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Humana Full Access (PPO) Medicare Advantage Plan H5216-384 • 2027 • Jackson County, MI

CMS Rating: Not yet rated by CMS.
Monthly Premium
$0.00Plus Part B premium.
Medical Deductible
$0.00
Maximum Out-of-Pocket
$5200.00In-network
Part B Giveback
Not offered
Prescription Coverage
Enhanced, $600.00 deductible
Additional Benefits
Dental, Vision, Hearing
Service Area
Jackson County, MI
Local Enrollment
548 beneficiaries in Jackson County
Last update:

Humana Full Access (PPO) Introduction

This Medicare Advantage PPO plan, Humana Full Access, is offered by Humana and uses a Preferred Provider Organization (PPO) provider network. It comes with prescription drug coverage. For the 2027 plan year, the monthly premium is $0.00, the medical deductible is $0.00, and the in-network maximum out-of-pocket is $5200.00. The plan is identified by CMS Plan ID H5216-384. The 2027 Part D prescription drug deductible is $600.00.

Enrollment in this plan requires residence in Jackson County, Michigan. CMS enrollment data reports 548 plan members in Jackson County. New members can call the plan directly at (888)873-0686 (TTY 711) for assistance.

Compare Similar Plans in Jackson County

Compare this plan with the two most-enrolled PPO plans available in Jackson County, Michigan. Enrollment is based on CMS local enrollment data.

PPO plan comparison for Jackson County, Michigan
Plan Detail Humana Full Access Humana Full Access Giveback Medicare Plus Blue Secure
CMS Plan ID H5216-384-0 H5216-306-0 H9572-009-0
Local Enrollment 548 955 738
Monthly Premium $0.00 $0.00 $0.00
Medical Deductible $0.00 $500 $100
Maximum Out-of-Pocket $5,200.00 $9,850.00 $7,000.00
Part B Giveback Not offered −$99.00 reduction Not offered
Primary Care $0 copay $0 copay $0 copay
Specialist $40 copay $50 copay $45 copay
Part D Deductible $600.00 $150.00 $435.00
CMS Star Rating Not yet rated Not yet rated Not yet rated
Dental $0 copay $0 copay $0 copay
Vision $0 copay $0 copay $0 copay
Hearing $0 copay $0 copay $0 copay

Plan Benefits

Humana Full Access includes cost-sharing, which refers to out-of-pocket expenses for covered healthcare services. The tables below outline the most common in-network out-of-pocket costs associated with plan H5216-384.

You can also compare 2027 costs and coverage with last year, side-by-side: Plan H5216-384-0 Cost Compare.

Office Visits

Primary care
In-network: $0 copay
Out-of-network: $0 copay
Specialist
In-network: $40 copay
Out-of-network: $40 copay

Preventive and Wellness Services

Annual wellness exam
In-network: $0 copay
Out-of-network: $0 copay
Telehealth benefit
In-network: $0-$50 copay
Routine chiropractic
Not covered
Fitness benefits
Coming soon
Health education
Not covered
Counseling services
Not covered
Over-the-counter drug benefits
In-network: $0 copay
Out-of-network: 95% coinsurance
Health transportation (non-emergency)
Coming soon

Diagnostic, Lab, and Imaging Services

Diagnostic radiology services
In-network: $0-$780 copay
Out-of-network: $0-$780 copay
Lab services
In-network: $0 copay
Out-of-network: $0-$50 copay, 50% coinsurance
Outpatient x-rays
In-network: $0-$145 copay
Out-of-network: $0-$145 copay
Diagnostic tests and procedures
In-network: $0-$175 copay
Out-of-network: $0-$175 copay

Emergency and Urgent Care Services

Emergency room care
$130 copay
Worldwide emergency care
Coming soon
Urgent care
$50 copay
Inpatient hospital care
In-network:
Tier 1
$450 per day for days 1-6
$0 per day for days 7-90
$0 per stay
Out-of-network:
$450 per day for days 1-6
$0 per day for days 7-90
$0 per stay
Skilled Nursing Facility
In-network:
Tier 1
$10 per day for days 1-20
$221 per day for days 21-100
Out-of-network:
$10 per day for days 1-20
$221 per day for days 21-100
$0 per stay
Ground ambulance
In-network: $325 copay
Out-of-network: $325 copay

Mental Health Services

Outpatient individual therapy
In-network: $35 copay
Out-of-network: $35 copay
Outpatient group therapy
In-network: $35 copay
Out-of-network: $35 copay
Inpatient psychiatric hospital care
In-network:
Tier 1
$450 per day for days 1-6
$0 per day for days 7-90
$0 per stay
Out-of-network:
$450 per day for days 1-6
$0 per day for days 7-90
$0 per stay

Rehabilitation Services

Physical therapy and speech and language therapy
In-network: $30-$35 copay
Out-of-network: $30-$35 copay
Occupational therapy
In-network: $30-$35 copay
Out-of-network: $30-$35 copay

