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

2026 Medicare plan code

H7680-016-000

Prominence Diabetes and Heart Care Plus (HMO C-SNP) · Prominence Health Plan · South Texas

Compact plan code: H7680016000

2026

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

● CMS 2026 plan record

Prominence Diabetes and Heart Care Plus (HMO C-SNP)

H7680-016-000 South Texas HMO Chronic or Disabling Condition
Open in quick lookup
01

In-network

Inpatient hospital

Per admission $150 per stay
Plan-listed inpatient copay $150
02

Emergency transport

Ambulance

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

Emergency services

Emergency room

$150 copay

Waived if admitted

04

Medical maximum

Maximum out-of-pocket

In-network$3,400
Combined in + outNot reported
05

Skilled care at home

Home health

In-networkNo cost share reported
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

H7680-001-000 Prominence Plus (HMO) North Texas · HMO H7680-002-000 Prominence Plus (HMO) South Texas · HMO H7680-007-000 Prominence Dual (HMO D-SNP) South Texas · HMO H7680-009-000 Prominence Extra Help (HMO) South Texas · HMO H7680-011-000 Prominence Beyond (HMO) South Texas · HMO H7680-012-000 Prominence Giveback (HMO) North Texas · HMO H7680-014-000 Prominence Giveback (HMO) South Texas · HMO H7680-015-000 Prominence Diabetes and Heart Giveback (HMO C-SNP) North Texas · HMO

About this code

What H7680-016-000 identifies

H7680-016-000 is a Contract Year 2026 Medicare plan segment code. The compact form H7680016000 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.