Compare Humana Medicare Advantage Plans for 2026

Want to compare Humana Medicare Advantage plans for 2026? This article will break down plan options, costs, coverage details, and benefits to help you choose the right plan for your healthcare needs.

 

Key Takeaways

  • Humana offers a range of Medicare Advantage plans for 2026, including HMO, PPO, and PFFS options, with added benefits like dental, vision, and hearing services.
  • The plans emphasize preventive care and wellness support programs, ensuring comprehensive coverage and accessibility to healthcare services.
  • Humana’s Part D Prescription Drug Plans feature out-of-pocket maximums and partnerships with preferred pharmacies, providing financial relief and lower medication costs for beneficiaries.

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Overview of Humana Medicare Advantage Plans for 2026

Humana offers a diverse range of Medicare Advantage plans for 2026, including:

  • HMO
  • PPO plan
  • PFFS options These plans allow you to choose a plan that best fits your healthcare needs and preferences. They are designed with the member’s well-being in mind, providing comprehensive coverage that includes:
  • Dental services
  • Vision services
  • Hearing services. These services are not typically covered by standard Medicare, including Medicare Advantage HMO PPO.

 

In addition to these essential benefits, many Humana plans offer additional perks such as transportation to medical appointments and discounts on gym memberships and wellness products, promoting a healthier lifestyle for members. Humana is committed to supporting the health and independence of its members, reflecting this commitment in its 2026 plans. Preventive and diagnostic screenings for breast cancer, colon cancer, and bone density are also included at no additional cost, emphasizing the importance of preventive care.

With over 80% of Humana Medicare Advantage members in plans with stable benefits, you can rest assured that your coverage will remain consistent. Humana’s comprehensive approach ensures that members receive the care and support they need to maintain their health and well-being.

 

Humana Part D Prescription Drug Plans

 

Humana Part D Prescription Drug Plans

 

Humana’s Part D Prescription Drug Plans are designed to help Medicare beneficiaries manage their prescription drug coverage and medication costs effectively. For 2026, these plans include specific out-of-pocket maximums to protect members from excessive drug costs throughout the year. This feature ensures that once you reach a certain spending threshold, your out-of-pocket expenses for covered drugs are limited, providing financial relief.

One of the standout features of Humana’s Part D plans is the catastrophic coverage, which kicks in after you have reached the specified spending threshold. This drug coverage significantly reduces the cost of medications, ensuring that high drug costs do not become a financial burden. This is particularly beneficial for those with ongoing or high-cost medication needs.

Humana offers several features to enhance the value of its Part D Prescription Drug Plans:

  • Partners with preferred pharmacies to offer lower-cost options for prescription medications.
  • Allows members to save on medication expenses by utilizing these preferred cost-share pharmacies.
  • Provides an online pharmacy directory to easily find network pharmacies and manage prescriptions efficiently, including options under the Humana Premier Rx Plan.

 

Humana Medigap Options

Humana’s Medigap plans are designed to fill the gaps left by Original Medicare, covering expenses such as copayments, deductibles, and other out-of-pocket costs. These plans provide peace of mind by ensuring that unexpected medical expenses do not disrupt your financial stability. Each Medigap plan offers different levels of coverage, tailored to meet specific healthcare needs.

The cost of Humana’s Medigap plans can vary significantly depending on your location and the specific plan you choose. It’s important to compare the available options in your area to find the plan that best fits your budget and healthcare requirements. In certain states, Humana offers exclusive Medigap plans with benefits that differ from those available in other regions, providing even more tailored options for beneficiaries.

Selecting a Humana Medigap plan ensures that your healthcare costs are more predictable and manageable. These plans are a valuable addition to your Medicare coverage, providing additional benefits and financial protection.

Key Benefits of Humana Medicare Advantage Plans

One of the key benefits of Humana Medicare Advantage Plans is the focus on preventive healthcare services. These plans include coverage for routine screenings and preventive care, helping members stay on top of their health and catch potential issues early. This proactive approach to healthcare is vital for maintaining long-term health and well-being.

Humana also offers wellness support programs that encourage members to lead healthier lifestyles. These programs include fitness programs, which promote physical activity through partnerships with local gyms and wellness centers.

