LIVE·NEON · 1,211 CONTRACTS
ContractLocal CCP

H5216·Humana Inc.

Local PPO · observed 2026 → 2026 · 75 months of CPSC history · 252 active CY 2026 plans.

Latest enrollment
2.2M
2026-05
368.9K vs 2024-12 peak
Months of data
75
History range
2020-01 → 2026-05
CY 2026 plans
252
01 · Trend

Monthly enrollment

fact_enrollment_cpsc · 75 months
2,529,0001,375,628
02 · Plans

CY 2026 plan roster

fact_landscape ⋈ fact_enrollment_cpsc · top 25 of 252 plans by enrollment
PlanCategoryPremiumMOOPCountiesEnrollment
Humana Full Access Giveback H5216-393 (PPO)
H5216/393
MA-PD$0$6,7503.556139,853
Humana Full Access Giveback H5216-311 (PPO)
H5216/311
MA-PD$0$6,7003.5959,729
HumanaChoice Giveback H5216-345 (PPO)
H5216/345
MA-PD$0$9,2503.516842,702
HumanaChoice H5216-251 (PPO)
H5216/251
MA-PD$0$3,6003.51442,473
Humana Value Choice H5216-318 (PPO)
H5216/318
MA-PD$0$3,5763.513740,678
HumanaChoice H5216-043 (PPO)
H5216/043
MA-PD$14$7,4683.59740,411
Humana Full Access Giveback H5216-306 (PPO)
H5216/306
MA-PD$0$9,1503.57237,174
Humana Essentials Plus Giveback H5216-358 (PPO)
H5216/358
MA-PD$0$8,3003.57134,758
Humana USAA Honor Giveback with Rx (PPO)
H5216/307
MA-PD$0$7,9003.518034,411
Humana USAA Honor Giveback (PPO)
H5216/286
MA$9,2503.519826,629
HumanaChoice H5216-457 (PPO)
H5216/457
MA-PD$0$6,4293.53825,040
Humana USAA Honor Giveback (PPO)
H5216/348
MA$7,9003.519924,294
HumanaChoice H5216-347 (PPO)
H5216/347
MA-PD$0$6,7503.55424,172
Humana USAA Honor Giveback (PPO)
H5216/278
MA$4,8843.552423,793
Humana Value Choice H5216-456 (PPO)
H5216/456
MA-PD$5$5,9583.51223,485
Humana Value Choice H5216-266 (PPO)
H5216/266
MA-PD$0$5,9003.59822,654
HumanaChoice Giveback H5216-138 (PPO)
H5216/138
MA-PD$0$6,5003.53921,716
HumanaChoice Giveback H5216-309 (PPO)
H5216/309
MA-PD$0$9,1503.516119,641
HumanaChoice - Diabetes and Heart (PPO C-SNP)
H5216/246 · Chronic or Disabling Condition
SNP$0$9,2503.515719,423
HumanaChoice Giveback H5216-319 (PPO)
H5216/319
MA-PD$0$7,2503.51918,264
Humana Value Choice H5216-352 (PPO)
H5216/352
MA-PD$0$6,4003.51618,163
HumanaChoice Florida H5216-304 (PPO)
H5216/304
MA-PD$0$4,7003.51717,825
Humana Full Access H5216-384 (PPO)
H5216/384
MA-PD$0$5,6503.55217,506
Humana USAA Honor Giveback with Rx (PPO)
H5216/396
MA-PD$0$9,1503.512016,879
Humana Essentials Plus Giveback H5216-308 (PPO)
H5216/308
MA-PD$0$9,2503.512016,349
03 · Quality

Star Ratings · contract-level

fact_star_ratings · 2 years
Star scale · 1.0 – 5.0★ summary
1.02.03.04.05.0202520263.53.53.53.53.53.0
  • Overall
    3.53.5
    0.020252026
  • Part C
    3.53.5
    0.020252026
  • Part D
    3.53.0
    -0.520252026
Measure breakdown · CY 2026 · 45 measures
IDMeasure
C01Breast Cancer Screening4.0
C02Colorectal Cancer Screening4.0
C03Annual Flu Vaccine4.0
C04Improving or Maintaining Physical Health2.0
C05Improving or Maintaining Mental Health4.0
C06Monitoring Physical Activity3.0
C07Special Needs Plan (SNP) Care Management4.0
C08Care for Older Adults – Medication Review5.0
C09Care for Older Adults – Pain Assessment5.0
C10Osteoporosis Management in Women who had a Fracture2.0
C11Diabetes Care – Eye Exam3.0
C12Diabetes Care – Blood Sugar Controlled3.0
C13Kidney Health Evaluation for Patients with Diabetes3.0
C14Controlling High Blood Pressure3.0
C15Reducing the Risk of Falling3.0
C16Improving Bladder Control3.0
C17Medication Reconciliation Post-Discharge5.0
C18Plan All-Cause Readmissions3.0
C19Statin Therapy for Patients with Cardiovascular Disease3.0
C20Transitions of Care4.0
C21Follow-up after Emergency Department Visit for People with Multiple High-Risk Chronic Conditions2.0
C22Getting Needed Care4.0
C23Getting Appointments and Care Quickly4.0
C24Customer Service4.0
C25Rating of Health Care Quality4.0
C26Rating of Health Plan2.0
C27Care Coordination4.0
C28Complaints about the Health Plan4.0
C29Members Choosing to Leave the Plan3.0
C30Health Plan Quality Improvement4.0
C31Plan Makes Timely Decisions about Appeals4.0
C32Reviewing Appeals Decisions4.0
C33Call Center – Foreign Language Interpreter and TTY Availability5.0
D01Call Center – Foreign Language Interpreter and TTY Availability5.0
D02Complaints about the Drug Plan4.0
D03Members Choosing to Leave the Plan3.0
D04Drug Plan Quality Improvement3.0
D05Rating of Drug Plan2.0
D06Getting Needed Prescription Drugs4.0
D07MPF Price Accuracy1.0
D08Medication Adherence for Diabetes Medications2.0
D09Medication Adherence for Hypertension (RAS antagonists)3.0
D10Medication Adherence for Cholesterol (Statins)3.0
D11MTM Program Completion Rate for CMR4.0
D12Statin Use in Persons with Diabetes (SUPD)3.0
04 · Crosswalk

Cross-contract transitions

fact_crosswalk · CY 2026

Incoming

No incoming transitions for this contract.

Outgoing