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

2026 Medicare plan code

H6453-013-002

Blue adVantage Classic (HMO-POS) · Blue Cross and Blue Shield of Louisiana · BIEN,CALD,CLAI,CONC,JACK,MADI,NATC,REDR,UNIO LA

Compact plan code: H6453013002

2026

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

● CMS 2026 plan record

Blue adVantage Classic (HMO-POS)

H6453-013-002 BIEN,CALD,CLAI,CONC,JACK,MADI,NATC,REDR,UNIO LA HMOPOS
Open in quick lookup
01

In-network

Inpatient hospital

Days 1–10 $245 / day
Days 11–90 $0 / day
Total of listed copays · 10 charged days $2,450
02

Emergency transport

Ambulance

Ground · in-network$250 copay
Air · in-network$260 copay

Ground ambulance: In-network: cost sharing varies by a CMS plan-defined group; Air ambulance: In-network: cost sharing varies by a CMS plan-defined group

03

Emergency services

Emergency room

$125 copay

Waived if admitted within 72 hours

04

Medical maximum

Maximum out-of-pocket

In-network$4,500
Combined in + outNot reported
05

Skilled care at home

Home health

In-networkVerify in plan documents
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

H6453-013-001 Blue adVantage Classic (HMO-POS) North Louisiana · HMOPOS H6453-013-003 Blue adVantage Classic (HMO-POS) Central Louisiana · HMOPOS H6453-013-004 Blue adVantage Classic (HMO-POS) South Louisiana · HMOPOS H6453-013-005 Blue adVantage Classic (HMO-POS) North Shore Louisiana · HMOPOS H6453-017-001 Blue adVantage Reliance (HMO-POS) North Louisiana · HMOPOS H6453-017-002 Blue adVantage Reliance (HMO-POS) North, Central, South, and North Shore Louisiana · HMOPOS H6453-018-001 Blue adVantage Platinum (HMO-POS) North Louisiana · HMOPOS H6453-018-002 Blue adVantage Platinum (HMO-POS) North, Central, South, and North Shore Louisiana · HMOPOS

About this code

What H6453-013-002 identifies

H6453-013-002 is a Contract Year 2026 Medicare plan segment code. The compact form H6453013002 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.