Advantage Index

Humana Essentials Plus Giveback H5216-435 (PPO)

Humana, PPO. No monthly premium, and your spending is capped at 7,850 a year in network.

What happens to this plan in 2026

Consolidated Renewal Plan

Being merged into another plan for 2026: members move to Humana Essentials Plus Giveback H5216-435 (PPO).

From the CMS 2026 plan crosswalk, published at the start of October. Every plan’s fate for the coming year is in it.

What CMS publishes about it

InsurerHumana (part of Humana Inc.)
Plan typePPO
Contract and plan idH5216-435-2
Monthly premium$0
Of which drug coverage$0.00
Most you can pay in a year$7,850
Drug coverageYes — Enhanced
Annual drug deductible$0
Overall star rating3.5/5
Medicare Advantage stars3.5/5
Part D stars3.0/5
Counties it is sold in51
Contract year2026

How many people chose it

37,271 people were enrolled across 86 counties in September 2026. CMS suppresses any county count of ten or fewer, so the real total is a little higher than this.

How CMS rates it, domain by domain

Each domain is rated 1 to 5. 0 of 9 domains carry no rating — CMS either did not require this contract to report them or had too little data.

Where it is sold

Colorado

Adams · Alamosa · Arapahoe · Archuleta · Bent · Boulder · Broomfield · Chaffee · Clear Creek · Conejos · Costilla · Crowley · Custer · Delta · Denver · Dolores · Douglas · El Paso · Elbert · Fremont · Gilpin · Grand · Gunnison · Hinsdale · Huerfano · Jackson · Jefferson · La Plata · Lake · Larimer · Las Animas · Lincoln · Logan · Mesa · Mineral · Montezuma · Montrose · Morgan · Otero · Ouray · Park · Pueblo · Rio Blanco · Rio Grande · Saguache · San Juan · San Miguel · Summit · Teller · Washington · Weld

Get told when this changes

Its premium, out-of-pocket maximum, star rating or sanction status changing — and whether it is ending next year.

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Premiums, deductibles, maximum out-of-pocket amounts, star ratings and sanctions are reproduced from the Centers for Medicare & Medicaid Services landscape file. Enrolment counts are from the CMS monthly enrolment file; CMS suppresses any count of ten or fewer, which is why many plans show “fewer than 11” rather than a number. Plan renewals and terminations are from the 2026 plan crosswalk. Nothing on this page is calculated by us. This is not a complete list of your options and it is not advice: see Medicare.gov or call 1-800-MEDICARE.