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

HumanaChoice Giveback, 2027

H5216Contract264Plan

PPO · 109 counties in Arkansas, Oklahoma

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

Renews for 2027

2026 star rating, contract H5216: 3.5 of 5

HumanaChoice Giveback (H5216-264) costs $0 a month in 2027, the same as in 2026, with an in-network out-of-pocket limit of $7,925.

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
Drug deductible$0$700up $700
Part B premium reduction, monthly$102$91down $11
Medical deductible, in network$375$400up $25
Hospital stay, in network$360 a day for days 1–6, then $0 a day for days 7–90$395 a day for days 1–6, then $0 a day for days 7–90up $175for a 5-day stay
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$200 a year$100 a yeardown $100
Counties served107109up 2
Drug tier 3, preferred brand$3017% of the costchanged
Drug tier 4, non-preferred drug35% of the cost50% of the costup 15 points
Drug tier 5, specialty tier33% of the cost25% of the costdown 8 points
10 lines do not change
Monthly premium$0$0no change
In-network out-of-pocket limit$7,925$7,925no change
Primary care visit$0 copay$0 copayno change
Specialist visit$35 copay$35 copayno change
Emergency room$115 copay$115 copayno 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
Drug tier 1, preferred generic$0$0no change
Drug tier 2, generic$0$0no 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$0$0
Tier 3Preferred Brand$3017% of the cost
Tier 4Non-Preferred Drug35% of the cost50% of the cost
Tier 5Specialty Tier33% 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, 92 plans open to everyone are sold for 2027, this one included. Against the others, 77 plans have a lower out-of-pocket limit, 1 the same, 13 a higher one. On the premium, 71 the same, 20 a higher one.

Out-of-pocket limits of the 92 plans open to everyone

$0 to under $2,0000 plans
$2,000 to under $4,0005 plans
$4,000 to under $6,00029 plans
$6,000 to under $8,000 (this plan)45 plans
$8,000 to $10,00013 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 109 counties: $0 a month and $7,925.

ArkansasOklahoma

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
H5216-264
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
11,346
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.