HumanaChoice Giveback H5216-226 (PPO)
Available to residents of Jackson County, KY for 2026. Contract H5216, plan 226, segment 0.
Plan details
| Monthly drug premium | $0.00 |
|---|---|
| Drug deductible | $615.00Tier 1 and 2 exempt |
| Plan type | Medicare Advantage |
| Contract / plan | H5216-226-0 |
| 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 | $5.00 |
| Tier 3 | $47.00 |
| Tier 4 | 50% |
| Tier 5 | 25% |
Also available in 98 other KY counties
- Adair
- Allen
- Anderson
- Ballard
- Barren
- Bath
- Bell
- Bourbon
- Boyd
- Boyle
- Bracken
- Breathitt
- Breckinridge
- Bullitt
- Butler
- Calloway
- Carlisle
- Carroll
- Carter
- Casey
- Christian
- Clark
- Clay
- Clinton
- Crittenden
- Cumberland
- Daviess
- Edmonson
- Elliott
- Estill
- Fayette
- Fleming
- Franklin
- Fulton
- Gallatin
- Graves
- Grayson
- Greenup
- Hancock
- Harlan
- Harrison
- Hart
- Henry
- Hickman
- Hopkins
- Jefferson
- Jessamine
- Johnson
- Knott
- Knox
- Larue
- Lawrence
- Lee
- Leslie
- Lewis
- Lincoln
- Livingston
- Logan
- Lyon
- McCracken
Plan facts come from the CMS quarterly prescription drug plan public use files.