HumanaChoice H5216-042 (PPO)
Available to residents of Victoria County, TX for 2026. Contract H5216, plan 042, segment 0.
Plan details
| Monthly drug premium | $60.00 |
|---|---|
| Drug deductible | $615.00Tier 1, 2 and 3 exempt |
| Plan type | Medicare Advantage |
| Contract / plan | H5216-042-0 |
| 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 | $10.00 |
| Tier 3 | $47.00 |
| Tier 4 | 48% |
| Tier 5 | 25% |
Also available in 87 other TX counties
- Anderson
- Aransas
- Armstrong
- Atascosa
- Austin
- Bandera
- Bee
- Bexar
- Callahan
- Camp
- Carson
- Cherokee
- Coleman
- Collin
- Colorado
- Comal
- Cooke
- Dallas
- Dawson
- Deaf Smith
- Delta
- Denton
- Dimmit
- Eastland
- Ector
- Edwards
- Ellis
- Erath
- Fannin
- Fort Bend
- Franklin
- Frio
- Gray
- Grayson
- Gregg
- Guadalupe
- Hardin
- Harris
- Harrison
- Henderson
- Hood
- Howard
- Jefferson
- Jim Wells
- Johnson
- Jones
- Kendall
- Kinney
- Kleberg
- Liberty
- Marion
- Martin
- Maverick
- Medina
- Midland
- Montgomery
- Morris
- Navarro
- Nueces
- Orange
Plan facts come from the CMS quarterly prescription drug plan public use files.