Plan year 2026 · coverage ends Dec. 31, 2026CMS crosswalk of Oct. 1, 2026
Humana Gold Plus is not offered under this ID in 2027
H5619Contract148Plan
HMO · served 11 counties in California in 2026
Run by Arcadian Health Plan, Inc. (contract H5619), sold as Humana, owned by Humana Inc.
CMS crosswalk: renews as H5619-191 in 10 of its 11 counties; in the others the plan ends
Humana Gold Plus (H5619-148) is not offered under this ID in 2027. The CMS plan crosswalk of October 1, 2026 moves its members into Humana Gold Plus (H5619-191) (the plan renews under a new ID), in the 10 counties where that plan is sold (13,844 members in September 2026). In its other 1 county (273 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 Gold Plus?
| What you pay or get | 2026 | 2027 | Change |
|---|---|---|---|
| In-network out-of-pocket limit, by county | $2,900 | $3,200 to $4,000 | ▲up $1,100 at the top |
| Drug deductible | $615 | $200 | ▼down $415 |
| Hospital stay, in network (best in its area) | $150 a day for days 1–5, then $0 a day for days 6–90 | $275 a day for days 1–5, then $0 a day for days 6–90 | ▲up $625for a 5-day stay |
| Skilled nursing facility, in network (best in its area) | $20 a day for days 1–20, then $218 a day for days 21–100 | $20 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 | $200 a year | ▼down $50 |
| Counties served | 11 | 10 | ▼down 1 |
| Drug tier 2, generic | $5 | $0 | ▼down $5 |
| Drug tier 3, preferred brand | $47 | 17% of the cost | changed |
| Drug tier 4, non-preferred drug | 43% of the cost | 50% of the cost | ▲up 7 points |
| Drug tier 5, specialty tier | 25% of the cost | 31% of the cost | ▲up 6 points |
| 10 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 |
| Specialist visit (best in its area) | $0 copay | $0 copay | no change |
| Emergency room (best in its area) | $150 copay | $150 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 |
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 Fresno (CA), Kern (CA), Kings (CA), Madera (CA), Riverside (CA), San Bernardino (CA), San Luis Obispo (CA), Stanislaus (CA), Tulare (CA), Ventura (CA)
- If you do nothing
- You are moved into Humana Gold Plus 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 San Diego (CA)
- Your coverage
- Ends December 31, 2026: Humana Gold Plus 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.
| County | Members, Sept. 2026 | For 2027 |
|---|---|---|
| Tulare, CA | 4,625 | moves into H5619-191 |
| Ventura, CA | 4,578 | moves into H5619-191 |
| Stanislaus, CA | 2,117 | moves into H5619-191 |
| Kings, CA | 965 | moves into H5619-191 |
| Fresno, CA | 664 | moves into H5619-191 |
| San Luis Obispo, CA | 285 | moves into H5619-191 |
| San Diego, CA | 273 | plan ends here |
| Riverside, CA | 224 | moves into H5619-191 |
| Kern, CA | 145 | moves into H5619-191 |
| San Bernardino, CA | 125 | moves into H5619-191 |
| Madera, CA | 116 | moves into H5619-191 |
Source: CMS monthly enrollment by plan and by county, September 2026 (CMS hides counts under 11).
What else should you check?
- 2027 plans in Tulare, CAThe 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