Humana Dual Integrated (HMO D-SNP) in Miami-Dade County, Florida — 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
Humana Dual Integrated (HMO D-SNP) (H1036-339) is a $0-premium Medicare Advantage HMO D-SNP from Humana Inc. available in Miami-Dade County, Florida in 2026, with a 4.5-star overall rating, a $9,250 in-network out-of-pocket maximum, and a $0 annual Part D drug deductible.
Plan facts (CMS CY2026 Landscape file)
| Organization | Humana Inc. |
|---|---|
| Plan name | Humana Dual Integrated (HMO D-SNP) |
| Contract ID | H1036 |
| Plan ID | 339 |
| Segment ID | 0 |
| Contract year | 2026 |
| Contract category | SNP |
| Plan type | HMO D-SNP |
| SNP | Yes — Dual-Eligible |
| Monthly consolidated premium | $0.00 |
| Part C premium | $0.00 |
| Part D basic premium | $37.60 |
| Part D total premium | $0.00 |
| Annual Part D deductible | $0.00 |
| Maximum out-of-pocket (in-network) | $9250.00 |
| Overall star rating | 4.5 |
How this plan is structured
- $0 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.
- HMO D-SNP plan type. In an HMO-style Medicare Advantage plan, in-network care and primary-care referral rules generally apply. 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 = Miami-Dade 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 Miami-Dade County
The CMS CY2026 Landscape file lists 115 Medicare Advantage plans in Miami-Dade County, Florida, of which 13 carry a 5.0-star overall rating and 78 have a $0 consolidated monthly premium. Consolidated premiums range from $0.00 to $184.00 per month, and in-network out-of-pocket maximums range from $500.00 to $9250.00.
Other 5.0-star Medicare Advantage plans in Miami-Dade County (first three alphabetically):
| Plan | Organization | Premium | MOOP |
|---|---|---|---|
| DEVOTED C-SNP PLUS 085 FL (HMO C-SNP) | Devoted Health, Inc. | $4.80 | $9250.00 |
| DEVOTED C-SNP PREMIUM 067 FL (HMO C-SNP) | Devoted Health, Inc. | $4.80 | $3900.00 |
| DEVOTED CORE 001 FL (HMO) | Devoted Health, Inc. | $0.00 | $3900.00 |
For the full county plan directory, see all Medicare plans in Miami-Dade County, Florida.
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 — H1036-339.
- 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 H1036-339 means
CMS assigns every Medicare Advantage and Part D offering a plan identifier made of three parts. In H1036-339, the leading H marks the contract type (H = Medicare Advantage / Part C contract), the four digits 1036 are the contract number issued to the organization, and the three-digit 339 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 Humana Dual Integrated (HMO D-SNP) an HMO or PPO?
Humana Dual Integrated (HMO D-SNP) is an HMO D-SNP — a Health Maintenance Organization-style Medicare Advantage plan, meaning in-network care and referral rules generally apply.
Does Humana Dual Integrated (HMO D-SNP) include prescription drug coverage?
Yes — Humana Dual Integrated (HMO D-SNP) is a Medicare Advantage plan with prescription drug coverage (MA-PD) and a $0.00 annual Part D drug deductible for 2026.
What is the maximum out-of-pocket cost for Humana Dual Integrated (HMO D-SNP)?
The 2026 in-network maximum out-of-pocket limit for Humana Dual Integrated (HMO D-SNP) is $9250.00, per the CMS CY2026 Landscape file.
What counties offer Humana Dual Integrated (HMO D-SNP) (H1036-339)?
Humana Dual Integrated (HMO D-SNP) (H1036-339) is offered in eight Florida counties: Broward County, Glades County, Indian River County, Martin County, Miami-Dade County, Okeechobee County, Palm Beach County, and St. Lucie 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.