Plan year 2026 · coverage ends Dec. 31, 2026CMS crosswalk of Oct. 1, 2026
Humana Gold Plus is not offered under this ID in 2027
H4461Contract041Plan
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 H4461-083
Humana Gold Plus (H4461-041) is not offered under this ID in 2027: the CMS plan crosswalk of October 1, 2026 moves its members into Humana Gold Plus (H4461-083) (the plan renews under a new ID), which is sold in every county it served. 41,128 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 | $10 | $22 to $27 | ▲up $12 |
| In-network out-of-pocket limit, by county | $3,200 | $3,200 to $3,500 | ▲up $300 at the top |
| Drug deductible | $615 | $395 | ▼down $220 |
| Part B premium reduction, monthly (best in its area) | $1 | none | ▼dropped |
| Hospital stay, in network (best in its area) | $175 a day for days 1–5, then $0 a day for days 6–90 | $195 a day for days 1–5, then $0 a day for days 6–90 | ▲up $100for 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 | 48% of the cost | 50% of the cost | ▲up 2 points |
| Drug tier 5, specialty tier | 25% of the cost | 29% of the cost | ▲up 4 points |
| 10 lines do not change | |||
| Primary care visit (best in its area) | $0 copay | $0 copay | no change |
| Specialist visit (best in its area) | $25 copay | $25 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) | $250 a year | $250 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 | 9,149 | moves into H4461-083 |
| Blount, TN | 3,132 | moves into H4461-083 |
| Sullivan, TN | 2,810 | moves into H4461-083 |
| Sevier, TN | 2,298 | moves into H4461-083 |
| Hamilton, TN | 2,023 | moves into H4461-083 |
| Greene, TN | 1,776 | moves into H4461-083 |
| Anderson, TN | 1,744 | moves into H4461-083 |
| Loudon, TN | 1,734 | moves into H4461-083 |
| Washington, TN | 1,528 | moves into H4461-083 |
| Roane, TN | 1,375 | moves into H4461-083 |
| Bradley, TN | 1,337 | moves into H4461-083 |
| Jefferson, TN | 1,220 | moves into H4461-083 |
| Monroe, TN | 1,022 | moves into H4461-083 |
| Hamblen, TN | 998 | moves into H4461-083 |
| Hawkins, TN | 973 | moves into H4461-083 |
| Campbell, TN | 904 | moves into H4461-083 |
| McMinn, TN | 766 | moves into H4461-083 |
| Carter, TN | 723 | moves into H4461-083 |
| Cocke, TN | 723 | moves into H4461-083 |
| Claiborne, TN | 690 | moves into H4461-083 |
Show the other 15 counties
| County | Members, Sept. 2026 | For 2027 |
|---|---|---|
| Grainger, TN | 597 | moves into H4461-083 |
| Union, TN | 589 | moves into H4461-083 |
| Rhea, TN | 495 | moves into H4461-083 |
| Morgan, TN | 459 | moves into H4461-083 |
| Cumberland, TN | 369 | moves into H4461-083 |
| Putnam, TN | 233 | moves into H4461-083 |
| Marion, TN | 209 | moves into H4461-083 |
| Meigs, TN | 208 | moves into H4461-083 |
| Unicoi, TN | 206 | moves into H4461-083 |
| Johnson, TN | 178 | moves into H4461-083 |
| Polk, TN | 162 | moves into H4461-083 |
| Sequatchie, TN | 152 | moves into H4461-083 |
| Franklin, TN | 130 | moves into H4461-083 |
| Grundy, TN | 97 | moves into H4461-083 |
| Hancock, TN | 55 | moves into H4461-083 |
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