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

2026 Medicare plan code

H5262-030-000

UW Health Quartz Med Advantage Dual Eligible (HMO D-SNP) · Quartz Medicare Advantage (HMO) · Dane County

Compact plan code: H5262030000

2026

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

● CMS 2026 plan record

UW Health Quartz Med Advantage Dual Eligible (HMO D-SNP)

H5262-030-000 Dane County HMO Dual-Eligible
Open in quick lookup
01

In-network

Inpatient hospital

inpatient copayment is selected but its amount is missing

02

Emergency transport

Ambulance

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

Emergency services

Emergency room

20% coinsurance

04

Medical maximum

Maximum out-of-pocket

In-network$9,250
Combined in + outNot reported
05

Skilled care at home

Home health

In-networkNo cost share reported
Out-of-networkNot separately reported
06

Monthly cost

Premium & giveback

Part C premium$0 / month
Consolidated C + D$21.10 / 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

H5262-001-000 Gundersen Quartz Med Advantage Elite D (w/Rx) (HMO) Western Wisconsin and Northeast Iowa · HMO H5262-003-000 Gundersen Quartz Med Advantage Value D (w/Rx) (HMO) Western Wisconsin and Northeast Iowa · HMO H5262-004-000 Gundersen Quartz Med Advantage Value (HMO) Western Wisconsin and Northeast Iowa · HMO H5262-005-000 Gundersen Quartz Med Advantage Elite (HMO) Western Wisconsin and Northeast Iowa · HMO H5262-007-000 UW Health Quartz Med Advantage Elite D (w/Rx) (HMO) Counties: Dane, Columbia, Green · HMO H5262-008-000 UW Health Quartz Med Advantage Value D (w/Rx) (HMO) Counties: Dane, Columbia, Green · HMO H5262-009-000 UW Health Quartz Med Advantage Value (HMO) Counties: Dane, Columbia, Green · HMO H5262-010-000 UW Health Quartz Med Advantage Elite (HMO) Counties: Dane, Columbia, Green · HMO

About this code

What H5262-030-000 identifies

H5262-030-000 is a Contract Year 2026 Medicare plan segment code. The compact form H5262030000 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.