Humana USAA Honor Giveback (PPO) Medicare Advantage Plan H5216-427-4 • 2026 • Valley County, ID
Humana USAA Honor Giveback is a Medicare Advantage PPO plan offered by Humana for the 2026 plan year. It is identified by CMS Plan ID H5216-427-4 and uses a Preferred Provider Organization (PPO) provider network. The plan comes without prescription drug coverage.
Humana USAA Honor Giveback Overview
Plan Overview for
H5216-427-4
|
|
|---|---|
| CMS Plan ID: |
H5216-427-4
|
| Plan Type: | PPO |
| Plan Year: | 2026 |
| Monthly Premium: |
$0.00
Plus your Medicare Part B premium. |
| Medical Deductible: | $0.00 |
| Maximum Out-of-Pocket: | $9150.00 (In-Network) |
| Part B Give Back: | −$100.00 reduction |
| Prescription Drug Coverage: | Not Included |
| Additional Benefits: | Dental, Vision, Hearing |
| Service Area: | Valley County, ID |
| Enrollment (Nationwide): | 11,513 beneficiaries |
| Enrollment (CMS – Local) | 13 beneficiaries in Valley 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: 35% coinsurance, specialist visits come with a $40 copay | Out-of-network: 35% coinsurance, urgent care services carry a $40 copay, and ambulance transportation is $335 copay | Out-of-network: $335 copay. These expenses apply toward the annual maximum out-of-pocket (MOOP) limit of $9150.00. After this limit is reached, in-network services are fully covered.
This plan is registered with CMS under Plan ID H5216-427-4. Cost-sharing details are outlined below.
Out-of-Pocket Costs
Humana USAA Honor Giveback 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 H5216-427-4.
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 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 |
How much does plan H5216-427-4 cost per month?
For 2026, the monthly premium is $0.00. Medicare Part B premiums apply in addition to this amount.
What is the annual out-of-pocket maximum (MOOP) for this plan?
The annual in-network MOOP is $9150.00 for 2026. After this limit is reached, covered in-network services are fully paid.
How many beneficiaries are enrolled in this plan?
The plan has 11,513 enrolled beneficiaries according to CMS.
What is the prescription drug deductible for 2026?
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 |
| Medicare.gov | Compare types of Medicare Advantage Plans | 25 May, 2025 |
| Medicare.gov | Joining a plan | 25 May, 2025 |
| Medicare.gov | Compare Original Medicare & Medicare Advantage | 25 May, 2025 |
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Provenance documentation for this data is maintained under the U.S. Core Data for Interoperability (USCDI) Provenance standard.
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