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

Humana Dual Integrated, 2027

H1036Contract340Plan

HMO D-SNP · special needs plan, dual-eligible · 31 counties in Florida

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

Takes in 9 plans

2026 star rating, contract H1036: 4.5 of 5

Humana Dual Integrated (H1036-340) costs $0 a month in 2027, the same as in 2026, with an in-network out-of-pocket limit of $9,850 ($9,250 in 2026). It takes in the members of H1019-073, H1019-146, H1019-153, H1036-102, H1036-209, H1036-210, H1036-213, H1036-285, H1036-314.

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 get	2026	2027	Change
In-network out-of-pocket limit	$9,250	$9,850	up $600
Drug deductible	$0	$700	up $700
Hospital stay, in network	$2,230 a stay	$2,241 a stay	up $11for a 5-day stay
Skilled nursing facility, in network	$0 a day for days 1–20, then $218 a day for days 21–100	$0 a day for days 1–20, then $221 a day for days 21–100	up $30for a 30-day stay
Hearing aids, yearly limit for both ears	$1,000 a year	not offered	dropped
Drug tier 3, preferred brand	25% of the cost	17% of the cost	down 8 points
Drug tier 4, non-preferred drug	25% of the cost	40% of the cost	up 15 points
Drug tier 5, specialty tier	33% of the cost	25% of the cost	down 8 points
13 lines do not change
Monthly premium	$0	$0	no change
Part B premium reduction, monthly	none	none	no change
Primary care visit	20% of the cost	20% of the cost	no change
Specialist visit	20% of the cost	20% of the cost	no change
Emergency room	$115 copay	$115 copay	no change
Medical deductible, in network	none	none	no change
Ground ambulance, in network	20% of the cost	20% of the cost	no change
Comprehensive dental, yearly limit	not offered	not offered	no change
Eyewear, yearly limit	$300 a year	$300 a year	no change
Over-the-counter items, yearly	not offered	not offered	no change
Counties served	31	31	no change
Drug tier 1, preferred generic	$0	$0	no change
Drug tier 2, generic	$0	$0	no 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
Tier	What the tier holds	2026	2027
Tier 1	Preferred Generic	$0	$0
Tier 2	Generic	$0	$0
Tier 3	Preferred Brand	25% of the cost	17% of the cost
Tier 4	Non-Preferred Drug	25% of the cost	40% of the cost
Tier 5	Specialty Tier	33% of the cost	25% 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, 72 dual-eligible special needs plans are sold for 2027, this one included. Against the others, 29 plans have a lower out-of-pocket limit, 42 the same. On the premium, 60 the same, 11 a higher one.

Out-of-pocket limits of the 72 dual-eligible special needs plans

$0 to under $2,0008 plans

$2,000 to under $4,00014 plans

$4,000 to under $6,0007 plans

$6,000 to under $8,0000 plans

$8,000 to $10,000 (this plan)43 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 31 counties: $0 a month and $9,850.

Florida

Alachua Baker Bradford Charlotte Citrus Clay Collier Columbia DeSoto Duval Flagler Hardee Hernando Highlands Hillsborough Lake Lee Manatee Marion Nassau Orange Osceola Pasco Pinellas Polk Putnam Sarasota Seminole St. Johns Sumter Volusia

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

Which 2026 plans move into it, and what changes for their members?

For 2027 this plan takes in the members of 9 other plans, beside its own 11,948 members. In 2027 it costs $0 a month with a $9,850 limit; each row compares that with the plan its members had in 2026.

2026 plan	Members, Sept. 2026	Members who move	Premium 2026	Premium change	Limit 2026	Limit change
CareNeeds PlusH1019-073	5,732	5,260	$0	no change	$3,400	up $6,450
CareNeeds PlatinumH1019-146	21,674	19,353	$0	no change	$3,400	up $6,450
CareNeeds ExtraH1019-153	3,897	3,610	$0	no change	$9,250	up $600
Humana Gold Plus SNP-DEH1036-102	6,146	6,121	$0	no change	$1,500	up $8,350
Humana Gold Plus SNP-DEH1036-209	1,767	1,761	$0	no change	$3,400	up $6,450
Humana Gold Plus SNP-DEH1036-210	1,546	1,543	$0	no change	$3,400	up $6,450
Humana Gold Plus SNP-DEH1036-213	3,815	3,800	$0	no change	$3,400	up $6,450
Humana Gold Plus SNP-DEH1036-285	562	561	$0	no change	$3,400	up $6,450
Humana Gold Plus SNP-DEH1036-314	56,897	52,941	$0	no change	$3,400	up $6,450

Only the members of CareNeeds Plus (H1019-073) who live in the 15 counties where this plan is sold move into it (5,260 of its 5,732 members); in its other 2 counties the plan ends and members choose a new one. What happens where.

Only the members of CareNeeds Platinum (H1019-146) who live in the 15 counties where this plan is sold move into it (19,353 of its 21,674 members); in its other 2 counties the plan ends and members choose a new one. What happens where.

Only the members of CareNeeds Extra (H1019-153) who live in the 15 counties where this plan is sold move into it (3,610 of its 3,897 members); in its other 2 counties the plan ends and members choose a new one. What happens where.

Only the members of Humana Gold Plus SNP-DE (H1036-314) who live in the 31 counties where this plan is sold move into it (52,941 of its 56,897 members); in its other 5 counties the plan ends and members choose a new one. What happens where.

Source: CMS plan crosswalk from 2026 to 2027 (Oct. 1, 2026); CMS monthly enrollment by plan and by county, September 2026 (CMS hides counts under 11); CMS Medicare Advantage and Part D landscape files for 2027 (Sept. 22, 2026, revised Sept. 30) and 2026 (Sept. 2, 2026 revision). Each moving plan's own page lists every line that changes for its members.

Who runs this plan?

Plan ID: H1036-340
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: 11,948
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?

Other 2027 plans in Hillsborough, FLWhere most of its members live; premiums and limits side by side
Every Humana plan for 2027Its contracts, counties and plans that end
The other 84 plans of contract H1036Same company, same contract
Is your prescription covered?Coverage share and tier for 2,259 drugs

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.