HumanaChoice Giveback H5216-319 (PPO)

Plan year 2027 · Source: CMS · Checked October 31, 2026 Plan ID: H5216-319-0 · Sold by Humana

What this plan is

It is a PPO plan, so you can see doctors outside the network at a higher cost, and you do not pick a main doctor. It includes prescription drug coverage. It is sold in 19 counties in New Jersey. The word Giveback is part of the plan's name in Medicare's file. The dollar amount of any giveback is not in this file, so this page does not state one.

The same plan name can appear under other contracts in other areas, and those versions are different plans with their own costs. The numbers on this page belong to this contract only. See the Humana company page for its full list of plans, or all companies compared for the whole field.

Medicare rates this plan's contract 4.0 out of 5 stars overall for 2027.

What it costs

• Monthly premium, medical and drug parts combined: $0. You still pay your Part C premium each month, just as you would with any Medicare Advantage plan.
• Yearly limit on in-network care: $8,000. Once your copays and coinsurance for Part A and Part C care reach this amount in a year, you pay nothing more for covered in-network care that year.
• Drug deductible for the year: $700. That is the most a Part D deductible can be in 2027.

The premium is not the whole cost, because copays for visits and hospital stays still add up across the year. The yearly limit above is the cap on the medical side of that cost.

Where it is sold

This plan is sold in 19 counties, and the full list is in this page's data record. A plan with the same name under a different contract is a different plan with its own costs, even when the company name on the card looks the same.

Before you join

Before you join, check that your doctors are in the network and that your drugs are on the plan's drug list. Care and Living Guide does not sell or enroll anyone in a plan, so to sign up or check your own case, use Medicare.gov, call 1-800-MEDICARE, or talk with a licensed insurance agent.

More detail about this plan

The full cost picture: the premium above adds up to $0 over a full year, before any copays. Copays for visits, hospital stays, and drugs sit on top of that, and the yearly limit above caps what you pay for covered in-network medical care. It does not cap drug costs or the premium itself.

Extra benefits: Medicare's Landscape file does not list this plan's dental, vision, hearing, fitness, over-the-counter, or transportation amounts. Those amounts live in the plan's Summary of Benefits and Evidence of Coverage, which Medicare.gov links from this plan's page. This page leaves the amounts blank until the CMS Plan Benefits Package files are loaded, rather than copying numbers from ads.

Drugs: this plan has its own drug list, called a formulary. A drug can sit on a different cost tier from one plan to the next, so check each drug you take on Medicare.gov's Plan Finder or in the plan's formulary before you join.

Service area, county by county: NJ: Atlantic, Bergen, Burlington, Camden, Cape May, Cumberland, Essex, Gloucester, Hudson, Hunterdon, Mercer, Middlesex, Monmouth, Morris, Passaic, Salem, Somerset, Union, Warren.

You can join most Medicare Advantage plans for 2027 during the yearly enrollment period, October 15 to December 7, 2026. If you already have a Medicare Advantage plan, you can switch plans or go back to Original Medicare from January 1 to March 31. A move or another big life change can open a special window of its own. To join, use Medicare.gov, call 1-800-MEDICARE, or talk with a licensed insurance agent. Care and Living Guide does not sell or enroll anyone in a plan.

The plan's official phone number and website are listed on its Medicare.gov plan page, checked October 31, 2026. Detail sources for this section: Medicare.gov (Plan Finder, plan pages, enrollment guidance) and SSA.gov (enrollment periods). Those sources add context only. Every figure on this page still comes from CMS.

Care and Living Guide is not connected with or endorsed by the U.S. government or the federal Medicare program. For official information visit Medicare.gov or call 1-800-MEDICARE.