Humana Dual Select H1036-329 (HMO D-SNP) H1036-329 • 2027 • Madison County, MS
- Monthly Premium
- $0.00Plus Part B premium.
- Medical Deductible
- $0.00
- Maximum Out-of-Pocket
- $9850.00In-network
- Part B Giveback
- Not offered
- Prescription Coverage
- Enhanced, $50.00 deductible
- Additional Benefits
- Dental, Vision, Hearing
- Service Area
- Madison County, MS
- Local Enrollment
- 37 beneficiaries in Madison County
Introduction
Humana Dual Select H1036-329, offered by Humana, is a Medicare Advantage Dual-Eligible Special Needs Plan (D-SNP) identified by CMS Plan ID H1036-329. The plan's Health Maintenance Organization (HMO) provider network serves its covered medical benefits, and the plan includes Medicare Part D prescription drug coverage. Its 2027 costs include a $0.00 monthly premium, $0.00 medical deductible, and $9850.00 in-network maximum out-of-pocket. The 2027 Part D prescription drug deductible is $50.00.
Eligible Medicare beneficiaries residing in Madison County, Mississippi can enroll in this plan. According to CMS, 37 beneficiaries in Madison County are enrolled in this plan. New members can contact the plan at (888)873-0686 (TTY 711) for help and additional plan information.
Eligibility
Humana Dual Select H1036-329 is a Medicare D-SNP plan for dual-eligible beneficiaries (Medicare and Medicaid).
- Special Needs Plan Type
- Dual-Eligible Special Needs Plan (D-SNP)
- Medicare Requirement
- Medicare Part A and Part B
- Special Needs Requirement
- Must qualify for Medicaid
- Service Area Requirement
- Must live in the plan's service area
- Prescription Drug Coverage
- Medicare Part D prescription drug coverage is included.
Compare Similar Plans in Madison County
Compare this plan with the two most-enrolled HMO D-SNP plans available in Madison County, Mississippi. Enrollment is based on CMS local enrollment data.
| Plan Detail | Humana Dual Select H1036-329 | Humana Gold Plus SNP-DE H1036-328 | Humana Dual QMB Only |
|---|---|---|---|
| CMS Plan ID | H1036-329-0 |
H1036-328-0 |
H1036-222-0 |
| Local Enrollment | 37 | 196 | 142 |
| Monthly Premium | $0.00 | $0.00 | $0.00 |
| Medical Deductible | $0.00 | $0.00 | $0.00 |
| Maximum Out-of-Pocket | $9,850.00 | $9,850.00 | $9,850.00 |
| Part B Giveback | Not offered | Not offered | Not offered |
| Primary Care | $0 copay | $0 copay | $0 copay |
| Specialist | $0 or $50 copay | $0 copay | $0 copay |
| Part D Deductible | $50.00 | $700.00 | $600.00 |
| CMS Star Rating | 4.5 | 4.5 | 4.5 |
| Dental | $0 copay | $0 copay | $0 copay |
| Vision | $0 copay | $0 copay | $0 copay |
| Hearing | $0 copay | $0 copay | $0 copay |
Plan Benefits
Humana Dual Select H1036-329 has cost-sharing, meaning there are out-of-pocket costs when receiving covered healthcare services. The tables below detail the most common in-network out-of-pocket expenses for plan H1036-329.
You can also compare 2027 costs and coverage with last year, side-by-side: Plan H1036-329-0 Cost Compare.
