Humana USAA Honor Giveback (PPO) Medicare Advantage Plan H5216-256 • 2026 • Miami-Dade County, FL
This Medicare Advantage PPO plan, identified by CMS Plan ID H5216-256, is offered by Humana for the 2026 plan year. The plan uses a Preferred Provider Organization (PPO) provider network and comes without prescription coverage (Part D ).
Humana USAA Honor Giveback Overview
Plan Overview for
H5216-256-0
|
|
|---|---|
| CMS Plan ID: |
H5216-256-0
|
| Plan Type: | PPO |
| Plan Year: | 2026 |
| Monthly Premium: |
$0.00
Plus your Medicare Part B premium. |
| Medical Deductible: | $0.00 |
| Maximum Out-of-Pocket: | $4900.00 (In-Network) |
| Part B Give Back: | −$140.50 reduction |
| Prescription Drug Coverage: | Not Included |
| Additional Benefits: | Dental, Vision, Hearing |
| Service Area: | Miami-Dade County, FL |
| Enrollment (Nationwide): | 2,382 beneficiaries |
| Enrollment (CMS – Local) | 124 beneficiaries in Miami-Dade County |
| Provided By: | Humana |
Coverage Overview for Humana USAA Honor Giveback
As a Medicare Advantage PPO plan, Humana USAA Honor Giveback covers Medicare Part A and Part B services and allows access to Medicare-approved providers. The monthly premium is $0.00, with lower costs when using in-network providers.
Primary care visits have a $0 copay | Out-of-network: $55 copay, specialist visits come with a $40 copay | Out-of-network: $65 copay, urgent care services carry a $15 copay, and ambulance transportation is $120-$240 copay | Out-of-network: $120-$240 copay. These expenses apply toward the annual maximum out-of-pocket (MOOP) limit of $4900.00. After this limit is reached, in-network services are fully covered.
This plan is registered with CMS under Plan ID H5216-256. Cost-sharing details are outlined below.
Cost-Sharing Overview
Cost-sharing for Humana USAA Honor Giveback includes out-of-pocket expenses for covered healthcare services. The table below provides a summary of typical in-network out-of-pocket costs for plan H5216-256.
Certain preventive services are covered 100% by Humana USAA Honor Giveback as a Part B benefit.
Prescription Drug Coverage
This plan does not include a Medicare Part D plan for prescriptions.
CMS 5-Star Ratings
The Centers for Medicare & Medicaid Services (CMS) rates Medicare Advantage (Part C) and Part D prescription drug plans each year using a 5-star system. These ratings measure plan performance in areas such as preventive care, management of chronic conditions, and member experience.
| 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 |
Is there a monthly premium for this plan in 2026?
For 2026, the monthly premium is $0.00. Medicare Part B premiums apply in addition to this amount.
What is the MOOP for Humana USAA Honor Giveback in 2026?
The annual in-network MOOP is $4900.00 for 2026. After this limit is reached, covered in-network services are fully paid.
What is the total enrollment for plan H5216-256?
The plan has 2,382 enrolled beneficiaries according to CMS.
What is the Part D deductible for plan H5216-256?
The plan’s Part D deductible is $0.00, applied to covered prescription drug costs.
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 |
| CMS.gov | Medicare Advantage Plan Fact Sheet | 25 May, 2025 |
| AARP.org | The Big Choice: Original Medicare vs. Medicare Advantage | 25 May, 2025 |
| Medicare.gov | Your coverage options | 25 May, 2025 |
MedicarePlans.com is an independent informational resource and is not affiliated with or endorsed by the U.S. Government or the federal Medicare program.
Data provenance documentation is maintained in alignment with the U.S. Core Data for Interoperability (USCDI) Provenance standard.
Page content independently curated and maintained by David W. Bynon, Editorial Steward, using a standardized, data-driven methodology for accurate, non-commercial Medicare plan interpretation and resolution.