H5216-072HumanaChoice Florida H5216-072 (PPO)2026 Medicare Advantage Prescription Drug Plan

MA-PDPPO

Humana

Plan ID: H5216-072 · Contract: H5216

Use this Medicare plan ID to verify you are comparing the exact 2026 plan before checking benefits, county availability, drug coverage, provider networks, and costs.

3.5

Plan history signals: Very Stable

A plain-language summary of year-over-year CMS plan data, not a CMS rating or guarantee.

What the available history shows:

Plan continues unchanged (renewed)

How this PPO works

A PPO generally lets you use in-network or out-of-network providers that accept the plan, but out-of-network care can cost more. You usually do not need a referral for specialists. Always confirm that a provider accepts this specific plan.

Monthly Premium

$0/mo

This is the plan premium shown in CMS data. You must continue paying your Medicare Part B premium unless another program pays it for you.

Medical Deductible

Not available

CMS data does not list a medical deductible for this plan. This does not mean the cost is $0.

Drug Deductible

$615

Max Out-of-Pocket

$5,600

Common Medical Cost Sharing

A copay is a fixed dollar amount. Coinsurance is a percentage of the allowed cost. The amount you owe can depend on the service, provider, network, and plan rules.

$0 copay

Primary Care

Not available in the CMS data

Specialist

$130 copay

Emergency Room

$15 copay

Urgent Care

Supplemental Benefits

🦷 Dental
👁️ Vision
👂 Hearing
🏋️ Fitness
💊 OTC Benefit
🚘 Transportation
📱 Telehealth
🍲 Meals

Benefit Details

Preventive Dental$40 copay
Comprehensive Dental
Vision - Eye Exams$0 copay
Vision - Eyewear
Hearing Exams & Aids
Fitness/Wellness$0 copay
Meals

Drug Coverage Summary

Drug Deductible

$615

Drug Premium

$0/mo

This plan includes Part D prescription drug coverage. Drug costs depend on which tier your medications fall under. Use our comparison tool to estimate your specific drug costs.

Medical Benefits

Inpatient Hospital

inpatient

In-network: Not available in the CMS data

Emergency Room

emergency

In-network: $130 copay

Urgent Care

urgent_care

In-network: $15 copay

Primary Care

primary_care

In-network: $0 copay

Specialist

specialist

In-network: Not available in the CMS data

Outpatient Hospital

outpatient

In-network: Not available in the CMS data

Dental - Preventive

dental

In-network: $40 copay

Dental - Comprehensive

dental

In-network: Not available in the CMS data

Vision - Eye Exams

vision

In-network: $0 copay

Hearing - Exams & Aids

hearing

In-network: Not available in the CMS data

Counties Served (17)

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Data Source and Verification

Source: Centers for Medicare & Medicaid Services (CMS) public-use plan, benefit, service-area, formulary, and Star Ratings data.

Data vintage: 2026 plan-year data. CMS may revise files during the year.

Last reviewed: July 30, 2026.

Verify before enrolling: Confirm premiums, benefits, drugs, pharmacies, providers, eligibility, and service area with Medicare.gov Plan Compare or the plan. Read our methodology and editorial policy, or visit the Medicare plan FAQ.

We do not offer every plan available in your area. Any information we provide is limited to those plans we do offer in your area. Please contact Medicare.gov, 1-800-MEDICARE, or your local State Health Insurance Program (SHIP) to get information on all of your options.

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