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

2026 Medicare plan code

H4036-022-000

Anthem Veteran (PPO) · Anthem Blue Cross and Blue Shield · Select counties in OH

Compact plan code: H4036022000

2026

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

● CMS 2026 plan record

Anthem Veteran (PPO)

H4036-022-000 Select counties in OH Local PPO
Open in quick lookup
01

In-network

Inpatient hospital

Days 1–5 $350 / day
Days 6–90 $0 / day
Total of listed copays · 5 charged days $1,750
02

Emergency transport

Ambulance

Ground · in-network$280 copay
Air · in-network$280 copay
03

Emergency services

Emergency room

$130 copay

04

Medical maximum

Maximum out-of-pocket

In-network$5,900
Combined in + out$8,950
05

Skilled care at home

Home health

In-network$0 copay
Out-of-network50% coinsurance
06

Monthly cost

Premium & giveback

Part C premium$0 / month
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

H4036-008-000 Anthem Medicare Advantage 3 (PPO) Select Counties in Wisconsin · Local PPO H4036-017-000 Anthem Medicare Advantage 4 (PPO) Select Counties in Ohio · Local PPO H4036-024-000 Anthem Veteran (PPO) Select counties in Wisconsin · Local PPO H4036-025-000 Anthem Medicare Advantage 3 (PPO) Select counties in OH · Local PPO H4036-026-000 Anthem Medicare Advantage (PPO) Select counties in OH · Local PPO H4036-030-000 Anthem Medicare Advantage 2 (PPO) Select counties in GA · Local PPO H4036-034-000 Anthem Medicare Advantage 3 (PPO) Select counties in KY · Local PPO H4036-036-000 Anthem Medicare Advantage (PPO) Kentucky · Local PPO

About this code

What H4036-022-000 identifies

H4036-022-000 is a Contract Year 2026 Medicare plan segment code. The compact form H4036022000 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.