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

2026 Medicare plan code

H5211-001-000

Spirit (HMO-POS) · Security Health Plan of Wisconsin, Inc. · Central, North, Northeast, West & South Central WI

Compact plan code: H5211001000

2026

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

● CMS 2026 plan record

Spirit (HMO-POS)

H5211-001-000 Central, North, Northeast, West & South Central WI HMOPOS
Open in quick lookup
01

In-network

Inpatient hospital

Per admission $250 per stay
Plan-listed inpatient copay $250
02

Emergency transport

Ambulance

Ground · in-network$175 copay
Air · in-network$175 copay
03

Emergency services

Emergency room

$140 copay

Waived if admitted within 24 hours

04

Medical maximum

Maximum out-of-pocket

In-network$1,500
Combined in + out$1,500
05

Skilled care at home

Home health

In-networkVerify in plan documents
Out-of-networkNot separately reported
06

Monthly cost

Premium & giveback

Part C premium$89 / 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

H5211-002-000 Essence Rx (HMO-POS) Central, North, Northeast, West & South Central WI · HMOPOS H5211-003-000 Compass (HMO-POS) Central, North, Northeast, West & South Central WI · HMOPOS H5211-004-000 Legacy Rx (HMO-POS) Central, North, Northeast, West & South Central WI · HMOPOS H5211-010-000 Ally Rx (HMO D-SNP) Central Wisconsin · HMO H5211-012-000 Esteem Rx (HMO-POS) Central, North, Northeast, West & South Central WI · HMOPOS

About this code

What H5211-001-000 identifies

H5211-001-000 is a Contract Year 2026 Medicare plan segment code. The compact form H5211001000 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.