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

2026 Medicare plan code

H3755-006-000

Senior Health Plan Oklahoma Dual Complete (HMO D-SNP) · CommunityCare Senior Health Plan (HMO) · Select counties in N.E. Oklahoma

Compact plan code: H3755006000

2026

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

● CMS 2026 plan record

Senior Health Plan Oklahoma Dual Complete (HMO D-SNP)

H3755-006-000 Select counties in N.E. Oklahoma HMO Dual-Eligible
Open in quick lookup
01

In-network

Inpatient hospital

inpatient copayment is selected but its amount is missing

02

Emergency transport

Ambulance

Ground · in-network20% coinsurance
Air · in-network20% coinsurance
03

Emergency services

Emergency room

20% coinsurance

Waived if admitted within 48 hours

04

Medical maximum

Maximum out-of-pocket

In-network$9,250
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$0 / month
Consolidated C + D$28.20 / 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

H3755-001-000 Senior Health Plan Platinum (HMO) Select counties in N.E. and Central Oklahoma · HMO H3755-002-000 Senior Health Plan Silver (HMO) Select counties in N.E. Oklahoma · HMO H3755-004-000 Senior Health Plan Platinum Plus (HMO) Select counties in N.E. and Central Oklahoma · HMO H3755-005-000 Senior Health Plan Silver Plus (HMO) Select counties in N.E. and Central Oklahoma · HMO H3755-007-000 Senior Health Plan Silver Savings (HMO) Select counties in N.E. and Central Oklahoma · HMO H3755-801-000 Senior Health EGHP+D (HMO) Select counties in N.E. and Central Oklahoma · HMO

About this code

What H3755-006-000 identifies

H3755-006-000 is a Contract Year 2026 Medicare plan segment code. The compact form H3755006000 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.