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

2026 Medicare plan code

H5009-011-001

Regence MedAdvantage + Rx Primary (PPO) · Regence BlueShield · King, Snohomish, and Thurston Counties

Compact plan code: H5009011001

2026

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

● CMS 2026 plan record

Regence MedAdvantage + Rx Primary (PPO)

H5009-011-001 King, Snohomish, and Thurston Counties Local PPO
Open in quick lookup
01

In-network

Inpatient hospital

Days 1–5 $455 / day
Days 6–90 $0 / day
Total of listed copays · 5 charged days $2,275
02

Emergency transport

Ambulance

Ground · in-network$350 copay
Air · in-network$350 copay
03

Emergency services

Emergency room

$130 copay

Waived if admitted within 48 hours

04

Medical maximum

Maximum out-of-pocket

In-network$6,700
Combined in + out$10,100
05

Skilled care at home

Home health

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

Monthly cost

Premium & giveback

Part C premium$79.30 / month
Consolidated C + D$84 / 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

H5009-002-000 Regence MedAdvantage + Rx Enhanced (PPO) Select Counties in Washington · Local PPO H5009-011-002 Regence MedAdvantage + Rx Primary (PPO) Pierce and Yakima Counties · Local PPO H5009-801-000 Regence MedAdvantage (PPO) Nationwide except territories · Local PPO H5009-802-000 Regence MedAdvantage + Rx (PPO) Nationwide except territories · Local PPO H5009-803-000 Regence MedAdvantage + Rx 02 (PPO) Nationwide except Territories · Local PPO H5009-804-000 Regence MedAdvantage + Rx 03 (PPO) Nationwide except Territories · Local PPO

About this code

What H5009-011-001 identifies

H5009-011-001 is a Contract Year 2026 Medicare plan segment code. The compact form H5009011001 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.