2026 Medicare plan code

H8181-803-000

BCBSNE Employer Group Rx NCY (PPO) · Blue Cross and Blue Shield of Nebraska · Omaha/ Lincoln Metro Area and Central Nebraska

Compact plan code: H8181803000

2026

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

● CMS 2026 plan record

BCBSNE Employer Group Rx NCY (PPO)

H8181-803-000 Omaha/ Lincoln Metro Area and Central Nebraska Local PPO Employer-only
Open in quick lookup
01

In-network

Inpatient hospital

inpatient coinsurance is selected but its percentage is missing

02

Emergency transport

Ambulance

Ground · in-network20% coinsurance
Air · in-network20% coinsurance
03

Emergency services

Emergency room

20% coinsurance

Waived if admitted

04

Medical maximum

Maximum out-of-pocket

In-network$8,300
Combined in + out$12,450
05

Skilled care at home

Home health

In-network0% coinsurance
Out-of-network0% coinsurance
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 H8181-803-000 identifies

H8181-803-000 is a Contract Year 2026 Medicare plan segment code. The compact form H8181803000 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.