Humana Value Plus H5216-180 (PPO) in Humphreys County, Tennessee — 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 Plus H5216-180 (PPO) (H5216-180) is a $28-premium Medicare Advantage PPO from Humana Inc. available in Humphreys County, Tennessee in 2026, with a 3.5-star overall rating, a $4,900 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 | Humana Value Plus H5216-180 (PPO) |
| Contract ID | H5216 |
| Plan ID | 180 |
| Segment ID | 0 |
| Contract year | 2026 |
| Contract category | MA-PD |
| Plan type | PPO |
| SNP | No |
| Monthly consolidated premium | $27.70 |
| Part C premium | $0.00 |
| Part D basic premium | $27.70 |
| Part D total premium | $27.70 |
| Annual Part D deductible | $615.00 |
| Maximum out-of-pocket (in-network) | $4900.00 |
| Overall star rating | 3.5 |
How this plan is structured
- $28 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.
- $4,900 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 = Humphreys 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 Humphreys County
The CMS CY2026 Landscape file lists 58 Medicare Advantage plans in Humphreys County, Tennessee, of which 2 carry a 5.0-star overall rating and 26 have a $0 consolidated monthly premium. Consolidated premiums range from $0.00 to $157.00 per month, and in-network out-of-pocket maximums range from $2975.00 to $9250.00.
Other 5.0-star Medicare Advantage plans in Humphreys County (first three alphabetically):
| Plan | Organization | Premium | MOOP |
|---|---|---|---|
| NHC Advantage (HMO I-SNP) | Missouri Healthcare Advisors, LLC | $31.00 | $8100.00 |
| Senior Care (HMO I-SNP) | Missouri Healthcare Advisors, LLC | $0.00 | $5000.00 |
For the full county plan directory, see all Medicare plans in Humphreys County, Tennessee.
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 — H5216-180.
- 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 H5216-180 means
CMS assigns every Medicare Advantage and Part D offering a plan identifier made of three parts. In H5216-180, 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 180 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 Value Plus H5216-180 (PPO) an HMO or PPO?
Humana Value Plus H5216-180 (PPO) is a PPO Medicare Advantage plan.
Does Humana Value Plus H5216-180 (PPO) include prescription drug coverage?
Yes — Humana Value Plus H5216-180 (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 Plus H5216-180 (PPO)?
The 2026 in-network maximum out-of-pocket limit for Humana Value Plus H5216-180 (PPO) is $4900.00, per the CMS CY2026 Landscape file.
What counties offer Humana Value Plus H5216-180 (PPO) (H5216-180)?
Humana Value Plus H5216-180 (PPO) (H5216-180) is offered in 90 Tennessee counties: Anderson County, Benton County, Blount County, Bradley County, Campbell County, Cannon County, Carter County, Cheatham County, Chester County, Claiborne County, Clay County, Cocke County, Coffee County, Crockett County, Cumberland County, Davidson County, Decatur County, DeKalb County, Dickson County, Dyer County, Fayette County, Fentress County, Franklin County, Gibson County, Giles County, Grainger County, Greene County, Grundy County, Hamblen County, Hamilton County, Hancock County, Hardeman County, Hardin County, Hawkins County, Haywood County, Henderson County, Henry County, Hickman County, Houston County, Humphreys County, Jackson County, Jefferson County, Johnson County, Knox County, Lake County, Lauderdale County, Lawrence County, Lewis County, Loudon County, Macon County, Madison County, Marion County, Marshall County, Maury County, McMinn County, McNairy County, Meigs County, Monroe County, Montgomery County, Moore County, Morgan County, Obion County, Overton County, Perry County, Pickett County, Polk County, Putnam County, Rhea County, Roane County, Robertson County, Rutherford County, Scott County, Sequatchie County, Sevier County, Shelby County, Smith County, Stewart County, Sullivan County, Sumner County, Tipton County, Trousdale County, Unicoi County, Union County, Van Buren County, Warren County, Washington County, Weakley County, White County, Williamson County, and Wilson 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.