Optimum Diamond Savings COPD (HMO C-SNP) in Citrus County, Florida — 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

Optimum Diamond Savings COPD (HMO C-SNP) (H5594-031) is a $0-premium Medicare Advantage HMO C-SNP from Elevance Health, Inc. available in Citrus County, Florida in 2026, with a 4.5-star overall rating, a $5,000 in-network out-of-pocket maximum, and a $0 annual Part D drug deductible.

Plan facts (CMS CY2026 Landscape file)

OrganizationElevance Health, Inc.
Plan nameOptimum Diamond Savings COPD (HMO C-SNP)
Contract IDH5594
Plan ID031
Segment ID0
Contract year2026
Contract categorySNP
Plan typeHMO C-SNP
SNPYes — Chronic or Disabling Condition
Monthly consolidated premium$0.00
Part C premium$0.00
Part D basic premium$17.90
Part D total premium$0.00
Annual Part D deductible$0.00
Maximum out-of-pocket (in-network)$5000.00
Overall star rating4.5

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 C-SNP 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.
  • $5,000 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 = Citrus 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 Citrus County

The CMS CY2026 Landscape file lists 85 Medicare Advantage plans in Citrus County, Florida, of which 0 carry a 5.0-star overall rating and 66 have a $0 consolidated monthly premium. Consolidated premiums range from $0.00 to $184.00 per month, and in-network out-of-pocket maximums range from $500.00 to $9250.00.

For the full county plan directory, see all Medicare plans in Citrus County, Florida.

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 — H5594-031.
  2. Call the plan (Elevance Health, Inc.) 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 H5594-031 means

CMS assigns every Medicare Advantage and Part D offering a plan identifier made of three parts. In H5594-031, the leading H marks the contract type (H = Medicare Advantage / Part C contract), the four digits 5594 are the contract number issued to the organization, and the three-digit 031 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 Optimum Diamond Savings COPD (HMO C-SNP) an HMO or PPO?

Optimum Diamond Savings COPD (HMO C-SNP) is an HMO C-SNP — a Health Maintenance Organization-style Medicare Advantage plan, meaning in-network care and referral rules generally apply.

Does Optimum Diamond Savings COPD (HMO C-SNP) include prescription drug coverage?

Yes — Optimum Diamond Savings COPD (HMO C-SNP) is a Medicare Advantage plan with prescription drug coverage (MA-PD) and a $0.00 annual Part D drug deductible for 2026.

What is the maximum out-of-pocket cost for Optimum Diamond Savings COPD (HMO C-SNP)?

The 2026 in-network maximum out-of-pocket limit for Optimum Diamond Savings COPD (HMO C-SNP) is $5000.00, per the CMS CY2026 Landscape file.

What counties offer Optimum Diamond Savings COPD (HMO C-SNP) (H5594-031)?

Optimum Diamond Savings COPD (HMO C-SNP) (H5594-031) is offered in eight Florida counties: Citrus County, Lake County, Marion County, Orange County, Osceola County, Polk County, Seminole County, and Sumter County.

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