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

2026 Medicare plan code

H4003-055-000

MMM Deluxe (HMO-POS) · Medicare y Mucho Mas (MMM) · Puerto Rico

Compact plan code: H4003055000

2026

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

● CMS 2026 plan record

MMM Deluxe (HMO-POS)

H4003-055-000 Puerto Rico HMOPOS
Open in quick lookup
01

In-network

Inpatient hospital

Cost-sharing tier 1

Per admission $0 per stay
Plan-listed inpatient copay $0

Cost-sharing tier 2

Per admission $50 per stay
Plan-listed inpatient copay $50

inpatient cost sharing varies by a CMS plan-defined group

02

Emergency transport

Ambulance

Ground · in-networkVerify in plan documents
Air · in-networkVerify in plan documents

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

$75 copay

Waived if admitted within 24 hours

04

Medical maximum

Maximum out-of-pocket

In-network$3,250
Combined in + out$3,250
05

Skilled care at home

Home health

In-networkVerify in plan documents
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

H4003-009-000 MMM Supremo (HMO C-SNP) Puerto Rico · HMO H4003-017-000 MMM Diamante Platino (HMO D-SNP) Puerto Rico · HMO H4003-019-000 MMM Unico (HMO-POS) Puerto Rico · HMOPOS H4003-034-000 MMM Elite (HMO-POS) Puerto Rico · HMOPOS H4003-058-000 MMM Dorado Platino (HMO D-SNP) Puerto Rico Northwest · HMO H4003-806-000 MMM Group A Calendar (HMO-POS) Puerto Rico · HMOPOS H4003-807-000 MMM Group B Calendar (HMO-POS) Puerto Rico · HMOPOS H4003-820-000 MMM Group C Calendar (HMO-POS) Puerto Rico · HMOPOS

About this code

What H4003-055-000 identifies

H4003-055-000 is a Contract Year 2026 Medicare plan segment code. The compact form H4003055000 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.