2026 Medicare plan code

H7617-036-000

HumanaChoice SNP-DE H7617-036 (PPO D-SNP) · Humana · Select Counties in MT

Compact plan code: H7617036000

2026

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

● CMS 2026 plan record

HumanaChoice SNP-DE H7617-036 (PPO D-SNP)

H7617-036-000 Select Counties in MT Local PPO Dual-Eligible
Open in quick lookup
01

In-network

Inpatient hospital

Per admission $2,230 per stay
Plan-listed inpatient copay $2,230
02

Emergency transport

Ambulance

Ground · in-network$335 copay
Air · in-network20% coinsurance
03

Emergency services

Emergency room

$115 copay

Waived if admitted within 24 hours

04

Medical maximum

Maximum out-of-pocket

In-network$9,250
Combined in + out$13,900
05

Skilled care at home

Home health

In-network$0 copay
Out-of-network$0 copay
06

Monthly cost

Premium & giveback

Part C premium$0 / month
Consolidated C + D$41.50 / 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.

About this code

What H7617-036-000 identifies

H7617-036-000 is a Contract Year 2026 Medicare plan segment code. The compact form H7617036000 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.