Plan year 2026 · coverage ends Dec. 31, 2026CMS crosswalk of Oct. 1, 2026
Humana Gold Plus is not offered under this ID in 2027
H4461Contract040Plan
HMO · served 36 counties in Tennessee in 2026
Run by Cariten Health Plan Inc. (contract H4461), sold as Humana, owned by Humana Inc.
CMS crosswalk: renews as H4461-081
Humana Gold Plus (H4461-040) is not offered under this ID in 2027: the CMS plan crosswalk of October 1, 2026 moves its members into Humana Gold Plus (H4461-081) (the plan renews under a new ID), which is sold in every county it served. 32,299 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 |
|---|---|---|---|
| Monthly premium | $74 | $88 to $90 | ▲up $14 |
| In-network out-of-pocket limit, by county | $1,900 | $1,900 to $2,900 | ▲up $1,000 at the top |
| Drug deductible | $615 | $250 | ▼down $365 |
| 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 |
| Drug tier 3, preferred brand | $47 | 17% of the cost | changed |
| Drug tier 5, specialty tier | 25% of the cost | 30% of the cost | ▲up 5 points |
| 14 lines do not change | |||
| Part B premium reduction, monthly (best in its area) | none | none | no change |
| Primary care visit (best in its area) | $0 copay | $0 copay | no change |
| Specialist visit (best in its area) | $20 copay | $20 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 |
| Hospital stay, in network (best in its area) | $0 a stay | $0 a stay | no change |
| Comprehensive dental, yearly limit (best in its area) | not offered | not offered | no change |
| Eyewear, yearly limit (best in its area) | $350 a year | $350 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 |
| Counties served | 36 | 36 | no change |
| Drug tier 1, preferred generic | $0 | $0 | no change |
| Drug tier 2, generic | $0 | $0 | no change |
| Drug tier 4, non-preferred drug | 50% of the cost | 50% of the cost | 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 | 9,009 | moves into H4461-081 |
| Blount, TN | 2,734 | moves into H4461-081 |
| Sevier, TN | 1,897 | moves into H4461-081 |
| Anderson, TN | 1,668 | moves into H4461-081 |
| Loudon, TN | 1,411 | moves into H4461-081 |
| Greene, TN | 1,316 | moves into H4461-081 |
| Jefferson, TN | 1,299 | moves into H4461-081 |
| Roane, TN | 1,288 | moves into H4461-081 |
| Sullivan, TN | 1,224 | moves into H4461-081 |
| Hamblen, TN | 1,028 | moves into H4461-081 |
| Campbell, TN | 912 | moves into H4461-081 |
| Hamilton, TN | 880 | moves into H4461-081 |
| Monroe, TN | 763 | moves into H4461-081 |
| Washington, TN | 760 | moves into H4461-081 |
| Claiborne, TN | 697 | moves into H4461-081 |
| Bradley, TN | 614 | moves into H4461-081 |
| Union, TN | 611 | moves into H4461-081 |
| Grainger, TN | 594 | moves into H4461-081 |
| Cocke, TN | 529 | moves into H4461-081 |
| Morgan, TN | 482 | moves into H4461-081 |
Show the other 16 counties
| County | Members, Sept. 2026 | For 2027 |
|---|---|---|
| Hawkins, TN | 450 | moves into H4461-081 |
| McMinn, TN | 431 | moves into H4461-081 |
| Carter, TN | 383 | moves into H4461-081 |
| Scott, TN | 312 | moves into H4461-081 |
| Rhea, TN | 192 | moves into H4461-081 |
| Cumberland, TN | 187 | moves into H4461-081 |
| Marion, TN | 109 | moves into H4461-081 |
| Unicoi, TN | 101 | moves into H4461-081 |
| Meigs, TN | 69 | moves into H4461-081 |
| Polk, TN | 65 | moves into H4461-081 |
| Sequatchie, TN | 62 | moves into H4461-081 |
| Putnam, TN | 54 | moves into H4461-081 |
| Hancock, TN | 50 | moves into H4461-081 |
| Johnson, TN | 47 | moves into H4461-081 |
| Franklin, TN | 28 | moves into H4461-081 |
| Grundy, TN | 14 | moves into H4461-081 |
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