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

Humana Total Complete, 2027

H4461Contract049Plan

HMO · 3 counties in Texas

Run by Cariten Health Plan Inc. (contract H4461), sold as Humana, owned by Humana Inc.

Renews for 2027

2026 star rating, contract H4461: 4 of 5

Humana Total Complete (H4461-049) costs $0 a month in 2027, the same as in 2026, with an in-network out-of-pocket limit of $3,950 ($3,400 in 2026).

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
In-network out-of-pocket limit$3,400$3,950up $550
Drug deductible$615$440down $175
Part B premium reduction, monthly$1nonedropped
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 21–100up $30for a 30-day stay
Ground ambulance, in network$335 copay$325 copaydown $10
Eyewear, yearly limit$400 a year$350 a yeardown $50
Drug tier 3, preferred brand$4717% of the costchanged
Drug tier 4, non-preferred drug48% of the cost50% of the costup 2 points
Drug tier 5, specialty tier25% of the cost28% of the costup 3 points
12 lines do not change
Monthly premium$0$0no change
Primary care visit$0 copay$0 copayno change
Specialist visit$15 copay$15 copayno change
Emergency room$150 copay$150 copayno change
Medical deductible, in networknonenoneno change
Hospital stay, in network$350 a stay$350 a stayno change
Comprehensive dental, yearly limitnot offerednot offeredno change
Hearing aids, yearly limit for both earsnot offerednot offeredno change
Over-the-counter items, yearlynot offerednot offeredno change
Counties served33no change
Drug tier 1, preferred generic$0$0no change
Drug tier 2, generic$5$5no 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$5$5
Tier 3Preferred Brand$4717% of the cost
Tier 4Non-Preferred Drug48% of the cost50% of the cost
Tier 5Specialty Tier25% of the cost28% 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, 53 plans open to everyone are sold for 2027, this one included. Against the others, 10 plans have a lower out-of-pocket limit, 3 the same, 39 a higher one. On the premium, 42 the same, 10 a higher one.

Out-of-pocket limits of the 53 plans open to everyone

$0 to under $2,0002 plans
$2,000 to under $4,000 (this plan)12 plans
$4,000 to under $6,00010 plans
$6,000 to under $8,00019 plans
$8,000 to $10,00010 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 3 counties: $0 a month and $3,950.

Texas

Fort BendHarrisJefferson

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

Who runs this plan?

Plan ID
H4461-049
Legal name of the contract
Cariten Health Plan Inc.
Sold as
Humana
Parent company
Humana Inc.
Plan type
HMO
2026 star rating of the contract
4 of 5 overall; health plan 4 of 5, drug plan 3 of 5
Members, September 2026
6,946
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.