HumanaChoice H5216-099 (PPO) - 2022
H5216-099-000 - Humana - Local PPO
HumanaChoice H5216-099 (PPO) is a Medicare Advantage plan with drug coverage provided by Humana.
The drug plan portion of this plan provides Enhanced Alternative (EA) benefits, which are benefits that exceed the required standard.Check out the premium and drug details below for more information, or reach out to a licensed Medicare agent for help using the call number on this page. Alternatively, if you know what plan you want, you can enroll online yourself using our site as well.
Plan Basics
| Contract Year | 2022 |
| Medicare Type | Medicare Advantage Plan (Part C) |
| CMS Plan ID | H5216-099-000 |
| Plan Organization | Humana |
| Plan Type | Local PPO |
| Plan Name | HumanaChoice H5216-099 (PPO) |
| Plan Organization Type | Local CCP |
| Benefit Type | Enhanced Alternative |
| Special Needs Plan | No |
| Overall Star Rating | 4 |
Plan Cost Sharing
| Monthly Part C Premium | $17.50 |
| Monthly Part D Basic Premium | $41.50 |
| Monthly Part D Supplemental Premium | $0.00 |
| Monthly Part D Total Premium | $41.50 |
| Monthly Part D Premium Full Assistance | $8.80 |
| Monthly Part D Premium 75% Assistance | $17.00 |
| Monthly Part D Premium 50% Assistance | $25.10 |
| Monthly Part D Premium 25% Assistance | $33.30 |
| Part D Drug Deductible | $150.00 |
| Annual Drug Deductible | $150.00 |
| Tiers Excluded From Deductible | 1 |
| Maximum Out-of-Pocket Limit for Parts A & B (MOOP) | $6700.00 |
| Gap Coverage | No |
Official Medicare Contact
| Medicare Phone | 1-800-MEDICARE (1-800-633-4227) |
|---|---|
| Medicare TTY User | 1-877-486-2048 |
Plan Available in these Counties
Anderson County, Tennessee, Blount County, Tennessee, Campbell County, Tennessee, Claiborne County, Tennessee, Cocke County, Tennessee, Cumberland County, Tennessee, Fentress County, Tennessee, Grainger County, Tennessee, Hamblen County, Tennessee, Jefferson County, Tennessee, Knox County, Tennessee, Loudon County, Tennessee, Monroe County, Tennessee, Morgan County, Tennessee, Putnam County, Tennessee, Roane County, Tennessee, Scott County, Tennessee, Sevier County, Tennessee, Union County, TennesseeNOTE: Information on MedicarePolicyHelper.com is for educational purposes only. We are not affiliated with Medicare, or CMS. Medicare has not reviewed or endorsed the information on our site. All plan data on our site comes directly from medicare.gov and is subject to change.