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

2026 Medicare plan code

H5216-280-002

HumanaChoice H5216-280 (PPO) · Humana · South Carolina

Compact plan code: H5216280002

2026

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

● CMS 2026 plan record

HumanaChoice H5216-280 (PPO)

H5216-280-002 South Carolina Local PPO
Open in quick lookup
01

In-network

Inpatient hospital

Days 1–7 $375 / day
Days 8–90 $0 / day
Total of listed copays · 7 charged days $2,625
02

Emergency transport

Ambulance

Ground · in-network$335 copay
Air · in-network$335 copay
03

Emergency services

Emergency room

$115 copay

Waived if admitted within 24 hours

04

Medical maximum

Maximum out-of-pocket

In-network$9,250
Combined in + out$13,900
05

Skilled care at home

Home health

In-network$0 copay
Out-of-network$0 copay
06

Monthly cost

Premium & giveback

Part C premium$0 / month
Consolidated C + D$35.70 / 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

H5216-001-000 HumanaChoice H5216-001 (PPO) Select Counties in Eastern Wisconsin · Local PPO H5216-006-000 HumanaChoice H5216-006 (PPO) Madison area · Local PPO H5216-011-000 Humana Full Access H5216-011 (PPO) Michigan · Local PPO H5216-013-000 HumanaChoice H5216-013 (PPO) Select Counties in Illinois · Local PPO H5216-014-000 HumanaChoice H5216-014 (PPO) Select Counties in Iowa and Nebraska · Local PPO H5216-017-000 HumanaChoice Giveback H5216-017 (PPO) Select counties in North Carolina · Local PPO H5216-019-000 HumanaChoice H5216-019 (PPO) Kentucky, West Virginia, Indiana · Local PPO H5216-023-000 HumanaChoice H5216-023 (PPO) Select Counties in IN, KY, OH and PA · Local PPO

About this code

What H5216-280-002 identifies

H5216-280-002 is a Contract Year 2026 Medicare plan segment code. The compact form H5216280002 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.