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

2026 Medicare plan code

H5649-022-000

Central Health Jade Plan (HMO) · Central Health Medicare Plan · Los Angeles County

Compact plan code: H5649022000

2026

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

● CMS 2026 plan record

Central Health Jade Plan (HMO)

H5649-022-000 Los Angeles County HMO
Open in quick lookup
01

In-network

Inpatient hospital

Per admission $0 per stay
Plan-listed inpatient copay $0
02

Emergency transport

Ambulance

Ground · in-network$0–$100 copay
Air · in-network20% coinsurance
03

Emergency services

Emergency room

$75 copay

Waived if admitted

04

Medical maximum

Maximum out-of-pocket

In-network$599
Combined in + outNot reported
05

Skilled care at home

Home health

In-network20% coinsurance
Out-of-networkNot separately reported
06

Monthly cost

Premium & giveback

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

H5649-001-000 Central Health Medicare Plan (HMO) Counties: LA, SBD, RS, OC · HMO H5649-009-000 Central Health Medi-Medi Plan II (HMO D-SNP) Ventura County · HMO H5649-018-000 Central Health Classic Care Plan IV (HMO) San Francisco and San Mateo Counties · HMO H5649-023-000 Central Health Classic Care Plan III (HMO) Counties: Pla, Sac, SJqn, StCla, Sol, Stan, Yolo · HMO H5649-024-000 Central Health Dual Access Plan (HMO D-SNP) Select counties in CA · HMO H5649-025-001 Central Health Embrace Care Plan (HMO C-SNP) Ker, LA, Ora, Riv, SBD and SD · HMO H5649-025-002 Central Health Embrace Care Plan (HMO C-SNP) Fre, Imp, Kgs, Mad, Tul · HMO H5649-025-003 Central Health Embrace Care Plan (HMO C-SNP) Pla, Sac, SJqn, StCla, Sol, Stan, Yolo · HMO

About this code

What H5649-022-000 identifies

H5649-022-000 is a Contract Year 2026 Medicare plan segment code. The compact form H5649022000 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.