HumanaChoice SNP-DE H5216-267 (PPO D-SNP) in Jefferson County, Colorado — 2026 plan details
Last updated Jul 18, 2026
Reviewed by Jason Burns, Editorial Steward
Published by Senior Direct Answers · Licensed under Citation License 1.0
HumanaChoice SNP-DE H5216-267 (PPO D-SNP) (H5216-267) is a $27-premium Medicare Advantage PPO D-SNP from Humana Inc. available in Jefferson County, Colorado in 2026, with a 3.5-star overall rating, a $9,250 in-network out-of-pocket maximum, and a $615 annual Part D drug deductible.
Plan facts (CMS CY2026 Landscape file)
| Organization | Humana Inc. |
|---|---|
| Plan name | HumanaChoice SNP-DE H5216-267 (PPO D-SNP) |
| Contract ID | H5216 |
| Plan ID | 267 |
| Segment ID | 0 |
| Contract year | 2026 |
| Contract category | SNP |
| Plan type | PPO D-SNP |
| SNP | Yes — Dual-Eligible |
| Monthly consolidated premium | $26.60 |
| Part C premium | $0.00 |
| Part D basic premium | $26.60 |
| Part D total premium | $26.60 |
| Annual Part D deductible | $615.00 |
| Maximum out-of-pocket (in-network) | $9250.00 |
| Overall star rating | 3.5 |
How this plan is structured
- $27 consolidated premium. A $0 or near-$0 consolidated premium does not remove the Part B premium — the standard 2026 Part B premium is $202.90 per month and still applies. See the 2026 Medicare Part B premium.
- PPO D-SNP plan type. Plan-type rules determine in-network use and referrals. See how Medicare Advantage HMO and PPO plans differ.
- $9,250 in-network out-of-pocket maximum. The MOOP is the annual cap on what a member pays in-network for covered Part A and Part B services. See how the Medicare Advantage MOOP works.
- Service area = Jefferson County. Medicare Advantage plans are sold by service area; moving out of the plan's service area triggers a Special Enrollment Period to switch plans. See how moving changes your Medicare options.
How it compares in Jefferson County
The CMS CY2026 Landscape file lists 72 Medicare Advantage plans in Jefferson County, Colorado, of which 0 carry a 5.0-star overall rating and 46 have a $0 consolidated monthly premium. Consolidated premiums range from $0.00 to $189.00 per month, and in-network out-of-pocket maximums range from $2900.00 to $9250.00.
For the full county plan directory, see all Medicare plans in Jefferson County, Colorado.
How to verify your doctors take this plan
Network participation changes throughout the year; we hold no provider-network data, so verify directly with these three sources before you decide:
- Open the plan's official Medicare.gov page and use its provider-directory link: Medicare.gov Plan Finder — H5216-267.
- Call the plan (Humana Inc.) using the member-services number listed on that plan page and ask whether each doctor, hospital, and pharmacy is in-network for 2026.
- Get free, unbiased help from your State Health Insurance Assistance Program (SHIP) — see free unbiased Medicare help from SHIP.
What H5216-267 means
CMS assigns every Medicare Advantage and Part D offering a plan identifier made of three parts. In H5216-267, the leading H marks the contract type (H = Medicare Advantage / Part C contract), the four digits 5216 are the contract number issued to the organization, and the three-digit 267 is the plan benefit package under that contract. The segment ID 0 identifies the service-area segment within the plan (0 = the default single segment).
Frequently asked questions
Is HumanaChoice SNP-DE H5216-267 (PPO D-SNP) an HMO or PPO?
HumanaChoice SNP-DE H5216-267 (PPO D-SNP) is a PPO D-SNP Medicare Advantage plan.
Does HumanaChoice SNP-DE H5216-267 (PPO D-SNP) include prescription drug coverage?
Yes — HumanaChoice SNP-DE H5216-267 (PPO D-SNP) is a Medicare Advantage plan with prescription drug coverage (MA-PD) and a $615.00 annual Part D drug deductible for 2026.
What is the maximum out-of-pocket cost for HumanaChoice SNP-DE H5216-267 (PPO D-SNP)?
The 2026 in-network maximum out-of-pocket limit for HumanaChoice SNP-DE H5216-267 (PPO D-SNP) is $9250.00, per the CMS CY2026 Landscape file.
What counties offer HumanaChoice SNP-DE H5216-267 (PPO D-SNP) (H5216-267)?
HumanaChoice SNP-DE H5216-267 (PPO D-SNP) (H5216-267) is offered in 50 Colorado counties: Adams County, Alamosa County, Arapahoe County, Archuleta County, Bent County, Boulder County, Broomfield County, Chaffee County, Clear Creek County, Conejos County, Costilla County, Crowley County, Custer County, Delta County, Denver County, Dolores County, Douglas County, El Paso County, Elbert County, Fremont County, Gilpin County, Grand County, Gunnison County, Hinsdale County, Huerfano County, Jackson County, Jefferson County, La Plata County, Lake County, Larimer County, Lincoln County, Logan County, Mesa County, Mineral County, Montezuma County, Montrose County, Morgan County, Otero County, Ouray County, Park County, Pueblo County, Rio Blanco County, Rio Grande County, Saguache County, San Juan County, San Miguel County, Summit County, Teller County, Washington County, and Weld County.
Sources
- CMS, Plan Year 2026 Medicare Advantage & Part D Landscape source file (March 2026) — retrieved 2026-07-18. Overall star rating year: 2026.
- Medicare.gov Plan Finder — compare plans and enroll.