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

2026 Medicare plan code

H5106-810-000

Freedom Blue PPO MAPD WV ASO CALENDAR (PPO) · Highmark Blue Cross Blue Shield · ALL WV COUNTIES

Compact plan code: H5106810000

2026

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

● CMS 2026 plan record

Freedom Blue PPO MAPD WV ASO CALENDAR (PPO)

H5106-810-000 ALL WV COUNTIES Local PPO Employer-only
Open in quick lookup
01

In-network

Inpatient hospital

inpatient coinsurance is selected but its percentage is missing

02

Emergency transport

Ambulance

Ground · in-network20% coinsurance
Air · in-network20% coinsurance
03

Emergency services

Emergency room

20% coinsurance

Waived if admitted

04

Medical maximum

Maximum out-of-pocket

In-network$8,300
Combined in + out$10,000
05

Skilled care at home

Home health

In-network0% coinsurance
Out-of-network0% coinsurance
06

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.

PBP benefits ↗ Landscape data ↗

Same CMS contract

H5106-029-001 Complete Blue PPO Distinct (PPO) BER, CAB, CLA, FAY, MAR, OHI, WAY · Local PPO H5106-029-002 Complete Blue PPO Distinct (PPO) Kanawha, Lincoln, Putnam · Local PPO H5106-029-003 Complete Blue PPO Distinct (PPO) North and South WV 16 Counties · Local PPO H5106-030-001 Complete Blue PPO Signature (PPO) BER, CAB, CLA, FAY, MAR, OHI, WAY · Local PPO H5106-030-002 Complete Blue PPO Signature (PPO) Kanawha, Lincoln, Putnam · Local PPO H5106-030-003 Complete Blue PPO Signature (PPO) North and South WV 16 Counties · Local PPO H5106-034-001 Freedom Blue PPO Standard (PPO) North and South WV 26 Counties · Local PPO H5106-034-002 Freedom Blue PPO Standard (PPO) North and South 29 Counties · Local PPO

About this code

What H5106-810-000 identifies

H5106-810-000 is a Contract Year 2026 Medicare plan segment code. The compact form H5106810000 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.