Plan year 2026 · coverage ends Dec. 31, 2026CMS crosswalk of Oct. 1, 2026
Humana Gold Plus is not offered under this ID in 2027
H4461Contract035Plan
HMO · served 35 counties in Tennessee in 2026
Run by Cariten Health Plan Inc. (contract H4461), sold as Humana, owned by Humana Inc.
CMS crosswalk: renews as H4461-080
Humana Gold Plus (H4461-035) is not offered under this ID in 2027: the CMS plan crosswalk of October 1, 2026 moves its members into Humana Gold Plus (H4461-080) (the plan renews under a new ID), which is sold in every county it served. 33,575 people were enrolled in it in September 2026; they can also choose another plan during open enrollment, October 15 to December 7, 2026.
What changes for its members in Humana Gold Plus?
| What you pay or get | 2026 | 2027 | Change |
|---|---|---|---|
| In-network out-of-pocket limit, by county | $3,600 | $3,800 to $4,200 | ▲up $600 at the top |
| Drug deductible | $590 | $700 | ▲up $110 |
| Part B premium reduction, monthly (best in its area) | $2 | none | ▼dropped |
| Hospital stay, in network (best in its area) | $275 a day for days 1–5, then $0 a day for days 6–90 | $320 a day for days 1–5, then $0 a day for days 6–90 | ▲up $225for a 5-day stay |
| Skilled nursing facility, in network (best in its area) | $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 |
| Ground ambulance, in network (best in its area) | $335 copay | $325 copay | ▼down $10 |
| Counties served | 35 | 36 | ▲up 1 |
| Drug tier 3, preferred brand | $47 | 17% of the cost | changed |
| Drug tier 4, non-preferred drug | 47% of the cost | 42% of the cost | ▼down 5 points |
| Drug tier 5, specialty tier | 26% of the cost | 25% of the cost | ▼down 1 point |
| 11 lines do not change | |||
| Monthly premium | $0 | $0 | no change |
| Primary care visit (best in its area) | $0 copay | $0 copay | no change |
| Specialist visit (best in its area) | $30 copay | $30 copay | no change |
| Emergency room (best in its area) | $150 copay | $150 copay | no change |
| Medical deductible, in network (best in its area) | none | none | no change |
| Comprehensive dental, yearly limit (best in its area) | not offered | not offered | no change |
| Eyewear, yearly limit (best in its area) | $300 a year | $300 a year | no change |
| Hearing aids, yearly limit for both ears (best in its area) | not offered | not offered | no change |
| Over-the-counter items, yearly (best in its area) | not offered | not offered | no change |
| Drug tier 1, preferred generic | $0 | $0 | no change |
| Drug tier 2, generic | $5 | $5 | no change |
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 plan benefit package files, 2027 and 2026. Your plan's Annual Notice of Change is the letter that confirms your 2027 plan; confirm on Medicare Plan Finder.
What can members do, and by when?
- If you do nothing
- You are moved into Humana Gold Plus on January 1, 2027.
- October 15 to December 7, 2026
- Open enrollment: choose another Medicare Advantage plan, or Original Medicare with a drug plan, instead.
- January 1 to March 31, 2027
- Medicare Advantage open enrollment: switch once to another Medicare Advantage plan or to Original Medicare.
Source: Medicare.gov, “Special enrollment periods” and “Joining a plan” (read Oct. 7, 2026).
Where did its members live?
Where its members lived in September 2026; each county and state page lists the 2027 plans sold there.
| County | Members, Sept. 2026 | For 2027 |
|---|---|---|
| Knox, TN | 6,884 | moves into H4461-080 |
| Hamilton, TN | 2,644 | moves into H4461-080 |
| Blount, TN | 1,970 | moves into H4461-080 |
| Sevier, TN | 1,808 | moves into H4461-080 |
| Sullivan, TN | 1,770 | moves into H4461-080 |
| Greene, TN | 1,355 | moves into H4461-080 |
| Loudon, TN | 1,298 | moves into H4461-080 |
| Anderson, TN | 1,233 | moves into H4461-080 |
| Bradley, TN | 1,206 | moves into H4461-080 |
| Roane, TN | 1,113 | moves into H4461-080 |
| Jefferson, TN | 1,070 | moves into H4461-080 |
| Washington, TN | 1,000 | moves into H4461-080 |
| Hamblen, TN | 909 | moves into H4461-080 |
| Monroe, TN | 793 | moves into H4461-080 |
| McMinn, TN | 748 | moves into H4461-080 |
| Hawkins, TN | 733 | moves into H4461-080 |
| Campbell, TN | 725 | moves into H4461-080 |
| Cumberland, TN | 630 | moves into H4461-080 |
| Cocke, TN | 602 | moves into H4461-080 |
| Grainger, TN | 571 | moves into H4461-080 |
Show the other 15 counties
| County | Members, Sept. 2026 | For 2027 |
|---|---|---|
| Claiborne, TN | 539 | moves into H4461-080 |
| Rhea, TN | 535 | moves into H4461-080 |
| Union, TN | 441 | moves into H4461-080 |
| Carter, TN | 423 | moves into H4461-080 |
| Putnam, TN | 396 | moves into H4461-080 |
| Morgan, TN | 369 | moves into H4461-080 |
| Franklin, TN | 310 | moves into H4461-080 |
| Marion, TN | 287 | moves into H4461-080 |
| Polk, TN | 224 | moves into H4461-080 |
| Meigs, TN | 213 | moves into H4461-080 |
| Sequatchie, TN | 195 | moves into H4461-080 |
| Grundy, TN | 176 | moves into H4461-080 |
| Unicoi, TN | 150 | moves into H4461-080 |
| Johnson, TN | 115 | moves into H4461-080 |
| Hancock, TN | 67 | moves into H4461-080 |
Source: CMS monthly enrollment by plan and by county, September 2026 (CMS hides counts under 11).
What else should you check?
- 2027 plans in Knox, TNThe plans you can join instead
- Humana plans for 2027Plans the same company still offers
- Every plan not offered in 2027764 Medicare Advantage and drug plans