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

Humana Value Choice is not offered under this ID in 2027

H5216Contract456Plan

PPO · served 12 counties in Utah in 2026

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

CMS crosswalk: renews as H5216-471 in 7 of its 12 counties; in the others the plan ends

Renews in part

Humana Value Choice (H5216-456) is not offered under this ID in 2027. The CMS plan crosswalk of October 1, 2026 moves its members into Humana Value Choice (H5216-471) (the plan renews under a new ID), in the 7 counties where that plan is sold (19,282 members in September 2026). In its other 5 counties (3,707 members) there is no plan to move into: coverage ends December 31, 2026, and members there need to choose a new plan.

What changes for its members in Humana Value Choice?

For members in the 7 counties where Humana Value Choice is sold: this plan's 2026 amounts beside Humana Value Choice (H5216-471) in 2027. The changed lines are marked and come first.
What you pay or get	2026	2027	Change
In-network out-of-pocket limit, by county	$5,800 to $6,750	$5,000	down $1,750 at the top
Drug deductible	$615	$700	up $85
Part B premium reduction, monthly (best in its area)	$1	none	dropped
Hospital stay, in network (best in its area)	$395 a day for days 1–5, then $0 a day for days 6–90	$330 a day for days 1–4, then $0 a day for days 5–90	down $655for 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 21–65, then $0 a day for days 66–100	$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
Eyewear, yearly limit (best in its area)	$250 a year	$150 a year	down $100
Counties served	12	7	down 5
Drug tier 3, preferred brand	$47	17% of the cost	changed
12 lines do not change
Monthly premium	$0 to $27	$0	no change
Primary care visit (best in its area)	$0 copay	$0 copay	no change
Specialist visit (best in its area)	$10 copay	$10 copay	no change
Emergency room (best in its area)	$115 copay	$115 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
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
Drug tier 4, non-preferred drug	50% of the cost	50% of the cost	no change
Drug tier 5, specialty tier	25% of the cost	25% of the cost	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 Cache (UT), Davis (UT), Morgan (UT), Rich (UT), Salt Lake (UT), Utah (UT), Weber (UT)

If you do nothing: You are moved into Humana Value Choice 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 Iron (UT), Summit (UT), Tooele (UT), Wasatch (UT), Washington (UT)

Your coverage: Ends December 31, 2026: Humana Value Choice 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 12 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
Salt Lake, UT	9,528	moves into H5216-471
Utah, UT	4,149	moves into H5216-471
Davis, UT	2,579	moves into H5216-471
Weber, UT	2,291	moves into H5216-471
Washington, UT	2,024	plan ends here
Cache, UT	615	moves into H5216-471
Tooele, UT	532	plan ends here
Iron, UT	502	plan ends here
Summit, UT	351	plan ends here
Wasatch, UT	298	plan ends here
Morgan, UT	72	moves into H5216-471
Rich, UT	48	moves into H5216-471

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

What else should you check?

2027 plans in Salt Lake, UTThe 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