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

Humana Value Choice, 2027

H5216Contract072Plan

PPO · 20 counties in Florida

Run by Humana Insurance Company (contract H5216), sold as Humana, owned by Humana Inc.

Takes in 1 plan

2026 star rating, contract H5216: 3.5 of 5

Humana Value Choice (H5216-072) costs $0 a month in 2027, the same as in 2026, with an in-network out-of-pocket limit of $5,600. In 2026 it was called HumanaChoice Florida. It takes in the members of H5216-304.

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
Plan nameHumanaChoice FloridaHumana Value Choicerenamed
Drug deductible$615$700up $85
Part B premium reduction, monthly$2$3.40up $1.40
Hospital stay, in network$400 a day for days 1–7, then $0 a day for days 8–90$290 a day for days 1–6, then $0 a day for days 7–90down $550for a 5-day stay
Eyewear, yearly limit$350 a year$200 a yeardown $150
Hearing aids, yearly limit for both ears$333.33 a yearnot offereddropped
Counties served1720up 3
Drug tier 3, preferred brand$4717% of the costchanged
Drug tier 4, non-preferred drug40% of the cost50% of the costup 10 points
13 lines do not change
Monthly premium$0$0no change
In-network out-of-pocket limit$5,600$5,600no change
Primary care visit$0 copay$0 copayno change
Specialist visit$40 copay$40 copayno change
Emergency room$130 copay$130 copayno change
Medical deductible, in networknonenoneno change
Skilled nursing facility, in network$0 a day for days 1–20, then $160 a day for days 21–100$0 a day for days 1–20, then $160 a day for days 21–100no change
Ground ambulance, in network$120 copay$120 copayno change
Comprehensive dental, yearly limitnot offerednot offeredno change
Over-the-counter items, yearlynot offerednot offeredno change
Drug tier 1, preferred generic$0$0no change
Drug tier 2, generic$10$10no change
Drug tier 5, specialty tier25% of the cost25% of the costno 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$10$10
Tier 3Preferred Brand$4717% of the cost
Tier 4Non-Preferred Drug40% of the cost50% of the cost
Tier 5Specialty Tier25% of the cost25% 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, 152 plans open to everyone are sold for 2027, this one included. Against the others, 93 plans have a lower out-of-pocket limit, 58 a higher one. On the premium, 143 the same, 8 a higher one.

Out-of-pocket limits of the 152 plans open to everyone

$0 to under $2,0008 plans
$2,000 to under $4,00066 plans
$4,000 to under $6,000 (this plan)27 plans
$6,000 to under $8,00046 plans
$8,000 to $10,0005 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 20 counties: $0 a month and $5,600.

Florida

CharlotteCitrusCollierDeSotoHendryHernandoHighlandsHillsboroughLakeLeeManateeMarionOrangeOsceolaPascoPinellasPolkSarasotaSeminoleSumter

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 1 other plan, beside its own 11,577 members. In 2027 it costs $0 a month with a $5,600 limit; each row compares that with the plan its members had in 2026.

2026 planMembers, Sept. 2026Members who movePremium 2026Premium changeLimit 2026Limit change
HumanaChoice FloridaH5216-30417,39217,274$0no change$4,700up $900

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
H5216-072
Legal name of the contract
Humana Insurance Company
Sold as
Humana
Parent company
Humana Inc.
Plan type
PPO
2026 star rating of the contract
3.5 of 5 overall; health plan 3.5 of 5, drug plan 3 of 5
Members, September 2026
11,577
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.