Plan year 2027 · Medicare AdvantageCMS files of Sept. 22 and Oct. 1, 2026
Humana Value Choice, 2027
H5525Contract051Plan
PPO · 59 counties in Pennsylvania
Run by Humana Benefit Plan of Illinois, Inc. (contract H5525), sold as Humana, owned by Humana Inc.
Humana Value Choice (H5525-051) costs $0 a month in 2027, the same as in 2026, with an in-network out-of-pocket limit of $7,750 to $8,000 depending on the county ($7,500 to $7,800 in 2026). In 2026 it was called HumanaChoice.
What changes from 2026 to 2027?
| What you pay or get | 2026 | 2027 | Change |
|---|---|---|---|
| Plan name | HumanaChoice | Humana Value Choice | renamed |
| In-network out-of-pocket limit, by county | $7,500 to $7,800 | $7,750 to $8,000 | ▲up $200 at the top |
| Drug deductible | $615 | $700 | ▲up $85 |
| Specialist visit (best in its area) | $25 copay | $35 copay | ▲up $10 |
| Hospital stay, in network (best in its area) | $362 a day for days 1–7, then $0 a day for days 8–90 | $388 a day for days 1–7, then $0 a day for days 8–90 | ▲up $130for 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 21–100 | $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) | $400 a year | $100 a year | ▼down $300 |
| Counties served | 58 | 59 | ▲up 1 |
| Drug tier 3, preferred brand | $47 | 17% of the cost | changed |
| Drug tier 4, non-preferred drug | 47% of the cost | 50% of the cost | ▲up 3 points |
| 11 lines do not change | |||
| Monthly premium | $0 | $0 | no change |
| Part B premium reduction, monthly (best in its area) | none | none | no change |
| Primary care visit (best in its area) | $0 copay | $0 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 5, specialty tier | 25% of the cost | 25% of the cost | no 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?
| Tier | What the tier holds | 2026 | 2027 |
|---|---|---|---|
| Tier 1 | Preferred Generic | $0 | $0 |
| Tier 2 | Generic | $5 | $5 |
| Tier 3 | Preferred Brand | $47 | 17% of the cost |
| Tier 4 | Non-Preferred Drug | 47% of the cost | 50% of the cost |
| Tier 5 | Specialty Tier | 25% of the cost | 25% 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, 185 plans open to everyone are sold for 2027, this one included. Against the others, 134 plans have a lower out-of-pocket limit, 50 a higher one. On the premium, 100 the same, 84 a higher one.
Out-of-pocket limits of the 185 plans open to everyone
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?
| Monthly premium | Out-of-pocket limit | Where |
|---|---|---|
| $0 | $7,750 | Bucks (PA), Chester (PA), Delaware (PA), Montgomery (PA), Philadelphia (PA) |
| $0 | $8,000 | Adams (PA), Allegheny (PA), Armstrong (PA), Beaver (PA), Bedford (PA), Berks (PA), Blair (PA), Bradford (PA), Butler (PA), Cambria (PA), Cameron (PA), Carbon (PA), Clarion (PA), Clearfield (PA), Clinton (PA), Columbia (PA), Crawford (PA), Cumberland (PA), Dauphin (PA), Elk (PA), Erie (PA), Fayette (PA), Forest (PA), Greene (PA), Huntingdon (PA), Jefferson (PA), Juniata (PA), Lackawanna (PA), Lancaster (PA), Lawrence (PA), Lebanon (PA), Lehigh (PA), Luzerne (PA), Lycoming (PA), McKean (PA), Mercer (PA), Mifflin (PA), Monroe (PA), Montour (PA), Northampton (PA), Perry (PA), Schuylkill (PA), Snyder (PA), Somerset (PA), Sullivan (PA), Susquehanna (PA), Union (PA), Venango (PA), Warren (PA), Washington (PA), Wayne (PA), Westmoreland (PA), Wyoming (PA), York (PA) |
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
- H5525-051
- Legal name of the contract
- Humana Benefit Plan of Illinois, Inc.
- 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 3.5 of 5
- Members, September 2026
- 8,479
- 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?
- Other 2027 plans in Philadelphia, PAWhere most of its members live; premiums and limits side by side
- Every Humana plan for 2027Its contracts, counties and plans that end
- The other 28 plans of contract H5525Same company, same contract
- Is your prescription covered?Coverage share and tier for 2,259 drugs
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.