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

2026 Medicare plan code

H8604-011-000

The Health Plan SecureChoice - Option II (PPO) · The Health Plan · Ohio, West Virginia

Compact plan code: H8604011000

2026

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

● CMS 2026 plan record

The Health Plan SecureChoice - Option II (PPO)

H8604-011-000 Ohio, West Virginia Local PPO
Open in quick lookup
01

In-network

Inpatient hospital

Days 1–6 $295 / day
Days 7–90 $0 / day
Total of listed copays · 6 charged days $1,770
02

Emergency transport

Ambulance

Ground · in-network$200 copay
Air · in-network$500 copay
03

Emergency services

Emergency room

$125 copay

Waived if admitted within 24 hours

04

Medical maximum

Maximum out-of-pocket

In-network$6,700
Combined in + out$10,000
05

Skilled care at home

Home health

In-networkNo cost share reported
Out-of-network30% coinsurance
06

Monthly cost

Premium & giveback

Part C premium$21.40 / month
Consolidated C + D$109 / 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

H8604-014-001 The Health Plan SecureChoice Optimum (PPO) OHIO REGION · Local PPO H8604-014-002 The Health Plan SecureChoice Optimum (PPO) WEST VIRGINIA REGION · Local PPO H8604-015-000 The Health Plan SecureChoice Reliance (PPO) West Virginia · Local PPO H8604-801-000 The Health Plan SecureChoice - Employer (PPO) Eastern Ohio and West Virginia, National · Local PPO

About this code

What H8604-011-000 identifies

H8604-011-000 is a Contract Year 2026 Medicare plan segment code. The compact form H8604011000 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.