2026 Medicare plan code

H7074-804-000

Alignment Health Plan Retiree Options (PPO) · Alignment Health Plan · Mountains and Piedmont Regions

Compact plan code: H7074804000

2026

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

● CMS 2026 plan record

Alignment Health Plan Retiree Options (PPO)

H7074-804-000 Mountains and Piedmont Regions Local PPO Employer-only
Open in quick lookup
01

In-network

Inpatient hospital

Days 1–5 $150 / day
Days 6–90 $0 / day
Total of listed copays · 5 charged days $750
02

Emergency transport

Ambulance

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

Emergency services

Emergency room

$85 copay

04

Medical maximum

Maximum out-of-pocket

In-network$4,201
Combined in + out$8,000
05

Skilled care at home

Home health

In-networkNo cost share reported
Out-of-networkNo cost share reported
06

Monthly cost

Premium & giveback

Part C premiumNot reported
Consolidated C + DNot reported

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.

About this code

What H7074-804-000 identifies

H7074-804-000 is a Contract Year 2026 Medicare plan segment code. The compact form H7074804000 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.