2026 Medicare plan code

H2450-046-000

Medica Prime Solution Core (Cost) · Medica · Select counties in NE and IA

Compact plan code: H2450046000

2026

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

● CMS 2026 plan record

Medica Prime Solution Core (Cost)

H2450-046-000 Select counties in NE and IA 1876 Cost
Open in quick lookup
01

In-network

Inpatient hospital

Per admission $400 per stay
Plan-listed inpatient copay $400
02

Emergency transport

Ambulance

Ground · in-network$50 copay
Air · in-network$100 copay
03

Emergency services

Emergency room

$125 copay

Waived if admitted within 24 hours

04

Medical maximum

Maximum out-of-pocket

In-network$4,900
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$99 / 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 H2450-046-000 identifies

H2450-046-000 is a Contract Year 2026 Medicare plan segment code. The compact form H2450046000 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.