2026 Medicare plan code

H8552-028-000

Anthem Kidney Care (PPO C-SNP) · Anthem Blue Cross Life and Health Insurance Company · Select Counties in California

Compact plan code: H8552028000

2026

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

● CMS 2026 plan record

Anthem Kidney Care (PPO C-SNP)

H8552-028-000 Select Counties in California Local PPO Chronic or Disabling Condition
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

$115 copay

04

Medical maximum

Maximum out-of-pocket

In-network$9,250
Combined in + out$12,450
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$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 H8552-028-000 identifies

H8552-028-000 is a Contract Year 2026 Medicare plan segment code. The compact form H8552028000 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.