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

2026 Medicare plan code

H5253-121-000

AARP Medicare Advantage Giveback from UHC TC-4 (HMO-POS) · UnitedHealthcare · State of Tennessee, Select Counties in Virginia

Compact plan code: H5253121000

2026

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

● CMS 2026 plan record

AARP Medicare Advantage Giveback from UHC TC-4 (HMO-POS)

H5253-121-000 State of Tennessee, Select Counties in Virginia HMOPOS
Open in quick lookup
01

In-network

Inpatient hospital

Days 1–6 $445 / day
Days 7–90 $0 / day
Total of listed copays · 6 charged days $2,670
02

Emergency transport

Ambulance

Ground · in-network$270 copay
Air · in-network$270 copay
03

Emergency services

Emergency room

$130 copay

Waived if admitted within 24 hours

04

Medical maximum

Maximum out-of-pocket

In-network$6,700
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

Plan name references a giveback; amount is not available in these CMS exports.

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

H5253-004-000 AARP Medicare Advantage from UHC WI-0010 (HMO-POS) Select Counties in Wisconsin · HMOPOS H5253-007-000 UHC Nursing Home Plan WI-F001 (HMO-POS I-SNP) Select Counties in Wisconsin · HMOPOS H5253-011-000 AARP Medicare Advantage from UHC WI-0011 (HMO-POS) Select Counties in Wisconsin · HMOPOS H5253-021-000 AARP Medicare Advantage Patriot No Rx WI-MA02 (HMO-POS) Select Counties in Wisconsin · HMOPOS H5253-024-000 UHC Dual Complete WI-D003 (HMO-POS D-SNP) Select Counties in Wisconsin · HMOPOS H5253-030-000 AARP Medicare Advantage from UHC WI-0012 (HMO-POS) Select Counties in Wisconsin · HMOPOS H5253-033-000 AARP Medicare Advantage Essentials from UHC WI-13 (HMO-POS) Select Counties in Wisconsin · HMOPOS H5253-034-000 AARP Medicare Advantage from UHC WI-0014 (HMO-POS) Select Counties in Wisconsin · HMOPOS

About this code

What H5253-121-000 identifies

H5253-121-000 is a Contract Year 2026 Medicare plan segment code. The compact form H5253121000 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.