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

2026 Medicare plan code

H8889-002-000

Medica Advantage Solution H8889-002 (PPO) · Medica · Select Counties in MN

Compact plan code: H8889002000

2026

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

● CMS 2026 plan record

Medica Advantage Solution H8889-002 (PPO)

H8889-002-000 Select Counties in MN Local PPO
Open in quick lookup
01

In-network

Inpatient hospital

Per admission $400 per stay
Plan-listed inpatient copay $400
02

Emergency transport

Ambulance

Ground · in-network$395 copay
Air · in-network$475 copay
03

Emergency services

Emergency room

$150 copay

Waived if admitted

04

Medical maximum

Maximum out-of-pocket

In-network$4,200
Combined in + out$4,200
05

Skilled care at home

Home health

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

Monthly cost

Premium & giveback

Part C premium$105.40 / month
Consolidated C + D$120 / 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

H8889-001-000 Medica Advantage Solution H8889-001 (PPO) Minneapolis/St. Paul Metro Area · Local PPO H8889-003-000 Medica Advantage Solution H8889-003 (PPO) Minneapolis/St. Paul Metro Area · Local PPO H8889-004-000 Medica Advantage Solution H8889-004 (PPO) Southern Minnesota · Local PPO H8889-005-000 Medica Advantage Solution H8889-005 (PPO) Select Counties in MN · Local PPO H8889-008-000 Medica Advantage Solution H8889-008 (PPO) Select counties in MN · Local PPO H8889-009-000 Medica Advantage Solution H8889-009 (PPO) Select counties in IA, MN, NE, ND and SD · Local PPO H8889-010-000 Medica Advantage Value (PPO) Select counties in NE and IA · Local PPO H8889-011-000 Medica Advantage Preferred (PPO) Select counties in NE and IA · Local PPO

About this code

What H8889-002-000 identifies

H8889-002-000 is a Contract Year 2026 Medicare plan segment code. The compact form H8889002000 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.