Additionally, Humana provides telehealth services, allowing members to consult with healthcare providers remotely. This enhances accessibility to medical advice and care, especially for those who may have difficulty attending in-person appointments.

Overall, Humana Medicare Advantage Plans are designed to support members’ health through comprehensive coverage and additional benefits. Humana’s focus on preventive care, wellness programs, and accessible healthcare services ensures its members receive the best Medicare Advantage companies care.

Cost Comparison of Humana Medicare Advantage Plans

When comparing the costs of Humana Medicare Advantage plans, it’s essential to consider various factors such as premiums, copayments, and out-of-pocket maximums. The costs associated with these plans can vary significantly depending on the specific plan and location. For example, some plans offer zero-dollar premiums, but they may still include other out-of-pocket costs for services.

Plans with broader networks typically have higher premiums compared to most plans with narrower networks. This is because broad network plans provide access to a wider range of healthcare providers and other providers, and coverage and benefits vary, which can increase the overall cost of the rx plan outside of the us.

Compare the costs associated with each plan, including premiums, copayments, and out-of-pocket maximums, to determine which plan offers the best value for your healthcare needs, including appropriate cost sharing amounts. Carefully evaluating the costs coverage and benefits of each Humana Medicare Advantage plan will help you choose a plan that fits your budget while providing the necessary coverage and benefits.

 

Network and Provider Access

 

Network and Provider Access

 

The structure of provider networks is a crucial aspect of Humana Medicare Advantage plans. Key points include:

  • These plans typically include a broad range of healthcare providers and specialists, ensuring that members have access to the care they need.
  • About 23% of Medicare Advantage plans offer broad hospital networks.
  • Broad hospital networks encompass at least 70% of hospitals in a given county.
  • This broad access can be beneficial for members who require specialized care or have specific provider preferences.

 

In contrast, approximately 16% of many Medicare Advantage plans are narrow network plans, covering fewer than 30% of hospitals in a county. While these medicare plans may have lower premiums, they offer limited provider access, which may not be suitable for everyone. Consider your healthcare needs and provider preferences when choosing a plan.

Humana also provides a network of preferred pharmacies, which helps Humana members save on prescription medications by offering lower costs at lower-cost preferred pharmacies. This extensive provider network and pharmacies in urban areas directly influence members’ healthcare choices and out-of-pocket costs, enhancing their overall healthcare experience.

 

Humana Plan Ratings and Reviews

In 2026, about 20% of Humana’s Medicare Advantage members will be in plans rated 4 stars or higher, a slight decrease from the previous year. Despite this, Humana’s average star rating for its Medicare Advantage plans remains stable at approximately 3.61. These ratings reflect customer satisfaction and the quality of care provided by the plans.

Notably, 14% of Humana’s members will be enrolled in plans rated 4.5 stars or more, a significant increase from just 3% in 2025. This improvement indicates that Humana is making strides in enhancing the quality of its plans. However, it’s important to note that the percentage of members in plans rated 4 stars or higher has decreased substantially from 94% in 2024.

Humana is actively working to improve its ratings through operational improvements and member outreach strategies. Check the plan’s overall star ratings, as they provide valuable insights into customer care satisfaction, up-to-date information, and the quality of care when choosing a plan.

 

Eligibility and Enrollment

To enroll in a Humana Medigap policy, beneficiaries typically must be enrolled in Medicare Part A and Part B. Additionally, Humana Medicare Advantage plans require enrollees to pay their Medicare Part B premium along with an additional plan premium. This ensures that members maintain their enrollment and access to the plan benefits.

Humana offers Dual-Eligible Special Needs Plans (D-SNPs) tailored for individuals who qualify for both Medicare and Medicaid. These plans provide tailored benefits to meet the specific healthcare needs of dual-eligible beneficiaries. Enrollment in Humana plans is contingent upon contract renewal, and eligibility may vary based on state-specific criteria.

Residents must continue paying their Medicare Part B premium, along with any applicable Humana plan premiums to maintain their enrollment. Understanding the eligibility requirements and enrollment process is crucial for accessing the benefits of Humana Medicare Advantage plans.

