HumanaChoice SNP-DE H5216-468 (PPO D-SNP)

HumanaChoice SNP-DE H5216-468 (PPO D-SNP) is a PPO D-SNP plan offered by Humana Insurance Company available for the 2026 plan year to people living in Colorado. This plan received an overall rating of 3.5 out of 5 stars in 2026.

It's important to know that HumanaChoice SNP-DE H5216-468 (PPO D-SNP) is a Medicare Advantage (MA) Plan with drug coverage. That means that this plan covers both medical services and prescription drugs.

Key Plan Facts

Below are a few key facts and commonly-asked questions about HumanaChoice SNP-DE H5216-468 (PPO D-SNP).

Plan Costs:

The cost of a Medicare Advantage Plan is made up of four main parts.

• First, the monthly premium — the amount you pay every month.
• Second, the deductible — the amount you pay out of pocket for covered services before the plan starts paying.
• Third, the copayments and coinsurance — the amounts you pay out of pocket for covered services, usually after meeting the deductible (if applicable). Copays are fixed dollar amounts; coinsurance is a percentage of the cost.
• Fourth, the Out-of-Pocket Maximum — the maximum amount you could have to pay out of pocket in a year. This may be different for in-network and out-of-network services.

You can see below for the coinsurance and specific copayments for in the Additional Benefits section below, or refer to our Plan Details page for more details.

Common Services:

Drug Coverage

The HumanaChoice SNP-DE H5216-468 (PPO D-SNP) Medicare plan features an annual drug deductible of $615. For Tier 1 preferred generic and Tier 2 generic prescription drugs, you will pay no copay when filling your prescriptions at standard pharmacies or through preferred mail order. If you utilize standard mail order, your copay ranges from $10 to $20 for a 1-month supply and $30 to $60 for a 3-month supply. For Tier 3 preferred brand, Tier 4 non-preferred, and Tier 5 specialty drugs, you will pay a 25% coinsurance at standard pharmacies, preferred mail order, and standard mail order. This 25% coinsurance applies to 1-month and 3-month supplies for Tiers 3 and 4, and 1-month supplies for Tier 5 medications.

Additional Benefits

The HumanaChoice SNP-DE H5216-468 (PPO D-SNP) offers comprehensive medical coverage with affordable cost-sharing structures for key healthcare services. For inpatient hospital stays, members pay an $1,800 copay per stay with no coinsurance, while outpatient care, primary care visits, and diagnostic services generally feature no copay and a 20% coinsurance. Emergency room visits require a $115 copay, which is waived upon hospital admission, and urgently needed services are covered with no copay and a 20% coinsurance capped at $40. This plan also provides robust supplemental benefits, including preventive care, home health services, and up to $4,000 in annual dental coverage with no copay and no coinsurance. Vision and hearing services also require no copay, offering a $350 annual allowance for eyewear and coverage for up to two hearing aids every three years. Additionally, skilled nursing facility stays feature no copay for the first 20 days, followed by a $218 daily copay for days 21 through 100 with no coinsurance.

Plan Providers

Medicare Advantage and Part D plans and benefits offered by the following carriers: Aetna Medicare, Anthem Blue Cross and Blue Shield, Aspire Health Plan, Dean Health Plan, Devoted Health, Florida Blue Medicare, Freedom Health, Health Care Service Corporation, HealthSpring^SM, HealthSun, Healthy Blue, Humana, Molina Healthcare, Mutual of Omaha, Medica Central Health Plan, Optimum HealthCare, Premera Blue Cross, SCAN Health Plan, Simply, UnitedHealthcare(R), Wellcare, WellPoint.