HumanaChoice H5525-005 (PPO) in Delaware County, Pennsylvania — 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 H5525-005 (PPO) (H5525-005) is a $26-premium Medicare Advantage PPO from Humana Inc. available in Delaware County, Pennsylvania in 2026, with a 3.5-star overall rating, a $8,300 in-network out-of-pocket maximum, and a $615 annual Part D drug deductible.
Plan facts (CMS CY2026 Landscape file)
| Organization | Humana Inc. |
|---|---|
| Plan name | HumanaChoice H5525-005 (PPO) |
| Contract ID | H5525 |
| Plan ID | 005 |
| Segment ID | 0 |
| Contract year | 2026 |
| Contract category | MA-PD |
| Plan type | PPO |
| SNP | No |
| Monthly consolidated premium | $26.00 |
| Part C premium | $0.00 |
| Part D basic premium | $26.00 |
| Part D total premium | $26.00 |
| Annual Part D deductible | $615.00 |
| Maximum out-of-pocket (in-network) | $8300.00 |
| Overall star rating | 3.5 |
How this plan is structured
- $26 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.
- $8,300 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 = Delaware 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 Delaware County
The CMS CY2026 Landscape file lists 100 Medicare Advantage plans in Delaware County, Pennsylvania, of which 6 carry a 5.0-star overall rating and 46 have a $0 consolidated monthly premium. Consolidated premiums range from $0.00 to $214.00 per month, and in-network out-of-pocket maximums range from $1000.00 to $9250.00.
Other 5.0-star Medicare Advantage plans in Delaware County (first three alphabetically):
| Plan | Organization | Premium | MOOP |
|---|---|---|---|
| Erickson Advantage Champion (HMO-POS C-SNP) | UnitedHealth Group, Inc. | $182.00 | $3400.00 |
| Erickson Advantage Freedom (HMO-POS) | UnitedHealth Group, Inc. | $89.00 | $4900.00 |
| Erickson Advantage Guardian (HMO-POS I-SNP) | UnitedHealth Group, Inc. | $0.00 | $1000.00 |
For the full county plan directory, see all Medicare plans in Delaware County, Pennsylvania.
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 — H5525-005.
- 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 H5525-005 means
CMS assigns every Medicare Advantage and Part D offering a plan identifier made of three parts. In H5525-005, the leading H marks the contract type (H = Medicare Advantage / Part C contract), the four digits 5525 are the contract number issued to the organization, and the three-digit 005 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 H5525-005 (PPO) an HMO or PPO?
HumanaChoice H5525-005 (PPO) is a PPO Medicare Advantage plan.
Does HumanaChoice H5525-005 (PPO) include prescription drug coverage?
Yes — HumanaChoice H5525-005 (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 HumanaChoice H5525-005 (PPO)?
The 2026 in-network maximum out-of-pocket limit for HumanaChoice H5525-005 (PPO) is $8300.00, per the CMS CY2026 Landscape file.
What counties offer HumanaChoice H5525-005 (PPO) (H5525-005)?
HumanaChoice H5525-005 (PPO) (H5525-005) is offered in 31 Pennsylvania counties: Armstrong County, Bradford County, Carbon County, Centre County, Chester County, Clinton County, Columbia County, Crawford County, Delaware County, Erie County, Jefferson County, Lackawanna County, Lawrence County, Luzerne County, Lycoming County, McKean County, Mercer County, Monroe County, Montgomery County, Montour County, Northampton County, Philadelphia County, Potter County, Schuylkill County, Sullivan County, Susquehanna County, Tioga County, Union County, Warren County, Wayne County, and Wyoming 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.