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

2026 Medicare plan code

H5050-030-000

Kaiser Permanente Medicare Advantage Key Snohomish (HMO) · Kaiser Permanente · Snohomish

Compact plan code: H5050030000

2026

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

● CMS 2026 plan record

Kaiser Permanente Medicare Advantage Key Snohomish (HMO)

H5050-030-000 Snohomish HMO
Open in quick lookup
01

In-network

Inpatient hospital

Days 1–5 $435 / day
Days 6–90 $0 / day
Total of listed copays · 5 charged days $2,175
02

Emergency transport

Ambulance

Ground · in-network$300 copay
Air · in-network$300 copay
03

Emergency services

Emergency room

$130 copay

Waived if admitted within 24 hours

04

Medical maximum

Maximum out-of-pocket

In-network$6,750
Combined in + outNot reported
05

Skilled care at home

Home health

In-network$0 copay
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

H5050-001-000 Kaiser Permanente Medicare Advantage Basic (HMO) Puget Sound Area and Counties: GY, TH, LE, SP · HMO H5050-004-000 Kaiser Permanente Medicare Advantage Optimal (HMO) Counties: KI, PI, SN, GY, LE, MA, TH · HMO H5050-009-000 Kaiser Permanente Medicare Advantage Essential (HMO) Counties: KP, GY, LE, MA · HMO H5050-017-000 Kaiser Permanente Medicare Advantage Harbor (HMO) Counties: IS, SK, WM · HMO H5050-019-000 Kaiser Permanente Medicare Advantage Columbia (HMO) Spokane · HMO H5050-021-000 Kaiser Permanente Medicare Advantage Centennial (HMO) Spokane · HMO H5050-022-000 Kaiser Permanente Medicare Advantage Key (HMO) Island · HMO H5050-023-000 Kaiser Permanente Medicare Advantage Anchor (HMO) Counties: Skagit, Whatcom · HMO

About this code

What H5050-030-000 identifies

H5050-030-000 is a Contract Year 2026 Medicare plan segment code. The compact form H5050030000 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.