In-network
Inpatient hospital
CMS did not publish acute inpatient details
● CMS 2026 plan record
Seen Health San Gabriel Valley PACE-Medicare Only (PACE)
Emergency transport
Ambulance
Ground · in-networkNot reported
Air · in-networkNot reported
Not reported in this CMS export
Emergency services
Emergency room
Not reported in this CMS export
Medical maximum
Maximum out-of-pocket
In-networkNot reported
Combined in + outNot reported
Skilled care at home
Home health
In-networkNot reported
Out-of-networkNot reported
Monthly cost
Premium & giveback
Part C premiumNot reported
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.
About this code
What H4538-004-000 identifies
H4538-004-000 is a Contract Year 2026 Medicare plan segment code. The compact form H4538004000 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.