Humana Full Access H5216-011 (PPO) in Isabella 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
Humana Full Access H5216-011 (PPO) (H5216-011) is a $18-premium Medicare Advantage PPO from Humana Inc. available in Isabella County, Michigan in 2026, with a 3.5-star overall rating, a $5,700 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 | Humana Full Access H5216-011 (PPO) |
| Contract ID | H5216 |
| Plan ID | 011 |
| Segment ID | 0 |
| Contract year | 2026 |
| Contract category | MA-PD |
| Plan type | PPO |
| SNP | No |
| Monthly consolidated premium | $18.00 |
| Part C premium | $1.80 |
| Part D basic premium | $16.20 |
| Part D total premium | $16.20 |
| Annual Part D deductible | $300.00 |
| Maximum out-of-pocket (in-network) | $5700.00 |
| Overall star rating | 3.5 |
How this plan is structured
- $18 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 plan type. Plan-type rules determine in-network use and referrals. See how Medicare Advantage HMO and PPO plans differ.
- $5,700 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 = Isabella 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 Isabella County
The CMS CY2026 Landscape file lists 48 Medicare Advantage plans in Isabella County, Michigan, 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 $225.00 per month, and in-network out-of-pocket maximums range from $4000.00 to $9250.00.
For the full county plan directory, see all Medicare plans in Isabella 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 — H5216-011.
- 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 H5216-011 means
CMS assigns every Medicare Advantage and Part D offering a plan identifier made of three parts. In H5216-011, 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 011 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 Full Access H5216-011 (PPO) an HMO or PPO?
Humana Full Access H5216-011 (PPO) is a PPO Medicare Advantage plan.
Does Humana Full Access H5216-011 (PPO) include prescription drug coverage?
Yes — Humana Full Access H5216-011 (PPO) 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 Humana Full Access H5216-011 (PPO)?
The 2026 in-network maximum out-of-pocket limit for Humana Full Access H5216-011 (PPO) is $5700.00, per the CMS CY2026 Landscape file.
What counties offer Humana Full Access H5216-011 (PPO) (H5216-011)?
Humana Full Access H5216-011 (PPO) (H5216-011) is offered in 74 Michigan counties: Alcona County, Allegan County, Alpena County, Antrim County, Arenac County, Barry County, Bay County, Benzie County, Berrien County, Branch County, Calhoun County, Cass County, Charlevoix County, Cheboygan County, Chippewa County, Clare County, Clinton County, Crawford County, Delta County, Dickinson County, Eaton County, Emmet County, Genesee County, Gladwin County, Gogebic County, Grand Traverse County, Gratiot County, Hillsdale County, Houghton County, Huron County, Ingham County, Ionia County, Iosco County, Isabella County, Jackson County, Kalamazoo County, Kalkaska County, Kent County, Keweenaw County, Lake County, Lapeer County, Leelanau County, Lenawee County, Livingston County, Macomb County, Marquette County, Mason County, Mecosta County, Menominee County, Midland County, Missaukee County, Monroe County, Montcalm County, Montmorency County, Muskegon County, Newaygo County, Oakland County, Oceana County, Ogemaw County, Osceola County, Oscoda County, Otsego County, Ottawa County, Presque Isle County, Roscommon County, Saginaw County, Sanilac County, Shiawassee County, St. Clair County, St. Joseph County, Van Buren County, Washtenaw County, Wayne County, and Wexford 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.