Skip to main content

Independent; not a government site. Official answers: Medicare.gov, 1-800-MEDICARE.

Plan year 2027 · Medicare AdvantageCMS files of Sept. 22 and Oct. 1, 2026

Humana Dual Select, 2027

H1036Contract213Plan

HMO D-SNP · special needs plan, dual-eligible · 6 counties in Florida

Run by Humana Medical Plan, Inc. (contract H1036), sold as Humana, owned by Humana Inc.

Renews, split in two

2026 star rating, contract H1036: 4.5 of 5

Humana Dual Select (H1036-213) costs $0 a month in 2027, the same as in 2026, with an in-network out-of-pocket limit of $3,400. In 2026 it was called Humana Gold Plus SNP-DE. Some of its 2026 members move to H1036-340 instead (CMS crosswalk).

What changes from 2026 to 2027?

The changed lines are marked and come first. In-network amounts; members keep paying the Part B premium unless the plan reduces it.
What you pay or get20262027Change
Plan nameHumana Gold Plus SNP-DEHumana Dual Selectrenamed
Drug deductible$320$700up $380
Emergency room$75 copay$130 copayup $55
Eyewear, yearly limit$600 a year$400 a yeardown $200
Hearing aids, yearly limit for both ears$900 a yearnot offereddropped
Drug tier 3, preferred brand25% of the cost17% of the costdown 8 points
Drug tier 4, non-preferred drug25% of the cost40% of the costup 15 points
Drug tier 5, specialty tier29% of the cost25% of the costdown 4 points
14 lines do not change
Monthly premium$0$0no change
In-network out-of-pocket limit$3,400$3,400no change
Part B premium reduction, monthlynonenoneno change
Primary care visit$0 copay$0 copayno change
Specialist visit$0 copay$0 copayno change
Medical deductible, in networknonenoneno change
Hospital stay, in network$0 a stay$0 a stayno change
Skilled nursing facility, in network$0 a day for days 1–100$0 a day for days 1–100no change
Ground ambulance, in network$0 copay$0 copayno change
Comprehensive dental, yearly limitnot offerednot offeredno change
Over-the-counter items, yearlynot offerednot offeredno change
Counties served66no change
Drug tier 1, preferred generic$0$0no change
Drug tier 2, generic$0$0no change

Source: CMS Medicare Advantage and Part D landscape files for 2027 (Sept. 22, 2026, revised Sept. 30) and 2026 (Sept. 2, 2026 revision); CMS plan benefit package files, 2027 and 2026; CMS plan crosswalk from 2026 to 2027 (Oct. 1, 2026). Plan details can change during the year; confirm on Medicare Plan Finder.

What will prescriptions cost?

Your share for a 30-day supply at a retail pharmacy, as filed with CMS; tiers whose share changes are marked
TierWhat the tier holds20262027
Tier 1Preferred Generic$0$0
Tier 2Generic$0$0
Tier 3Preferred Brand25% of the cost17% of the cost
Tier 4Non-Preferred Drug25% of the cost40% of the cost
Tier 5Specialty Tier29% of the cost25% of the cost

Source: CMS plan benefit package files, 2027 and 2026. Insulin is capped at $35 a month by law. A drug's tier is set by the plan's formulary.

How does it compare with plans sold where it is?

In the counties it serves, 40 dual-eligible special needs plans are sold for 2027, this one included. Against the others, 7 plans have a lower out-of-pocket limit, 8 the same, 24 a higher one. On the premium, 33 the same, 6 a higher one.

Out-of-pocket limits of the 40 dual-eligible special needs plans

$0 to under $2,0006 plans
$2,000 to under $4,000 (this plan)10 plans
$4,000 to under $6,0003 plans
$6,000 to under $8,0000 plans
$8,000 to $10,00021 plans

Source: CMS Medicare Advantage and Part D landscape files for 2027 (Sept. 22, 2026, revised Sept. 30) and 2026 (Sept. 2, 2026 revision).

Where is it sold, and what does it cost there?

The premium and the out-of-pocket limit are the same in all 6 counties: $0 a month and $3,400.

Florida

LakeMarionOrangeOsceolaSeminoleSumter

Source: CMS Medicare Advantage and Part D landscape files for 2027 (Sept. 22, 2026, revised Sept. 30) and 2026 (Sept. 2, 2026 revision).

Where do its 2026 members go?

The CMS crosswalk moves the members of the 2026 plan into 2 plans for 2027. It names the plans but not which member goes to which; the counties show where each 2027 plan is sold, and the plan's Annual Notice of Change says which one is yours.

2027 planSold inMembers in those counties, Sept. 2026Premium 2027Limit 2027
Stays in this plan6 of its 6 2026 counties, in Florida3,800$0$3,400
Humana Dual IntegratedH1036-3406 of its 6 2026 counties, in Florida3,800$0$9,850

Where the plans are sold in the same counties, the member counts overlap, so they add up to more than the plan's members.

Source: CMS plan crosswalk from 2026 to 2027 (Oct. 1, 2026); CMS Medicare Advantage and Part D landscape files for 2027 (Sept. 22, 2026, revised Sept. 30) and 2026 (Sept. 2, 2026 revision); CMS monthly enrollment by plan and by county, September 2026 (CMS hides counts under 11).

Who runs this plan?

Plan ID
H1036-213
Legal name of the contract
Humana Medical Plan, Inc.
Sold as
Humana
Parent company
Humana Inc.
Plan type
HMO D-SNP
2026 star rating of the contract
4.5 of 5 overall; health plan 4 of 5, drug plan 4 of 5
Members, September 2026
3,815
Plan website, as filed with CMS
www.humana.com/medicare

Source: CMS Medicare Advantage and Part D landscape files for 2027 (Sept. 22, 2026, revised Sept. 30) and 2026 (Sept. 2, 2026 revision); CMS 2026 Star Ratings (October 2025); CMS monthly enrollment by plan and by county, September 2026 (CMS hides counts under 11). CMS publishes the 2027 Star Ratings in October 2026.

What else should you check?

Data, not advice. These are the plan's filed amounts, not a quote for you; confirm on Medicare Plan Finder or call the plan before you enroll.