Humana Value Choice H5216-318 (PPO) in Crawford County, Missouri — 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 Value Choice H5216-318 (PPO) (H5216-318) is a $0-premium Medicare Advantage PPO from Humana Inc. available in Crawford County, Missouri in 2026, with a 3.5-star overall rating, a $3,500 in-network out-of-pocket maximum, and a $615 annual Part D drug deductible.

Plan facts (CMS CY2026 Landscape file)

OrganizationHumana Inc.
Plan nameHumana Value Choice H5216-318 (PPO)
Contract IDH5216
Plan ID318
Segment ID1
Contract year2026
Contract categoryMA-PD
Plan typePPO
SNPNo
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$615.00
Maximum out-of-pocket (in-network)$3500.00
Overall star rating3.5

How this plan is structured

How it compares in Crawford County

The CMS CY2026 Landscape file lists 73 Medicare Advantage plans in Crawford County, Missouri, of which 0 carry a 5.0-star overall rating and 37 have a $0 consolidated monthly premium. Consolidated premiums range from $0.00 to $254.00 per month, and in-network out-of-pocket maximums range from $2000.00 to $9250.00.

For the full county plan directory, see all Medicare plans in Crawford County, Missouri.

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 — H5216-318.
  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 H5216-318 means

CMS assigns every Medicare Advantage and Part D offering a plan identifier made of three parts. In H5216-318, 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 318 is the plan benefit package under that contract. The segment ID 1 identifies the service-area segment within the plan (0 = the default single segment).

Frequently asked questions

Is Humana Value Choice H5216-318 (PPO) an HMO or PPO?

Humana Value Choice H5216-318 (PPO) is a PPO Medicare Advantage plan.

Does Humana Value Choice H5216-318 (PPO) include prescription drug coverage?

Yes — Humana Value Choice H5216-318 (PPO) 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 Value Choice H5216-318 (PPO)?

The 2026 in-network maximum out-of-pocket limit for Humana Value Choice H5216-318 (PPO) is $3500.00, per the CMS CY2026 Landscape file.

What counties offer Humana Value Choice H5216-318 (PPO) (H5216-318)?

Humana Value Choice H5216-318 (PPO) (H5216-318) is offered in 77 Missouri counties: Audrain County, Barry County, Barton County, Bates County, Benton County, Bollinger County, Boone County, Butler County, Callaway County, Camden County, Cape Girardeau County, Carroll County, Carter County, Cass County, Cedar County, Christian County, Clay County, Cole County, Cooper County, Crawford County, Dade County, Dallas County, Dent County, Douglas County, Dunklin County, Franklin County, Gasconade County, Greene County, Hickory County, Howard County, Howell County, Iron County, Jackson County, Jasper County, Jefferson County, Laclede County, Lafayette County, Lawrence County, Lincoln County, Madison County, Maries County, McDonald County, Miller County, Moniteau County, Montgomery County, Morgan County, Newton County, Oregon County, Osage County, Ozark County, Perry County, Pettis County, Phelps County, Pike County, Platte County, Polk County, Pulaski County, Ray County, Reynolds County, Saline County, Scott County, St. Charles County, St. Clair County, St. Francois County, St. Louis County, St. Louis City County, Ste. Genevieve County, Stoddard County, Stone County, Taney County, Texas County, Vernon County, Warren County, Washington County, Wayne County, Webster County, and Wright County.

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