Special Features of Humana Plans

Humana offers several special features designed to support dual-eligible beneficiaries. These features include Dual-Eligible Special Needs Plans (D-SNPs), which provide tailored benefits for individuals who qualify for both Medicare and Medicaid. These plans are designed to meet the unique healthcare needs of dual-eligible beneficiaries, ensuring they receive comprehensive coverage and support.

In Florida, residents have the opportunity to qualify for Dual-Eligible Special Needs Plans. This is offered through Humana in collaboration with the state’s Agency For Health Care Administration. These plans are sponsored in collaboration with the state Medicaid program, providing additional support and resources for dual-eligible beneficiaries.

Offering these special features ensures that dual-eligible beneficiaries receive the care and support they need to manage their health effectively.

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How to Choose the Right Humana Medicare Advantage Plan

Choosing the right Humana Medicare Advantage Plan requires careful evaluation of your healthcare needs. Consider your medical history, current health conditions, and anticipated future healthcare requirements. This will help you identify the plan that best meets your needs.

When reviewing the plan with a medicare, consider the following:

  • Review the plan’s network of providers, including your primary care provider, to ensure your preferred doctors and specialists are included.
  • Be aware that provider directories used by Medicare Advantage plans frequently contain errors, making it hard for beneficiaries to determine network coverage.
  • Consider the additional benefits offered, such as wellness programs, vision, dental, and hearing coverage, and ensure you choose a Medicare-approved doctor.

 

Investigate any restrictions related to coverage, such as out-of-network provider services or referral requirements. Thoroughly evaluating these factors will help you choose a Humana Medicare Advantage Plan that provides the coverage and benefits you need.

Summary

In summary, Humana Medicare Advantage Plans for 2026 offer a wide range of options and benefits, including comprehensive coverage for dental, vision, and hearing services, as well as additional perks like transportation and wellness programs. The focus on preventive care and wellness support ensures that members receive the care they need to maintain their health and well-being.

When choosing a plan, it’s important to consider your healthcare needs, provider preferences, and budget. By carefully evaluating the costs, benefits, and network access, you can select a Humana Medicare Advantage Plan that provides the best value for your healthcare needs.

Frequently Asked Questions

 

Are Humana Medicare Advantage plans going away?

Humana Medicare Advantage plans will see a reduction in availability as the company plans to exit the Medicare Advantage markets in two states by 2026, affecting around 500,000 enrollees. Consequently, while Humana remains present in 46 states plus Washington, D.C., some members will need to seek alternative coverage.

 

What types of Medicare Advantage plans does Humana offer?

Humana offers several types of Medicare Advantage plans, including Health Maintenance Organization (HMO), Preferred Provider Organization (PPO), and Private Fee-for-Service (PFFS) options. These plans provide flexible choices to meet different healthcare needs.

 

What additional benefits do Humana Medicare Advantage Plans provide?

Humana Medicare Advantage Plans offer valuable additional benefits, including dental, vision, and hearing coverage, transportation to medical appointments, and discounts on gym memberships. These enhancements can significantly improve your overall healthcare experience.

 

How do Humana’s Part D Prescription Drug Plans help manage medication costs?

Humana’s Part D Prescription Drug Plans effectively manage medication costs by implementing out-of-pocket maximums and catastrophic coverage to shield members from high expenses, alongside partnerships with preferred pharmacies that provide more affordable medication options.

 

Who is eligible for Humana’s Dual-Eligible Special Needs Plans?

Individuals eligible for Humana’s Dual-Eligible Special Needs Plans must qualify for both Medicare and Medicaid, allowing access to customized healthcare benefits.

 ZRN Health & Financial Services, LLC, a Texas limited liability company

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Speak with a licensed insurance agent

 1-833-641-4938
TTY 711

Mon-Fri : 8am-9pm EST

Russell Noga
( Medicare Expert )

Russell Noga is the CEO of ZRN Health & Financial Services, and head content editor of several Medicare insurance online publications. He has over 15 years of experience as a licensed Medicare insurance broker helping Medicare beneficiaries learn about Medicare, Medicare Advantage Plans, Medigap insurance, and Medicare Part D prescription drug plans.