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

2026 Medicare plan code

H6200-010-000

Essence Advantage Choice Plus (PPO) · Essence Healthcare · Chicago Metropolitan Area

Compact plan code: H6200010000

2026

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

● CMS 2026 plan record

Essence Advantage Choice Plus (PPO)

H6200-010-000 Chicago Metropolitan Area Local PPO
Open in quick lookup
01

In-network

Inpatient hospital

Days 1–7 $295 / day
Days 8–90 $0 / day
Total of listed copays · 7 charged days $2,065

inpatient coinsurance is selected but its percentage is missing

02

Emergency transport

Ambulance

Ground · in-network$275 copay
Air · in-network$275 copay
03

Emergency services

Emergency room

$150 copay

Waived if admitted within 24 hours

04

Medical maximum

Maximum out-of-pocket

In-network$4,150
Combined in + out$6,150
05

Skilled care at home

Home health

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

Monthly cost

Premium & giveback

Part C premium$44.70 / month
Consolidated C + D$49 / 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

H6200-001-000 Essence Advantage Choice (PPO) St. Louis Metropolitan Area and Mid Missouri · Local PPO H6200-004-000 Essence Advantage Choice (PPO) Southwest Missouri and Northwest/Central Arkansas · Local PPO H6200-006-000 Essence Advantage Choice (PPO) Lexington and Louisville Metropolitan Areas · Local PPO H6200-008-000 Essence Advantage Premier Plus (PPO) St. Louis Metropolitan Area · Local PPO H6200-009-000 Essence Advantage Choice (PPO) Chicago Metropolitan Area · Local PPO H6200-011-000 Essence Advantage Premier Plus (PPO) Chicago Metropolitan Area · Local PPO H6200-801-000 Essence Advantage EGWP PPO MAPD Calendar Yr (PPO) MO, IL, AR, KY and IN Service Areas · Local PPO H6200-802-000 Essence Advantage EGWP PPO MAPD non-Calendar Yr (PPO) MO, IL, AR, KY and IN Service Areas · Local PPO

About this code

What H6200-010-000 identifies

H6200-010-000 is a Contract Year 2026 Medicare plan segment code. The compact form H6200010000 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.