HealthSpring Preferred (HMO) in Cross County, Arkansas — 2026 plan details

Last updated Jul 18, 2026

Reviewed by Jason Burns, Editorial Steward

Published by Senior Direct Answers · Licensed under Citation License 1.0

HealthSpring Preferred (HMO) (H4513-038) is a $0-premium Medicare Advantage HMO from Health Care Service Corporation available in Cross County, Arkansas in 2026, with a 4.0-star overall rating, a $4,750 in-network out-of-pocket maximum, and a $250 annual Part D drug deductible.

Plan facts (CMS CY2026 Landscape file)

OrganizationHealth Care Service Corporation
Plan nameHealthSpring Preferred (HMO)
Contract IDH4513
Plan ID038
Segment ID0
Contract year2026
Contract categoryMA-PD
Plan typeHMO
SNPNo
Monthly consolidated premium$0.00
Part C premium$0.00
Part D basic premium$0.00
Part D total premium$0.00
Annual Part D deductible$250.00
Maximum out-of-pocket (in-network)$4750.00
Overall star rating4.0

How this plan is structured

  • $0 consolidated premium. A $0 or near-$0 consolidated premium does not remove the Part B premium — the standard 2026 Part B premium is $202.90 per month and still applies. See the 2026 Medicare Part B premium.
  • HMO plan type. In an HMO-style Medicare Advantage plan, in-network care and primary-care referral rules generally apply. See how Medicare Advantage HMO and PPO plans differ.
  • $4,750 in-network out-of-pocket maximum. The MOOP is the annual cap on what a member pays in-network for covered Part A and Part B services. See how the Medicare Advantage MOOP works.
  • Service area = Cross County. Medicare Advantage plans are sold by service area; moving out of the plan's service area triggers a Special Enrollment Period to switch plans. See how moving changes your Medicare options.

How it compares in Cross County

The CMS CY2026 Landscape file lists 54 Medicare Advantage plans in Cross County, Arkansas, of which 0 carry a 5.0-star overall rating and 34 have a $0 consolidated monthly premium. Consolidated premiums range from $0.00 to $106.00 per month, and in-network out-of-pocket maximums range from $3850.00 to $9250.00.

For the full county plan directory, see all Medicare plans in Cross County, Arkansas.

How to verify your doctors take this plan

Network participation changes throughout the year; we hold no provider-network data, so verify directly with these three sources before you decide:

  1. Open the plan's official Medicare.gov page and use its provider-directory link: Medicare.gov Plan Finder — H4513-038.
  2. Call the plan (Health Care Service Corporation) using the member-services number listed on that plan page and ask whether each doctor, hospital, and pharmacy is in-network for 2026.
  3. Get free, unbiased help from your State Health Insurance Assistance Program (SHIP) — see free unbiased Medicare help from SHIP.

What H4513-038 means

CMS assigns every Medicare Advantage and Part D offering a plan identifier made of three parts. In H4513-038, the leading H marks the contract type (H = Medicare Advantage / Part C contract), the four digits 4513 are the contract number issued to the organization, and the three-digit 038 is the plan benefit package under that contract. The segment ID 0 identifies the service-area segment within the plan (0 = the default single segment).

Frequently asked questions

Is HealthSpring Preferred (HMO) an HMO or PPO?

HealthSpring Preferred (HMO) is an HMO — a Health Maintenance Organization-style Medicare Advantage plan, meaning in-network care and referral rules generally apply.

Does HealthSpring Preferred (HMO) include prescription drug coverage?

Yes — HealthSpring Preferred (HMO) is a Medicare Advantage plan with prescription drug coverage (MA-PD) and a $250.00 annual Part D drug deductible for 2026.

What is the maximum out-of-pocket cost for HealthSpring Preferred (HMO)?

The 2026 in-network maximum out-of-pocket limit for HealthSpring Preferred (HMO) is $4750.00, per the CMS CY2026 Landscape file.

What counties offer HealthSpring Preferred (HMO) (H4513-038)?

HealthSpring Preferred (HMO) (H4513-038) is offered in 15 Arkansas counties: Clay County, Craighead County, Crittenden County, Cross County, Greene County, Independence County, Jackson County, Lawrence County, Lee County, Mississippi County, Poinsett County, Randolph County, St. Francis County, White County, and Woodruff County.

Sources