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

2026 Medicare plan code

H3305-804-000

MVP Preferred Gold Rx - Employer Group (HMO-POS) · MVP HEALTH CARE · Eastern NY, Hudson Valley NY

Compact plan code: H3305804000

2026

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

● CMS 2026 plan record

MVP Preferred Gold Rx - Employer Group (HMO-POS)

H3305-804-000 Eastern NY, Hudson Valley NY HMOPOS Employer-only
Open in quick lookup
01

In-network

Inpatient hospital

inpatient coinsurance is selected but its percentage is missing

02

Emergency transport

Ambulance

Ground · in-network20% coinsurance
Air · in-network20% coinsurance

Ground ambulance: In-network: cost sharing varies by a CMS plan-defined group; Air ambulance: In-network: cost sharing varies by a CMS plan-defined group

03

Emergency services

Emergency room

20% coinsurance

Waived if admitted within 24 hours

04

Medical maximum

Maximum out-of-pocket

In-network$9,250
Combined in + outNot reported
05

Skilled care at home

Home health

In-networkVerify in plan documents
Out-of-networkNot separately reported
06

Monthly cost

Premium & giveback

Part C premiumNot reported
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

H3305-007-000 MVP Medicare Preferred Gold without Part D (HMO-POS) Western NY (Rochester/Buffalo) · HMOPOS H3305-015-000 MVP Medicare Preferred Gold with Part D (HMO-POS) Western NY (Rochester/Buffalo) · HMOPOS H3305-020-000 MVP Medicare Preferred Gold without Part D (HMO-POS) S.Tier NY, CNY, Eastern NY, Hudson Valley NY · HMOPOS H3305-022-000 MVP Medicare Secure Plus with Part D (HMO-POS) S.Tier NY, CNY, Eastern NY, Hudson Valley NY · HMOPOS H3305-033-000 MVP DualAccess (HMO D-SNP) Western NY, Eastern NY, Hudson Valley, NY · HMO H3305-034-000 MVP DualAccess Complete (HMO D-SNP) Western NY, Eastern NY, Hudson Valley, NY · HMO H3305-801-000 MVP Preferred Gold - Employer Group (HMO-POS) Employer Group West Region · HMOPOS H3305-803-000 MVP Preferred Gold Rx - Employer Group (HMO-POS) Employer Group West Region · HMOPOS

About this code

What H3305-804-000 identifies

H3305-804-000 is a Contract Year 2026 Medicare plan segment code. The compact form H3305804000 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.