HumanaChoice H5216-223 (PPO) (2027)

Medicare Advantage plan with drug coverage from Humana, plan ID H5216-223-000. Sold in 40 counties in Colorado, 26 counties in New Mexico.

★★★★★4.0

2027 costs

Monthly premium$20 ($11 of it for drug coverage)

Drug deductible$300

Medical deductible$0

Out-of-pocket maximum (in network)$4,900

Plan typeMedicare Advantage plan with drug coverage, PPO

Referral needed to see a specialistNo

Plan IDH5216-223-000

With a Medicare Advantage plan you also keep paying your Medicare Part B premium.

What this plan would cost for your prescriptions

Add your prescriptions to see this plan's estimated yearly cost for them, which of them are on its drug list, and how each compares with Cost Plus Drugs prices.

See this plan with my prescriptions

What you pay for medical care

Primary care visit$0

Specialist visit$30

Preventive care$0

Urgent care$50

Emergency room$115

Hospital stay$325/day

Outpatient surgery$0–$325

Lab tests$0–$100

X-rays and scans$0

Mental health visit$25

Physical therapy$30

Medical equipment20%

TelehealthCovered

In-network amounts. A range means it depends on the service or provider.

Extra benefits

DentalCovered — up to $2500 allowance

VisionCovered — up to $300/yr allowance

HearingCovered — $575–$750 copay per aid

Over-the-counter itemsCovered

FitnessNot covered

Rides to appointmentsNot covered

Drug costs by tier

Tier	30 days, standard pharmacy	30 days, preferred pharmacy	90 days by mail
1 Preferred Generic	$0	$0	$0
2 Generic	$8	$8	$0
3 Preferred Brand	19%	19%	17%
4 Non-Preferred Drug	41%	41%	41%
5 Specialty Tier	30%	30%	N/A

A percentage is coinsurance: your share of the drug's price. The drug deductible may apply first, depending on the tier. Your Part D out-of-pocket costs are capped at $2,400 for 2027.

Where it's sold

Colorado (40 counties)

New Mexico (26 counties)

Plan costs and benefits are from CMS's 2027 Medicare plan data (data as of October 27, 2026). Star ratings are CMS's 2027 Star Ratings. Every year, Medicare evaluates plans based on a 5-star rating system. Benefits, premiums and copays can change from year to year; check the plan's Evidence of Coverage, call the plan, or use Medicare.gov before you enroll.