HumanaChoice SNP-DE H5216-268 (PPO D-SNP)
Available to residents of Woodbury County, IA for 2026. Contract H5216, plan 268, segment 0.
Plan details
| Monthly drug premium | $0.00 |
|---|---|
| Drug deductible | $615.00Tier 1 and 2 exempt |
| Plan type | Dual-eligible SNP |
| Special needs plan | Dual-eligible SNP |
| Contract / plan | H5216-268-0 |
| Offered by | Humana |
| Parent organization | Humana Inc. |
| Formulary drugs | 3,359 |
CMS star ratings
- Overall
- 3.5 out of 5 stars for Overall
- Health plan (Part C)
- 3.5 out of 5 stars for Health plan (Part C)
- Drug plan (Part D)
- 3 out of 5 stars for Drug plan (Part D)
Published per contract — every plan under contract H5216 shares this rating.
Drug tiers — preferred pharmacy, initial coverage
| Tier | Cost-sharing |
|---|---|
| Tier 1 | $0.00 |
| Tier 2 | $0.00 |
| Tier 3 | 25% |
| Tier 4 | 25% |
| Tier 5 | 25% |
Also available in 47 other IA counties
- Benton
- Black Hawk
- Boone
- Bremer
- Buchanan
- Buena Vista
- Butler
- Cedar
- Cherokee
- Clinton
- Dallas
- Delaware
- Des Moines
- Floyd
- Grundy
- Hamilton
- Hardin
- Henry
- Jackson
- Jasper
- Jefferson
- Johnson
- Jones
- Keokuk
- Linn
- Louisa
- Lyon
- Madison
- Mahaska
- Marion
- Marshall
- Mills
- Mitchell
- Muscatine
- Plymouth
- Polk
- Pottawattamie
- Poweshiek
- Scott
- Sioux
- Story
- Tama
- Warren
- Washington
- Webster
- Winnebago
- Worth
Plan facts come from the CMS quarterly prescription drug plan public use files.