HumanaChoice - Diabetes and Heart (PPO C-SNP) in Ingham County, Michigan — 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 - Diabetes and Heart (PPO C-SNP) (H5216-375) is a $0-premium Medicare Advantage PPO C-SNP from Humana Inc. available in Ingham County, Michigan in 2026, with a 3.5-star overall rating, a $6,550 in-network out-of-pocket maximum, and a $300 annual Part D drug deductible.
Plan facts (CMS CY2026 Landscape file)
| Organization | Humana Inc. |
|---|---|
| Plan name | HumanaChoice - Diabetes and Heart (PPO C-SNP) |
| Contract ID | H5216 |
| Plan ID | 375 |
| Segment ID | 0 |
| Contract year | 2026 |
| Contract category | SNP |
| Plan type | PPO C-SNP |
| SNP | Yes — Chronic or Disabling Condition |
| Monthly consolidated premium | $0.00 |
| Part C premium | $0.00 |
| Part D basic premium | $0.00 |
| Part D total premium | $0.00 |
| Annual Part D deductible | $300.00 |
| Maximum out-of-pocket (in-network) | $6550.00 |
| Overall star rating | 3.5 |
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.
- PPO C-SNP plan type. Plan-type rules determine in-network use and referrals. See how Medicare Advantage HMO and PPO plans differ.
- $6,550 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 = Ingham 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 Ingham County
The CMS CY2026 Landscape file lists 77 Medicare Advantage plans in Ingham County, Michigan, of which 0 carry a 5.0-star overall rating and 42 have a $0 consolidated monthly premium. Consolidated premiums range from $0.00 to $247.40 per month, and in-network out-of-pocket maximums range from $3950.00 to $9250.00.
For the full county plan directory, see all Medicare plans in Ingham County, Michigan.
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 — H5216-375.
- 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 H5216-375 means
CMS assigns every Medicare Advantage and Part D offering a plan identifier made of three parts. In H5216-375, 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 375 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 - Diabetes and Heart (PPO C-SNP) an HMO or PPO?
HumanaChoice - Diabetes and Heart (PPO C-SNP) is a PPO C-SNP Medicare Advantage plan.
Does HumanaChoice - Diabetes and Heart (PPO C-SNP) include prescription drug coverage?
Yes — HumanaChoice - Diabetes and Heart (PPO C-SNP) is a Medicare Advantage plan with prescription drug coverage (MA-PD) and a $300.00 annual Part D drug deductible for 2026.
What is the maximum out-of-pocket cost for HumanaChoice - Diabetes and Heart (PPO C-SNP)?
The 2026 in-network maximum out-of-pocket limit for HumanaChoice - Diabetes and Heart (PPO C-SNP) is $6550.00, per the CMS CY2026 Landscape file.
What counties offer HumanaChoice - Diabetes and Heart (PPO C-SNP) (H5216-375)?
HumanaChoice - Diabetes and Heart (PPO C-SNP) (H5216-375) is offered in 47 Michigan counties: Allegan County, Arenac County, Barry County, Bay County, Berrien County, Branch County, Calhoun County, Cass County, Clare County, Clinton County, Eaton County, Genesee County, Gladwin County, Gratiot County, Hillsdale County, Huron County, Ingham County, Ionia County, Isabella County, Jackson County, Kalamazoo County, Kent County, Lake County, Lapeer County, Lenawee County, Livingston County, Macomb County, Mason County, Mecosta County, Midland County, Monroe County, Montcalm County, Muskegon County, Newaygo County, Oakland County, Oceana County, Osceola County, Ottawa County, Saginaw County, Sanilac County, Shiawassee County, St. Clair County, St. Joseph County, Tuscola County, Van Buren County, Washtenaw County, and Wayne 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.