Optimum Emerald Full (HMO D-SNP) in Hernando 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 Emerald Full (HMO D-SNP) (H5594-017) is a $0-premium Medicare Advantage HMO D-SNP from Elevance Health, Inc. available in Hernando County, Florida in 2026, with a 4.5-star overall rating, a $500 in-network out-of-pocket maximum, and a $615 annual Part D drug deductible.

Plan facts (CMS CY2026 Landscape file)

OrganizationElevance Health, Inc.
Plan nameOptimum Emerald Full (HMO D-SNP)
Contract IDH5594
Plan ID017
Segment ID0
Contract year2026
Contract categorySNP
Plan typeHMO D-SNP
SNPYes — Dual-Eligible
Monthly consolidated premium$0.00
Part C premium$0.00
Part D basic premium$11.30
Part D total premium$0.00
Annual Part D deductible$615.00
Maximum out-of-pocket (in-network)$500.00
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 D-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.
  • $500 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 = Hernando 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 Hernando County

The CMS CY2026 Landscape file lists 106 Medicare Advantage plans in Hernando County, Florida, of which 6 carry a 5.0-star overall rating and 82 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.

Other 5.0-star Medicare Advantage plans in Hernando County (first three alphabetically):

PlanOrganizationPremiumMOOP
DEVOTED CORE 036 FL (HMO)Devoted Health, Inc.$0.00$3900.00
DEVOTED CORE 058 FL (HMO)Devoted Health, Inc.$0.00$3900.00
DEVOTED DUAL 024 FL (HMO D-SNP)Devoted Health, Inc.$0.00$3900.00

For the full county plan directory, see all Medicare plans in Hernando 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 — H5594-017.
  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 H5594-017 means

CMS assigns every Medicare Advantage and Part D offering a plan identifier made of three parts. In H5594-017, 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 017 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 Emerald Full (HMO D-SNP) an HMO or PPO?

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

Does Optimum Emerald Full (HMO D-SNP) include prescription drug coverage?

Yes — Optimum Emerald Full (HMO D-SNP) is a Medicare Advantage plan with prescription drug coverage (MA-PD) and a $615.00 annual Part D drug deductible for 2026.

What is the maximum out-of-pocket cost for Optimum Emerald Full (HMO D-SNP)?

The 2026 in-network maximum out-of-pocket limit for Optimum Emerald Full (HMO D-SNP) is $500.00, per the CMS CY2026 Landscape file.

What counties offer Optimum Emerald Full (HMO D-SNP) (H5594-017)?

Optimum Emerald Full (HMO D-SNP) (H5594-017) is offered in 24 Florida counties: Brevard County, Broward County, Charlotte County, Citrus County, Collier County, Hernando County, Hillsborough County, Indian River County, Lake County, Lee County, Manatee County, Marion County, Martin County, Orange County, Osceola County, Palm Beach County, Pasco County, Pinellas County, Polk County, Sarasota County, Seminole County, St. Lucie County, Sumter County, and Volusia County.

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