2026 Medicare plan code

H8142-005-000

BSW SeniorCare Advantage Preferred (HMO-POS) · Baylor Scott & White Health Plan · Central Texas

Compact plan code: H8142005000

2026

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

● CMS 2026 plan record

BSW SeniorCare Advantage Preferred (HMO-POS)

H8142-005-000 Central Texas HMOPOS
Open in quick lookup
01

In-network

Inpatient hospital

Per admission $700 per stay
Plan-listed inpatient copay $700
02

Emergency transport

Ambulance

Ground · in-network$75 copay
Air · in-network$75 copay
03

Emergency services

Emergency room

$130 copay

Waived if admitted within 24 hours

04

Medical maximum

Maximum out-of-pocket

In-network$4,500
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$89 / month
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 H8142-005-000 identifies

H8142-005-000 is a Contract Year 2026 Medicare plan segment code. The compact form H8142005000 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.