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

2026 Medicare plan code

H5522-013-000

Aetna Medicare Value Care (PPO) · Aetna Medicare · Central Pennsylvania

Compact plan code: H5522013000

2026

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

● CMS 2026 plan record

Aetna Medicare Value Care (PPO)

H5522-013-000 Central Pennsylvania Local PPO
Open in quick lookup
01

In-network

Inpatient hospital

Per admission $550 per stay
Plan-listed inpatient copay $550
02

Emergency transport

Ambulance

Ground · in-network$250 copay
Air · in-network20% coinsurance
03

Emergency services

Emergency room

$115 copay

Waived if admitted within 24 hours

04

Medical maximum

Maximum out-of-pocket

In-network$6,900
Combined in + out$11,300
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$29 / 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

H5522-001-000 Aetna Medicare Value Plus (PPO) Allegheny County · Local PPO H5522-002-000 Aetna Medicare Advantra Premier (PPO) Central Pennsylvania · Local PPO H5522-004-000 Aetna Medicare Advantra Signature (PPO) Central Pennsylvania · Local PPO H5522-005-000 Aetna Medicare Value Plus (PPO) Western Pennsylvania · Local PPO H5522-014-000 Aetna Medicare Advantra Premier (PPO) Southeastern Pennsylvania · Local PPO H5522-017-000 Aetna Medicare Advantra Signature Giveback (PPO) Pennsylvania · Local PPO H5522-022-000 Aetna Medicare Signature Giveback (PPO) Central Pennsylvania · Local PPO H5522-028-000 Aetna Medicare Signature (PPO) Southeastern Pennsylvania · Local PPO

About this code

What H5522-013-000 identifies

H5522-013-000 is a Contract Year 2026 Medicare plan segment code. The compact form H5522013000 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.