Humana Full Access Giveback H5216-393 (PPO) Medicare Advantage Plan H5216-393 • 2026 • Columbia County, FL
CMS Plan ID H5216-393 identifies the Medicare Advantage plan Humana Full Access Giveback H5216-393, a PPO Part C plan offered by Humana for the 2026 plan year. This plan uses a Preferred Provider Organization (PPO) provider network and comes with Part D prescription drug coverage.
Humana Full Access Giveback H5216-393 Overview
Plan Overview for
H5216-393-0
|
|
|---|---|
| CMS Plan ID: |
H5216-393-0
|
| Plan Type: | PPO |
| Plan Year: | 2026 |
| Monthly Premium: |
$0.00
Plus your Medicare Part B premium. |
| Medical Deductible: | $500 |
| Maximum Out-of-Pocket: | $6750.00 (In-Network) |
| Part B Give Back: | −$170.00 reduction |
| Prescription Drug Coverage: | Enhanced, $600.00 deductible |
| Additional Benefits: | Dental, Vision, Hearing |
| Service Area: | Columbia County, FL |
| Enrollment (Nationwide): | 136,336 beneficiaries |
| Enrollment (CMS – Local) | 2,036 beneficiaries in Columbia County |
| Provided By: | Humana |
Plan Details for Humana Full Access Giveback H5216-393
This Medicare Advantage MAPD PPO plan includes Medicare Part A and Part B services along with integrated prescription drug coverage. The monthly premium is $0.00, and the plan allows access to Medicare-approved providers, with lower costs when using in-network providers. The annual Part D deductible is $600.00.
Primary care visits have a $0 copay | Out-of-network: $0 copay, and specialist visits come with a $45 copay | Out-of-network: $45 copay. Urgent care services carry a $15 copay, and ground ambulance transportation is $190-$240 copay | Out-of-network: $190-$240 copay. These costs apply toward the annual maximum out-of-pocket (MOOP) limit of $6750.00. Once this limit is reached, in-network services are fully covered for the remainder of the year.
This plan is listed by CMS under Plan ID H5216-393. Cost-sharing details are provided below.
Cost Sharing Expenses
Humana Full Access Giveback H5216-393 has cost-sharing, meaning there are out-of-pocket costs when receiving covered healthcare services. The table below details the most common in-network out-of-pocket expenses for plan H5216-393.
Certain preventive services are covered 100% by Humana Full Access Giveback H5216-393 as a Part B benefit.
Prescription Drug Coverage
Humana Full Access Giveback H5216-393 includes a Medicare Part D prescription drug plan (PDP). Plan type and coverage level are defined by CMS and may vary between basic and enhanced benefit designs.
This plan includes an enhanced benefit Medicare Part D plan (PDP), providing coverage beyond the standard CMS-defined minimum.
Prescription Drug Plan Deductible
This plan has a $600.00 annual Part D deductible. You'll pay this deductible at the pharmacy before Humana starts contributing towards your prescription costs.
Prescription Drug Plan Out-of-Pocket Costs
Beyond premiums and deductibles, Humana Full Access Giveback H5216-393 may have additional costs at pharmacies. The table below outlines out-of-pocket expenses by drug tier.
| Drug Tier | Retail | Mail Order |
|---|---|---|
| Preferred Generic | $0.00 copay | Coming soon |
| Generic | $5.00 copay | Coming soon |
| Preferred Brand | $47.00 copay | Coming soon |
| Non-Preferred Drug | 49% coinsurance | Coming soon |
| Specialty Tier | 26% coinsurance | Coming soon |
| *Deductible does not apply. | ||
Medicare Plan Star Ratings
Medicare Advantage (Part C) and Part D plans are rated each year by CMS on a 5-star scale. Ratings summarize plan performance across clinical care and member experience measures.
| CMS Measure | Star Rating |
|---|---|
| 2026 Overall Rating | |
| Staying Healthy: Screenings, Tests, Vaccines | |
| Managing Chronic (Long Term) Conditions | |
| Member Experience with Health Plan | |
| Complaints and Changes in Plans Performance | |
| Health Plan Customer Service | |
| Drug Plan Customer Service | |
| Complaints and Changes in the Drug Plan | |
| Member Experience with the Drug Plan | |
| Drug Safety and Accuracy of Drug Pricing |
How much does plan H5216-393 cost per month?
The plan’s monthly premium is $0.00 for 2026. The Part B premium is not included.
What is the annual out-of-pocket maximum (MOOP) for this plan?
The annual in-network MOOP is $6750.00 for 2026. After this limit is reached, covered in-network services are fully paid.
What is the CMS star rating for Humana Full Access Giveback H5216-393?
The 2026 CMS star rating for Humana Full Access Giveback H5216-393 is ★3.5 out of 5.
How many beneficiaries are enrolled in this plan?
CMS reports 136,336 beneficiaries enrolled in this plan.
What is the prescription drug deductible for 2026?
For 2026, the prescription drug deductible is $600.00.
Contact Information for Humana
| Contact Type | Details |
|---|---|
| Website: | Humana Plan Page |
| New Members: | 1-888-873-0686 |
| Existing Members: | 1-800-457-4708 |
| Plan Address: | 101 E Main Street | Louisville, KY 40202 |
Enrollment status and eligibility information are available through the Social Security Administration. Additional information about Medicare Advantage is available at medicare.gov.
| Data Source | Publisher | Last Accessed |
|---|---|---|
| Landscape Source Files | Centers for Medicare & Medicaid Services | September 8, 2026 |
| Medicare Part C & D Performance | Centers for Medicare & Medicaid Services | September 8, 2026 |
| Plan Benefits Package | Centers for Medicare & Medicaid Services | September 8, 2026 |
| Monthly Enrollment by Contract/Plan/State/County | Centers for Medicare & Medicaid Services | September 8, 2026 |
Data sources and methodology documentation.
| Publisher | Reference | Last Accessed |
|---|---|---|
| Humana (official source) | http://www.humana.com/medicare | October 13, 2025 |
| Medicare.gov | Understanding Medicare Advantage Plans | 25 May, 2025 |
| NCOA.org | 5 Steps to Choosing the Right Medicare Plan for You | 25 May, 2025 |
| Medicare.gov | Explore your Medicare coverage options | 25 May, 2025 |
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