2026 Medicare plan code

H8181-002-000

Blue Cross and Blue Shield of Nebraska MA Connect (PPO) · Blue Cross and Blue Shield of Nebraska · Omaha/ Lincoln Metro Area and Central Nebraska

Compact plan code: H8181002000

2026

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

● CMS 2026 plan record

Blue Cross and Blue Shield of Nebraska MA Connect (PPO)

H8181-002-000 Omaha/ Lincoln Metro Area and Central Nebraska Local PPO
Open in quick lookup
01

In-network

Inpatient hospital

Days 1–4 $400 / day
Days 5–90 $0 / day
Total of listed copays · 4 charged days $1,600
02

Emergency transport

Ambulance

Ground · in-network$350 copay
Air · in-network$350 copay
03

Emergency services

Emergency room

$125 copay

Waived if admitted

04

Medical maximum

Maximum out-of-pocket

In-network$4,900
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 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.

About this code

What H8181-002-000 identifies

H8181-002-000 is a Contract Year 2026 Medicare plan segment code. The compact form H8181002000 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.