Office Visits
- Primary care
- In-network: $0 copay
- Specialist
- In-network: $0 or $50 copay
Preventive and Wellness Services
- Annual wellness exam
- In-network: $0 copay
- Telehealth benefit
- In-network: $0 or $0-$50 copay
- Routine chiropractic
- In-network: $15 copay
- Fitness benefits
- Coming soon
- Health education
- Not covered
- Counseling services
- Not covered
- Over-the-counter drug benefits
- In-network: $0 copay
- Health transportation (non-emergency)
- Coming soon
Diagnostic, Lab, and Imaging Services
- Diagnostic radiology services
- In-network: $0 or $0-$780 copay
- Lab services
- In-network: $0 copay
- Outpatient x-rays
- In-network: $0 or $0-$130 copay
- Diagnostic tests and procedures
- In-network: $0 or $0-$50 copay
Emergency and Urgent Care Services
- Emergency room care
- $0 or $115 copay
- Worldwide emergency care
- Coming soon
- Urgent care
- $0 or $40 copay
- Inpatient hospital care
- Tier 1
$0 or $650 per day for days 1-3
$0 per day for days 4-90
$0 per stay - Skilled Nursing Facility
- Tier 1
$0 per day for days 1-20
$0 or $221 per day for days 21-100 - Ground ambulance
- In-network: $0 or $325 copay
Mental Health Services
- Outpatient individual therapy
- In-network: $0 or $35 copay
- Outpatient group therapy
- In-network: $0 or $35 copay
- Inpatient psychiatric hospital care
- Tier 1
$0 or $650 per day for days 1-3
$0 per day for days 4-90
$0 per stay
Rehabilitation Services
- Physical therapy and speech and language therapy
- In-network: $0 or $20 copay
- Occupational therapy
- In-network: $0 or $20 copay
Medical Equipment and Supplies
- Diabetes supplies
- In-network: $0 copay, 0% or 20% coinsurance
- Durable medical equipment
- In-network: 0% or 20% coinsurance
- Prosthetics
- In-network: 0% or 20% coinsurance
Medicare Part B Drugs
- Chemotherapy
- In-network: 0% or 0%-20% coinsurance
- Other Part B drugs (Medicare-covered)
- In-network: $0 copay, 0% or 0%-20% coinsurance
Dental Services
- Oral exam
- In-network: $0 copay
- Dental x-rays
- In-network: $0 copay
- Cleaning
- In-network: $0 copay
- Periodontics
- In-network: $0 copay
- Endodontics
- In-network: $0 copay
- Restorative services
- In-network: $0 copay
- Implant services
- Not covered
- Orthodontics
- Not covered
- Oral/Maxillofacial surgery
- In-network: $0 copay
Vision Services
- Routine eye exam
- In-network: $0 copay
- Contact lenses
- In-network: $0 copay
- Eyeglass frames only
- Not covered
- Eyeglass lenses only
- Not covered
- Eyeglasses (frames & lenses)
- In-network: $0 copay
- Upgrades
- Not covered
Hearing Services
- Hearing exam
- In-network: $0 copay
- Fitting/evaluation
- In-network: $0 copay
- Prescription hearing aids
- In-network: $0 copay
- OTC hearing aids
- In-network: $0 copay
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 Dual Select H1036-329 as a Part B benefit.
Prescription Drug Coverage
Humana Dual Select H1036-329 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.
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.
| Part D Premium Component | Amount |
|---|---|
| Basic Part D Premium: | ($24.70) |
| Supplemental Part D Premium: | $24.70 |
| 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 $50.00 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 Dual Select H1036-329 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 | $0.00 copay |
| Generic | $0.00 copay | $0.00 copay |
| Preferred Brand | 25% coinsurance | 25% coinsurance |
| Non-Preferred Drug | 25% coinsurance | 25% coinsurance |
| Specialty Tier | 32% coinsurance | 25% coinsurance |
| *Deductible does not apply. | ||
CMS 5-Star Performance Ratings (Contract ID: H1036)
CMS star ratings reflect how well a Medicare plan performs across key quality measures, such as managing chronic conditions, member satisfaction, and customer service. Ratings range from 1 to 5 stars and are updated each year by Medicare.
| 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 |
Contact Information for Humana
- Website
- Humana Plan Page
- Providers
- Humana Providers Page
- Formulary
- Humana Formulary Page
- Pharmacy
- Humana Pharmacy Page
- New Member Health Plan Help
- (888)873-0686
- New Member Health Plan TTY
- 711
- New Member Part D Help
- (888)873-0686
- New Member Part D TTY Users
- 711
Enrollment status and eligibility information are available through the Social Security Administration. Additional information about Medicare Advantage is available at Medicare.gov.
Medicare Plan Data Sources and Methodology
| Data Source | Publisher | CMS Version |
|---|---|---|
| Landscape Source Files | Centers for Medicare & Medicaid Services | CY2027 Landscape (202609.1) |
| Medicare Part C & D Performance | Centers for Medicare & Medicaid Services | 2027 Star Ratings Data Tables |
| Plan Benefits Package | Centers for Medicare & Medicaid Services | PBP Benefits-2027 |
| Monthly Enrollment by Contract/Plan/State/County | Centers for Medicare & Medicaid Services | 2026-09 |
Data sources and methodology documentation.
| Publisher | Reference | Last Accessed |
|---|---|---|
| Humana (official source) | http://www.humana.com/medicare | October 4, 2026 |
| CMS.gov | Dual Eligible Special Needs Plans (D-SNPs) | April 28, 2026 |
| Medicare.gov | Understanding Medicare Advantage Plans | April 28, 2026 |
| NCOA.org | 5 Steps to Choosing the Right Medicare Plan for You | April 28, 2026 |
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