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

Humana Gold Plus Giveback, 2027

H5619Contract150Plan

HMO · 7 counties in California

Run by Arcadian Health Plan, Inc. (contract H5619), sold as Humana, owned by Humana Inc.

Renews for 2027

2026 star rating, contract H5619: 3 of 5

Humana Gold Plus Giveback (H5619-150) costs $0 a month in 2027, the same as in 2026, with an in-network out-of-pocket limit of $5,000.

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$59$42down $17
Skilled nursing facility, in network$10 a day for days 1–20, then $218 a day for days 21–100$10 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$150 a year$100 a yeardown $50
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
13 lines do not change
Monthly premium$0$0no change
In-network out-of-pocket limit$5,000$5,000no change
Primary care visit$0 copay$0 copayno change
Specialist visit$30 copay$30 copayno change
Emergency room$130 copay$130 copayno change
Medical deductible, in networknonenoneno change
Hospital stay, in network$250 a day for days 1–5, then $0 a day for days 6–90$250 a day for days 1–5, then $0 a day for days 6–90no 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
Counties served77no 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, 114 plans open to everyone are sold for 2027, this one included. Against the others, 101 plans have a lower out-of-pocket limit, 12 a higher one. On the premium, 96 the same, 17 a higher one.

Out-of-pocket limits of the 114 plans open to everyone

$0 to under $2,00043 plans
$2,000 to under $4,00041 plans
$4,000 to under $6,000 (this plan)22 plans
$6,000 to under $8,0006 plans
$8,000 to $10,0002 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 7 counties: $0 a month and $5,000.

California

FresnoKernMaderaRiversideSan BernardinoSan DiegoVentura

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
H5619-150
Legal name of the contract
Arcadian Health Plan, Inc.
Sold as
Humana
Parent company
Humana Inc.
Plan type
HMO
2026 star rating of the contract
3 of 5 overall; health plan 3.5 of 5, drug plan 3 of 5
Members, September 2026
5,177
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.