Plan year 2026 · coverage ends Dec. 31, 2026CMS crosswalk of Oct. 1, 2026

HumanaChoice is not offered under this ID in 2027

H5216Contract196Plan

PPO · served 23 counties in New Mexico in 2026

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

CMS crosswalk: members move into H5216-223 in 22 of its 23 counties; in the others the plan ends

Folds in part

HumanaChoice (H5216-196) is not offered under this ID in 2027. The CMS plan crosswalk of October 1, 2026 moves its members into HumanaChoice (H5216-223), in the 22 counties where that plan is sold (3,691 members in September 2026). In its other 1 county (85 members) there is no plan to move into: coverage ends December 31, 2026, and members there need to choose a new plan (counties with fewer than 11 members are not counted).

What changes for its members in HumanaChoice?

For members in the 22 counties where HumanaChoice is sold: this plan's 2026 amounts beside HumanaChoice (H5216-223) in 2027. The changed lines are marked and come first.
What you pay or get	2026	2027	Change
Monthly premium	$0 to $19	$20	up $20
In-network out-of-pocket limit, by county	$4,900 to $7,200	$4,900	down $2,300 at the top
Drug deductible	$615	$300	down $315
Part B premium reduction, monthly (best in its area)	$3	none	dropped
Specialist visit (best in its area)	$45 copay	$30 copay	down $15
Emergency room (best in its area)	$130 copay	$115 copay	down $15
Medical deductible, in network (best in its area)	$25	none	dropped
Hospital stay, in network (best in its area)	$295 a day for days 1–6, then $0 a day for days 7–90	$325 a day for days 1–6, then $0 a day for days 7–90	up $150for a 5-day stay
Ground ambulance, in network (best in its area)	$335 copay	$325 copay	down $10
Counties served	23	66	up 43
Drug tier 3, preferred brand	$47	19% of the cost	changed
Drug tier 4, non-preferred drug	47% of the cost	41% of the cost	down 6 points
Drug tier 5, specialty tier	25% of the cost	30% of the cost	up 5 points
8 lines do not change
Primary care visit (best in its area)	$0 copay	$0 copay	no change
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 $218 a day for days 21–100	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	$8	$8	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 live in Bernalillo (NM), Catron (NM), Chaves (NM), Colfax (NM), Curry (NM), DeBaca (NM), Dona Ana (NM), Eddy (NM), Grant (NM), Guadalupe (NM), Lea (NM), Los Alamos (NM), McKinley (NM), Quay (NM), Rio Arriba (NM), Roosevelt (NM), San Juan (NM), Sandoval (NM), Santa Fe (NM), Taos (NM), Torrance (NM), Valencia (NM)

If you do nothing: You are moved into HumanaChoice 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.

If you live in Cibola (NM)

Your coverage: Ends December 31, 2026: HumanaChoice is not sold where you live.
October 15 to December 7, 2026: Open enrollment: join another Medicare Advantage plan, or Original Medicare with a drug plan. Coverage starts January 1, 2027.
December 8, 2026 to the end of February 2027: A special enrollment period because the plan is leaving: you can still join a plan, but coverage starts the first day of the month after you join, so choose by December 31 to have no gap.
If you do nothing: You are enrolled in Original Medicare when the plan ends, without a drug plan unless you join one (with Extra Help or full Medicaid, Medicare enrolls you in one).
Without a drug plan: Going 63 days or more in a row without drug coverage can mean a late enrollment penalty if you join a drug plan later; joining by the end of February keeps a January and February gap under 63 days, waiting longer does not.

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.

All 23 counties, most members first; CMS hides counts under 11 per county, so the counties add up to a little less than the plan's total
County	Members, Sept. 2026	For 2027
Dona Ana, NM	1,330	moves into H5216-223
Taos, NM	393	moves into H5216-223
Santa Fe, NM	355	moves into H5216-223
Rio Arriba, NM	219	moves into H5216-223
Bernalillo, NM	180	moves into H5216-223
McKinley, NM	170	moves into H5216-223
Chaves, NM	157	moves into H5216-223
San Juan, NM	157	moves into H5216-223
Curry, NM	127	moves into H5216-223
Eddy, NM	114	moves into H5216-223
Colfax, NM	112	moves into H5216-223
Lea, NM	105	moves into H5216-223
Cibola, NM	85	plan ends here
Sandoval, NM	75	moves into H5216-223
Grant, NM	54	moves into H5216-223
Catron, NM	49	moves into H5216-223
Valencia, NM	31	moves into H5216-223
Los Alamos, NM	26	moves into H5216-223
Quay, NM	21	moves into H5216-223
Roosevelt, NM	16	moves into H5216-223
DeBaca, NM	fewer than 11	moves into H5216-223
Guadalupe, NM	fewer than 11	moves into H5216-223
Torrance, NM	fewer than 11	moves into H5216-223

Source: CMS monthly enrollment by plan and by county, September 2026 (CMS hides counts under 11).

What else should you check?

2027 plans in Dona Ana, NMThe 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