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

2026 Medicare plan code

H8947-002-004

Peak Advantage Summit (PPO) · Peak Health · Berkeley Hampshire Hardy Jefferson Morgan Counties

Compact plan code: H8947002004

2026

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

● CMS 2026 plan record

Peak Advantage Summit (PPO)

H8947-002-004 Berkeley Hampshire Hardy Jefferson Morgan Counties Local PPO
Open in quick lookup
01

In-network

Inpatient hospital

Per admission $375 per stay
Plan-listed inpatient copay $375
02

Emergency transport

Ambulance

Ground · in-network$250 copay
Air · in-network$250 copay
03

Emergency services

Emergency room

$90 copay

Waived if admitted within 24 hours

04

Medical maximum

Maximum out-of-pocket

In-network$5,700
Combined in + out$9,000
05

Skilled care at home

Home health

In-networkNo cost share reported
Out-of-network35% coinsurance
06

Monthly cost

Premium & giveback

Part C premium$0 / month
Consolidated C + D$16 / 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

H8947-001-001 Peak Advantage Vista (PPO) Central West Virginia · Local PPO H8947-001-002 Peak Advantage Vista (PPO) Cabell, Wayne, Mason, Putnam and Lincoln Counties · Local PPO H8947-001-003 Peak Advantage Vista (PPO) Fayette and Greene Counties · Local PPO H8947-001-004 Peak Advantage Vista (PPO) Berkeley Hampshire Hardy Jefferson Morgan Counties · Local PPO H8947-002-001 Peak Advantage Summit (PPO) Central West Virginia · Local PPO H8947-002-002 Peak Advantage Summit (PPO) Cabell, Wayne, Mason Putnam and Lincoln Counties · Local PPO H8947-002-003 Peak Advantage Summit (PPO) Fayette and Greene Counties · Local PPO

About this code

What H8947-002-004 identifies

H8947-002-004 is a Contract Year 2026 Medicare plan segment code. The compact form H8947002004 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.