Medical Equipment and Supplies

Diabetes supplies
In-network: $0 copay, 10%-20% coinsurance
Out-of-network: 10%-20% coinsurance
Durable medical equipment
In-network: 20% coinsurance
Out-of-network: 50% coinsurance
Prosthetics
In-network: 20% coinsurance
Out-of-network: 20% coinsurance

Medicare Part B Drugs

Chemotherapy
In-network: 0%-20% coinsurance
Out-of-network: 20% coinsurance
Other Part B drugs (Medicare-covered)
In-network: 0%-20% coinsurance
Out-of-network: 20% coinsurance

Dental Services

Oral exam
In-network: $0 copay
Out-of-network: $0 copay
Dental x-rays
In-network: $0 copay
Out-of-network: $0 copay
Cleaning
In-network: $0 copay
Out-of-network: $0 copay
Periodontics
In-network: $0 copay
Out-of-network: $0 copay
Endodontics
In-network: $0 copay
Out-of-network: $0 copay
Restorative services
In-network: $0 copay
Out-of-network: $0 copay
Implant services
Not covered
Orthodontics
Not covered
Oral/Maxillofacial surgery
In-network: $0 copay
Out-of-network: $0 copay

Vision Services

Routine eye exam
In-network: $0 copay
Out-of-network: $0 copay
Contact lenses
In-network: $0 copay
Out-of-network: $0 copay
Eyeglass frames only
Not covered
Eyeglass lenses only
Not covered
Eyeglasses (frames & lenses)
In-network: $0 copay
Out-of-network: $0 copay
Upgrades
Not covered

Hearing Services

Hearing exam
In-network: $0 copay
Out-of-network: 95% coinsurance
Fitting/evaluation
In-network: $0 copay
Out-of-network: 95% coinsurance
Prescription hearing aids
In-network: $575-$750 copay
Out-of-network: 95% coinsurance
OTC hearing aids
In-network: $0 copay
Out-of-network: 95% coinsurance

Additional and Special Needs Services

Adult day health services
Not covered
Home-based palliative care
Not covered
Personal emergency response system
Coming soon
Weight management programs
Not covered
Wigs for chemotherapy-related hair loss
Coming soon
Alternative therapies
Not covered
Massage therapy
Not covered
Home/bathroom safety devices
Not covered

Certain preventive services are covered 100% by Humana Full Access as a Part B benefit.

Prescription Drug Coverage

Humana Full Access 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 Premium

The Part D prescription drug plan premium is included in the overall Medicare Advantage plan cost. Additional adjustments may apply through the Low-Income Subsidy (LIS) program, also known as Extra Help, administered by Social Security. LIS benefits are separate from Medicare Special Needs Plan coverage.

Humana Full Access (H5216-384-0) Prescription Drug Plan Premium Details
Part D Premium Component Amount
Basic Part D Premium:$0.00
Supplemental Part D Premium:$$0.00
Total Part D Premium:$0.00
Low-Income Premium Subsidy:$6.28
Low-Income Premium Subsidy Paid by CMS:$0.00
Low-Income Subsidy Premium:$0.00

For more details, visit the Social Security Extra Help program .

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 may have additional costs at pharmacies. The table below outlines out-of-pocket expenses by drug tier.

Humana Full Access (H5216-384-0) Pharmacy Out-of-Pocket Costs by Drug Tier
Drug Tier Retail Mail Order
Preferred Generic$0.00 copayComing soon
Generic$0.00 copayComing soon
Preferred Brand17% coinsuranceComing soon
Non-Preferred Drug46% coinsuranceComing soon
Specialty Tier26% coinsuranceComing soon
*Deductible does not apply.

CMS 5-Star Performance Ratings (Contract ID: H5216)

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.

2027 Medicare Star Ratings for Contract H5216
CMS Measure Star Rating
2027 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 ☆☆☆☆☆
Medicare Plan Data Sources and Methodology
Primary CMS datasets used for this Medicare Advantage Plan resource.
Data Source Publisher Last Accessed
Landscape Source Files Centers for Medicare & Medicaid Services October 5, 2026
Medicare Part C & D Performance Centers for Medicare & Medicaid Services October 5, 2026
Plan Benefits Package Centers for Medicare & Medicaid Services October 5, 2026
Monthly Enrollment by Contract/Plan/State/County Centers for Medicare & Medicaid Services October 5, 2026

Data sources and methodology documentation.

Official plan information and secondary Medicare references.
Publisher Reference Last Accessed
Humana (official source) http://www.humana.com/medicare October 4, 2026
CMS.gov Medicare Advantage Plan Fact Sheet 25 May, 2025
NCOA.org 5 Steps to Choosing the Right Medicare Plan for You 25 May, 2025
Medicare.gov Your coverage options 25 May, 2025

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Data provenance documentation is maintained in alignment with the U.S. Core Data for Interoperability (USCDI) Provenance standard.