2026 Medicare plan code

H4004-072-001

MMM Relax Platino (HMO D-SNP) · Medicare y Mucho Mas (MMM) · Northwest

Compact plan code: H4004072001

2026

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

● CMS 2026 plan record

MMM Relax Platino (HMO D-SNP)

H4004-072-001 Northwest HMO Dual-Eligible
Open in quick lookup
01

In-network

Inpatient hospital

No cost share reported

02

Emergency transport

Ambulance

Ground · in-networkNo cost share reported
Air · in-networkNo cost share reported
03

Emergency services

Emergency room

Available

04

Medical maximum

Maximum out-of-pocket

In-network$3,250
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$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.

About this code

What H4004-072-001 identifies

H4004-072-001 is a Contract Year 2026 Medicare plan segment code. The compact form H4004072001 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.