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

2026 Medicare plan code

H5959-014-001

Blue Cross Medicare Advantage Choice (PPO) · Blue Cross and Blue Shield of Minnesota · Eleven County Region

Compact plan code: H5959014001

2026

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

● CMS 2026 plan record

Blue Cross Medicare Advantage Choice (PPO)

H5959-014-001 Eleven County Region Local PPO
Open in quick lookup
01

In-network

Inpatient hospital

Per admission $400 per stay
Plan-listed inpatient copay $400
02

Emergency transport

Ambulance

Ground · in-network$250 copay
Air · in-network$250 copay
03

Emergency services

Emergency room

$150 copay

Waived if admitted within 24 hours

04

Medical maximum

Maximum out-of-pocket

In-network$3,800
Combined in + out$5,950
05

Skilled care at home

Home health

In-networkNo cost share reported
Out-of-network50% coinsurance
06

Monthly cost

Premium & giveback

Part C premium$58.60 / month
Consolidated C + D$108.70 / 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

H5959-009-000 Blue Cross Medicare Advantage Choice (PPO) 10 County Region · Local PPO H5959-010-001 Blue Cross Medicare Advantage Complete (PPO) Eleven County Region · Local PPO H5959-010-002 Blue Cross Medicare Advantage Complete (PPO) 40 County Region · Local PPO H5959-011-000 Blue Cross Medicare Advantage Complete (PPO) 15 County Region · Local PPO H5959-012-000 Blue Cross Medicare Advantage Core (PPO) 10 County Region · Local PPO H5959-013-001 Blue Cross Medicare Advantage Core (PPO) Eleven County Region · Local PPO H5959-013-002 Blue Cross Medicare Advantage Core (PPO) 40 County Region · Local PPO H5959-014-002 Blue Cross Medicare Advantage Choice (PPO) 40 County Region · Local PPO

About this code

What H5959-014-001 identifies

H5959-014-001 is a Contract Year 2026 Medicare plan segment code. The compact form H5959014001 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.