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

2026 Medicare plan code

H2450-036-000

Medica Prime Solution Premier (Cost) · Medica · Select counties in ND and SD

Compact plan code: H2450036000

2026

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

● CMS 2026 plan record

Medica Prime Solution Premier (Cost)

H2450-036-000 Select counties in ND and SD 1876 Cost
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-networkNo cost share reported
Air · in-network$50 copay
03

Emergency services

Emergency room

$50 copay

Waived if admitted within 24 hours

04

Medical maximum

Maximum out-of-pocket

In-network$3,000
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$217 / 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.

PBP benefits ↗ Landscape data ↗

Same CMS contract

H2450-002-000 Medica Prime Solution Enhanced w/Rx 2 (Cost) Select Counties in MN · 1876 Cost H2450-007-000 Medica Prime Solution Thrift w/Rx (Cost) Select counties in MN, ND, SD, WI · 1876 Cost H2450-016-000 Medica Prime Solution Basic w/Rx (Cost) Select Counties in MN · 1876 Cost H2450-030-000 Medica Prime Solution Thrift (Cost) Select counties in IA MN ND NE SD WI · 1876 Cost H2450-032-000 Medica Prime Solution Basic (Cost) Select Counties in MN · 1876 Cost H2450-033-000 Medica Prime Solution Enhanced (Cost) Select Counties in MN · 1876 Cost H2450-034-000 Medica Prime Solution Core (Cost) Select counties in ND and SD · 1876 Cost H2450-035-000 Medica Prime Solution Core w/Rx (Cost) Select counties in ND and SD · 1876 Cost

About this code

What H2450-036-000 identifies

H2450-036-000 is a Contract Year 2026 Medicare plan segment code. The compact form H2450036000 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.