HumanaChoice H5216-027 (PPO)
Available to residents of Arlington County, VA for 2026. Contract H5216, plan 027, segment 0.
Plan details
| Monthly drug premium | $0.00 |
|---|---|
| Drug deductible | $615.00Tier 1 and 2 exempt |
| Plan type | Medicare Advantage |
| Contract / plan | H5216-027-0 |
| 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 | 41% |
| Tier 5 | 25% |
Also available in 35 other VA counties
- Accomack
- Alexandria City
- Bedford
- Bland
- Botetourt
- Clarke
- Craig
- Essex
- Fairfax City
- Fairfax
- Falls Church City
- Fauquier
- Floyd
- Franklin
- Fredericksburg City
- King George
- Loudoun
- Manassas City
- Manassas Park City
- Montgomery
- Northampton
- Northumberland
- Page
- Prince William
- Pulaski
- Radford City
- Rappahannock
- Richmond
- Roanoke
- Roanoke City
- Salem City
- Spotsylvania
- Stafford
- Warren
- Westmoreland
Plan facts come from the CMS quarterly prescription drug plan public use files.