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

2026 Medicare plan code

H9096-001-000

Dean Advantage Assurance (HMO-POS) · Dean Advantage · South Central Wisconsin

Compact plan code: H9096001000

2026

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

● CMS 2026 plan record

Dean Advantage Assurance (HMO-POS)

H9096-001-000 South Central Wisconsin HMOPOS
Open in quick lookup
01

In-network

Inpatient hospital

Days 1–5 $400 / day
Days 6–90 $0 / day
Total of listed copays · 5 charged days $2,000
02

Emergency transport

Ambulance

Ground · in-network$300 copay
Air · in-network$475 copay

Ground ambulance: In-network: cost sharing varies by a CMS plan-defined group; Air ambulance: In-network: cost sharing varies by a CMS plan-defined group

03

Emergency services

Emergency room

$130 copay

Waived if admitted within 24 hours

04

Medical maximum

Maximum out-of-pocket

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

Skilled care at home

Home health

In-networkVerify in plan documents
Out-of-networkNot separately reported
06

Monthly cost

Premium & giveback

Part C premium$50 / month
Consolidated C + D$50 / 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

H9096-002-000 Dean Advantage Balance (HMO-POS) South Central Wisconsin · HMOPOS H9096-004-000 Dean Advantage Essential (HMO) South Central Wisconsin · HMO H9096-005-000 Dean Advantage Complete (HMO) South Central Wisconsin · HMO H9096-010-000 Dean Advantage Harmony (HMO-POS) South Central Wisconsin · HMOPOS H9096-801-000 Dean Advantage - EGWP MAPD CY (HMO) Select counties in south central Wisconsin · HMO H9096-802-000 Dean Advantage - EGWP MAPD Non CY (HMO) Select counties in south central Wisconsin · HMO H9096-803-000 Dean Advantage - EGWP MA only (HMO) Select counties in south central Wisconsin · HMO H9096-804-000 Dean Advantage EGWP CY HMOPOS (HMO-POS) Select counties in south central Wisconsin · HMOPOS

About this code

What H9096-001-000 identifies

H9096-001-000 is a Contract Year 2026 Medicare plan segment code. The compact form H9096001000 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.