Medicare Advantage
Humana's 2027 Medicare Advantage plans in Philadelphia: two new, one gone, three renamed
Philadelphia, fall 2026 — As the Annual Enrollment Period runs from October 15 to December 7, 2026, Humana's Medicare Advantage lineup for Philadelphia County is set for the 2027 plan year, and it looks a little different than it did this year. The carrier is offering 14 Medicare Advantage plans in the county next year, up from 13 in 2026. Two plans are new, one is not returning, and three have been renamed. The table on this page lists every Humana plan in the county for 2027; this article walks through what changed and how to check any of them against your own doctors and prescriptions before the December 7 deadline.
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Key takeaways
- Humana is offering 14 Medicare Advantage plans in Philadelphia County for 2027: 3 HMOs and 11 PPOs, with 11 including drug coverage.
- Two Humana plans are new for 2027, one is not returning, and three have been renamed — details are in each plan's Annual Notice of Change.
- The Part D out-of-pocket cap rises to $2,400 in 2027 (from $2,100 in 2026); the maximum Part D deductible is $700 in 2027 (from $615).
- You have until December 7, 2026 to change plans for coverage that starts January 1, 2027; if you do nothing, your current plan renews if it is offered next year.
| Fact | Figure | Source |
|---|---|---|
| Medicare Advantage plans offered in Philadelphia County (2026) | 97 | CMS |
| Medicare Advantage plans offered in Philadelphia County (2027) | 98 | CMS |
| Plans not returning for 2027 / new for 2027 | 12 / 13 | CMS |
| Organizations offering Medicare Advantage in Philadelphia County (2026) | 17 | CMS |
| Share of eligible beneficiaries in Medicare Advantage, Philadelphia County | 60% | CMS |
| Residents age 65 and older, Philadelphia County | 232,118 | U.S. Census Bureau |
| Part B standard monthly premium (2026) | $202.90 | Medicare.gov |
| Part D out-of-pocket cap (2026) | $2,100 | CMS |
| Part D out-of-pocket cap (2027) | $2,400 | CMS |
| Annual Enrollment Period (for 2027 coverage) | October 15 – December 7, 2026 | Medicare.gov |
| Medicare Advantage Open Enrollment Period | January 1 – March 31 | Medicare.gov |
Area counts are for the county as a whole and are not a recommendation of any plan. Program figures are set nationally.
MyMedicarePlans.org is an independent consumer news and education site. We are not Humana, and Humana is not the only carrier here — 16 other companies also offer Medicare Advantage plans in Philadelphia County for 2027, for 98 plans in all across the county.
How many Humana Medicare Advantage plans are offered in Philadelphia County for 2027?
Humana is offering 14 Medicare Advantage plans in Philadelphia County for the 2027 plan year. By type, that is 3 HMOs and 11 PPOs. Of the 14, 11 include Part D prescription drug coverage and 3 do not. The lineup also includes Special Needs Plans: 2 Dual-Eligible SNPs (for people with both Medicare and Medicaid) and 1 Chronic Condition SNP (for people with specific long-term conditions).
Plan availability in Medicare is set at the county level. Philadelphia sits inside Philadelphia County, so every Philadelphia resident sees the same county-wide roster. The table on this page lists every Humana plan available in the county for 2027.
What is new or not returning from Humana in Philadelphia for 2027?
Two Humana plans are new in Philadelphia County for 2027, one plan is not returning, and three plans have been renamed from 2026.
The two new plans for 2027 are Humana Dual Select H6622-103 (HMO D-SNP), which is a Dual-Eligible Special Needs Plan with drug coverage, and HumanaChoice - Diabetes and Heart (PPO C-SNP), a Chronic Condition Special Needs Plan with drug coverage for people living with diabetes and certain heart conditions.
Three plans kept their contract but changed names: Humana Essentials Plus Giveback (PPO) was HumanaChoice Giveback H5525-085 (PPO) in 2026; Humana Total Complete (HMO) was Humana Gold Plus H6622-037 (HMO); and Humana Value Choice (PPO) was HumanaChoice H5525-051 (PPO). If you are enrolled in one of those, your Annual Notice of Change (ANOC), mailed in September, spells out the specific 2027 changes to your benefits, drug list and costs.
One Humana plan from 2026 is not returning in Philadelphia County for 2027. Members in a plan that is leaving receive a non-renewal notice from the carrier and have a Special Enrollment Period to pick a new plan.
How do I check a 2027 plan against my doctors and prescriptions before December 7?
The fastest way is the Medicare Plan Finder at medicare.gov. You can enter your ZIP code, add the drugs you take with their doses, and add your preferred pharmacies and doctors. The tool then shows how each plan sold in the county would cover your specific list.
