Humana Full Access H5216-124 (PPO)
Available to residents of Jefferson County, WV for 2026. Contract H5216, plan 124, segment 0.
Plan details
| Monthly drug premium | $118.00 |
|---|---|
| Drug deductible | $300.00Tier 1, 2 and 3 exempt |
| Plan type | Medicare Advantage |
| Contract / plan | H5216-124-0 |
| 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 | 50% |
| Tier 5 | 29% |
Also available in 52 other WV counties
- Barbour
- Berkeley
- Boone
- Braxton
- Brooke
- Cabell
- Calhoun
- Clay
- Doddridge
- Fayette
- Gilmer
- Grant
- Greenbrier
- Hampshire
- Hancock
- Hardy
- Harrison
- Jackson
- Kanawha
- Lewis
- Lincoln
- Logan
- McDowell
- Marion
- Marshall
- Mason
- Mercer
- Mingo
- Monongalia
- Monroe
- Morgan
- Nicholas
- Ohio
- Pendleton
- Pleasants
- Pocahontas
- Preston
- Putnam
- Raleigh
- Randolph
- Ritchie
- Roane
- Summers
- Taylor
- Tucker
- Tyler
- Wayne
- Webster
- Wetzel
- Wirt
- Wood
- Wyoming
Plan facts come from the CMS quarterly prescription drug plan public use files.