Optimum Diamond Rewards (HMO C-SNP) in Martin 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 Rewards (HMO C-SNP) (H5594-034) is a $0-premium Medicare Advantage HMO C-SNP from Elevance Health, Inc. available in Martin County, Florida in 2026, with a 4.5-star overall rating, a $6,800 in-network out-of-pocket maximum, and a $0 annual Part D drug deductible.
Plan facts (CMS CY2026 Landscape file)
| Organization | Elevance Health, Inc. |
|---|---|
| Plan name | Optimum Diamond Rewards (HMO C-SNP) |
| Contract ID | H5594 |
| Plan ID | 034 |
| Segment ID | 0 |
| Contract year | 2026 |
| Contract category | SNP |
| Plan type | HMO C-SNP |
| SNP | Yes — Chronic or Disabling Condition |
| 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 | $0.00 |
| Maximum out-of-pocket (in-network) | $6800.00 |
| Overall star rating | 4.5 |
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.
- $6,800 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 = Martin 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 Martin County
The CMS CY2026 Landscape file lists 80 Medicare Advantage plans in Martin County, Florida, of which 5 carry a 5.0-star overall rating and 59 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 Martin County (first three alphabetically):
| Plan | Organization | Premium | MOOP |
|---|---|---|---|
| DEVOTED CORE 046 FL (HMO) | Devoted Health, Inc. | $0.00 | $4900.00 |
| DEVOTED CORE 066 FL (HMO) | Devoted Health, Inc. | $0.00 | $4900.00 |
| DEVOTED DUAL 039 FL (HMO D-SNP) | Devoted Health, Inc. | $3.90 | $4900.00 |
For the full county plan directory, see all Medicare plans in Martin 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:
- Open the plan's official Medicare.gov page and use its provider-directory link: Medicare.gov Plan Finder — H5594-034.
- 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.
- Get free, unbiased help from your State Health Insurance Assistance Program (SHIP) — see free unbiased Medicare help from SHIP.
What H5594-034 means
CMS assigns every Medicare Advantage and Part D offering a plan identifier made of three parts. In H5594-034, 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 034 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 Rewards (HMO C-SNP) an HMO or PPO?
Optimum Diamond Rewards (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 Rewards (HMO C-SNP) include prescription drug coverage?
Yes — Optimum Diamond Rewards (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 Rewards (HMO C-SNP)?
The 2026 in-network maximum out-of-pocket limit for Optimum Diamond Rewards (HMO C-SNP) is $6800.00, per the CMS CY2026 Landscape file.
What counties offer Optimum Diamond Rewards (HMO C-SNP) (H5594-034)?
Optimum Diamond Rewards (HMO C-SNP) (H5594-034) is offered in seven Florida counties: Brevard County, Charlotte County, Collier County, Indian River County, Lee County, Martin County, and St. Lucie County.
Sources
- CMS, Plan Year 2026 Medicare Advantage & Part D Landscape source file (March 2026) — retrieved 2026-07-18. Overall star rating year: 2026.
- Medicare.gov Plan Finder — compare plans and enroll.