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

2026 Medicare plan code

H3959-053-000

Aetna Medicare Advantra Prime Plus (HMO-POS) · Aetna Medicare · Philadelphia County

Compact plan code: H3959053000

2026

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

● CMS 2026 plan record

Aetna Medicare Advantra Prime Plus (HMO-POS)

H3959-053-000 Philadelphia County HMOPOS
Open in quick lookup
01

In-network

Inpatient hospital

Days 1–7 $350 / day
Days 8–90 $0 / day
Total of listed copays · 7 charged days $2,450
02

Emergency transport

Ambulance

Ground · in-network$285 copay
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

$115 copay

Waived if admitted within 24 hours

04

Medical maximum

Maximum out-of-pocket

In-network$6,900
Combined in + outNot reported
05

Skilled care at home

Home health

In-network$0 copay
Out-of-networkNot separately reported
06

Monthly cost

Premium & giveback

Part C premium$0 / month
Consolidated C + D$0 / 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

H3959-001-000 Aetna Medicare Advantra Enhanced (HMO-POS) Allegheny County · HMOPOS H3959-002-000 Aetna Medicare Advantra Premier (HMO-POS) Western Pennsylvania · HMOPOS H3959-010-000 Aetna Medicare Advantra Signature (HMO-POS) Allegheny County · HMOPOS H3959-011-000 Aetna Medicare Advantra Signature Plus (HMO-POS) Western Pennsylvania · HMOPOS H3959-032-000 Aetna Medicare Advantra Signature Plus (HMO-POS) Northwestern Pennsylvania · HMOPOS H3959-033-000 Aetna Medicare Value Care (HMO-POS) Southeastern Pennsylvania · HMOPOS H3959-035-000 Aetna Medicare Advantra Dual Care (HMO D-SNP) Southeastern Pennsylvania · HMO H3959-036-000 Aetna Medicare Advantra Dual (HMO D-SNP) Central and Western Pennsylvania · HMO

About this code

What H3959-053-000 identifies

H3959-053-000 is a Contract Year 2026 Medicare plan segment code. The compact form H3959053000 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.