HumanaChoice H5216-461 (PPO) Medicare Advantage Plan H5216-461 • 2027 • Mercer County, NJ

HumanaChoice H5216-461 is a Medicare Advantage PPO plan offered by Humana. It uses a Preferred Provider Organization (PPO) provider network and comes with prescription drug coverage. For the 2027 plan year it has a $36.30 monthly premium, Coming soon medical deductible, and $9250.00 in-network maximum out-of-pocket. CMS Plan ID H5216-461 identifies this plan. The 2027 Part D prescription drug deductible is $700.00.

You must live in Mercer County, New Jersey to enroll in this plan. CMS reports 0 beneficiaries enrolled in this plan in Mercer County. For assistance with this plan, new members can call (888)873-0686 (TTY 711).

HumanaChoice H5216-461 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.

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

Prescription Drug Plan Deductible

This plan has a $700.00 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, HumanaChoice H5216-461 may have additional costs at pharmacies. The table below outlines out-of-pocket expenses by drug tier.

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.