Humana PathWays Dual Care (HMO-POS D-SNP) in Wayne County, Indiana — 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 PathWays Dual Care (HMO-POS D-SNP) (H4939-001) is a $21-premium Medicare Advantage HMO-POS D-SNP from Humana Inc. available in Wayne County, Indiana in 2026, with a -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)

OrganizationHumana Inc.
Plan nameHumana PathWays Dual Care (HMO-POS D-SNP)
Contract IDH4939
Plan ID001
Segment ID0
Contract year2026
Contract categorySNP
Plan typeHMO-POS D-SNP
SNPYes — Dual-Eligible
Monthly consolidated premium$20.90
Part C premium$0.00
Part D basic premium$20.90
Part D total premium$20.90
Annual Part D deductible$615.00
Maximum out-of-pocket (in-network)$9250.00
Overall star rating

How this plan is structured

  • $21 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-POS 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 = Wayne 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 Wayne County

The CMS CY2026 Landscape file lists 45 Medicare Advantage plans in Wayne County, Indiana, of which 0 carry a 5.0-star overall rating and 22 have a $0 consolidated monthly premium. Consolidated premiums range from $0.00 to $97.00 per month, and in-network out-of-pocket maximums range from $3900.00 to $9250.00.

For the full county plan directory, see all Medicare plans in Wayne County, Indiana.

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:

  1. Open the plan's official Medicare.gov page and use its provider-directory link: Medicare.gov Plan Finder — H4939-001.
  2. 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.
  3. Get free, unbiased help from your State Health Insurance Assistance Program (SHIP) — see free unbiased Medicare help from SHIP.

What H4939-001 means

CMS assigns every Medicare Advantage and Part D offering a plan identifier made of three parts. In H4939-001, the leading H marks the contract type (H = Medicare Advantage / Part C contract), the four digits 4939 are the contract number issued to the organization, and the three-digit 001 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 PathWays Dual Care (HMO-POS D-SNP) an HMO or PPO?

Humana PathWays Dual Care (HMO-POS D-SNP) is an HMO-POS D-SNP — a Health Maintenance Organization-style Medicare Advantage plan, meaning in-network care and referral rules generally apply.

Does Humana PathWays Dual Care (HMO-POS D-SNP) include prescription drug coverage?

Yes — Humana PathWays Dual Care (HMO-POS 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 Humana PathWays Dual Care (HMO-POS D-SNP)?

The 2026 in-network maximum out-of-pocket limit for Humana PathWays Dual Care (HMO-POS D-SNP) is $9250.00, per the CMS CY2026 Landscape file.

What counties offer Humana PathWays Dual Care (HMO-POS D-SNP) (H4939-001)?

Humana PathWays Dual Care (HMO-POS D-SNP) (H4939-001) is offered in 92 Indiana counties: Adams County, Allen County, Bartholomew County, Benton County, Blackford County, Boone County, Brown County, Carroll County, Cass County, Clark County, Clay County, Clinton County, Crawford County, Daviess County, Dearborn County, Decatur County, DeKalb County, Delaware County, Dubois County, Elkhart County, Fayette County, Floyd County, Fountain County, Franklin County, Fulton County, Gibson County, Grant County, Greene County, Hamilton County, Hancock County, Harrison County, Hendricks County, Henry County, Howard County, Huntington County, Jackson County, Jasper County, Jay County, Jefferson County, Jennings County, Johnson County, Knox County, Kosciusko County, La Porte County, Lagrange County, Lake County, Lawrence County, Madison County, Marion County, Marshall County, Martin County, Miami County, Monroe County, Montgomery County, Morgan County, Newton County, Noble County, Ohio County, Orange County, Owen County, Parke County, Perry County, Pike County, Porter County, Posey County, Pulaski County, Putnam County, Randolph County, Ripley County, Rush County, Scott County, Shelby County, Spencer County, St. Joseph County, Starke County, Steuben County, Sullivan County, Switzerland County, Tippecanoe County, Tipton County, Union County, Vanderburgh County, Vermillion County, Vigo County, Wabash County, Warren County, Warrick County, Washington County, Wayne County, Wells County, White County, and Whitley County.

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