency transport

Ambulance

Ground · in-network$325 copay
Air · in-network$325 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$36.10 / month
Consolidated C + D$47 / 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

H2256-001-001 Tufts Medicare Preferred HMO Prime Rx Plus (HMO) Essex and Suffolk Counties · HMO H2256-001-002 Tufts Medicare Preferred HMO Prime Rx Plus (HMO) Brnstbl, Brstl, Mddlsx, Nrflk, Plmth Counties · HMO H2256-001-006 Tufts Medicare Preferred HMO Prime Rx Plus (HMO) Hampden and Hampshire Counties · HMO H2256-015-001 Tufts Medicare Preferred HMO Prime Rx (HMO) Essex and Suffolk Counties · HMO H2256-015-002 Tufts Medicare Preferred HMO Prime Rx (HMO) Brnstbl, Brstl, Mddlsx, Nrflk, Plmth Counties · HMO H2256-015-006 Tufts Medicare Preferred HMO Prime Rx (HMO) Hampden and Hampshire Counties · HMO H2256-016-001 Tufts Medicare Preferred HMO Prime No Rx (HMO) Essex and Suffolk Counties · HMO H2256-016-002 Tufts Medicare Preferred HMO Prime No Rx (HMO) Brnstbl, Brstl, Mddlsx, Nrflk, Plmth Counties · HMO

About this code

What H2256-026-003 identifies

H2256-026-003 is a Contract Year 2026 Medicare plan segment code. The compact form H2256026003 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.