A few steps that save headaches later:
- Have your current drug list ready, including dose and how often you take it.
- Check each doctor and hospital you want to keep against the plan's network. Networks can change year to year, even if you stay in the same plan.
- Confirm your pharmacy is "preferred" or "standard" on the plan — that can affect what you pay.
- Read your ANOC. It is the plain-English list of what is changing in your current plan for 2027.
If you prefer to talk to a person, call 1-800-MEDICARE (1-800-633-4227), which is open 24 hours a day, 7 days a week. You can also call Humana directly using the number on your member card to confirm plan details.
What happens if I do nothing by December 7, 2026?
If your current plan is offered again in 2027, it renews automatically on January 1, 2027 with the changes listed in your ANOC. You do not need to re-enroll each year.
If your plan is not returning for 2027, you will get a notice from the carrier. You then have a Special Enrollment Period to join another Medicare Advantage plan or return to Original Medicare and add a stand-alone Part D plan. If you miss that window, you can still make a change during Medicare Advantage Open Enrollment, which runs January 1 – March 31, 2027, though the choices available in that window are narrower.
What is changing in Medicare itself for 2027?
A few program-wide numbers are already set by CMS for 2027:
- The Part D out-of-pocket cap will be $2,400 in 2027 (it is $2,100 in 2026). Once your out-of-pocket drug spending hits that cap, you pay $0 for covered Part D drugs for the rest of the year.
- The maximum Part D deductible a plan can charge will be $700 in 2027 ($615 in 2026). Many plans charge less.
- The Part D national base beneficiary premium for 2027 is $41.33. This is a formula number CMS uses — it is not what any specific plan charges.
- The coverage gap ("donut hole") no longer exists; Part D has three phases.
- The Medicare Prescription Payment Plan remains available in 2027. It lets you spread your out-of-pocket drug costs across the year in monthly payments at no extra charge.
The 2027 Part B standard premium and deductible, and the 2027 IRMAA income brackets, have not yet been announced. CMS typically publishes those later in the fall, usually in November.
By the numbers
Medicare Part B premium, 2006–2026
The standard monthly Part B premium has climbed from $88.50 in 2006 to $202.90 in 2026. Hover any point for that year’s premium.
Source: CMS. Standard premium shown; in some hold-harmless years many existing enrollees paid less. Confirm at Medicare.gov.
By the numbers
How people get Medicare in Philadelphia County
(MA penetration in Philadelphia County)
MA penetration from CMS enrollment data; Medigap share is an estimate. U.S. average is about 54% Medicare Advantage. These are area-level figures, not plan-specific.
2027 plan lineup
Humana Medicare Advantage plans in Philadelphia County for 2027
CMS lists 14 Humana Medicare Advantage plans in Philadelphia County for 2027, alphabetically by carrier. 16 other carriers also offer plans there.
| Plan | Type | Drug coverage | For 2027 |
|---|---|---|---|
| Humana 14 plans | |||
| Humana Dual Select H6622-103 (HMO D-SNP) | HMO D-SNP | Yes | New |
| Humana Essentials Plus Giveback (PPO) | PPO | Yes | Renamed |
| Humana Gold Plus SNP-DE H6622-078 (HMO D-SNP) | HMO D-SNP | Yes | Returning |
| Humana Total Complete (HMO) | HMO | Yes | Renamed |
| Humana USAA Honor Giveback (PPO) | PPO | No | Returning |
| Humana USAA Honor Giveback with Rx (PPO) | PPO | Yes | Returning |
| Humana Value Choice (PPO) | PPO | Yes | Renamed |
| HumanaChoice - Diabetes and Heart (PPO C-SNP) | PPO C-SNP | Yes | New |
| HumanaChoice Giveback H5216-116 (PPO) | PPO | No | Returning |
| HumanaChoice H5216-120 (PPO) | PPO | Yes | Returning |
| HumanaChoice H5525-005 (PPO) | PPO | Yes | Returning |
| HumanaChoice H5525-086 (PPO) | PPO | Yes | Returning |
| HumanaChoice R0110-007 (Regional PPO) | PPO | No | Returning |
| HumanaChoice R0110-008 (Regional PPO) | PPO | Yes | Returning |
Source: CMS Medicare Advantage Landscape Source Files, plan years 2026 and 2027. Plan availability is set at the county level. No plan is ranked or recommended; premiums, benefits, networks and star ratings are not shown. Plan details come from the Medicare Plan Finder at medicare.gov or the plan itself.
The 2027 choices, by type
How Humana Medicare Advantage plans in Philadelphia County break down for 2027
HMO plans use a network and usually a primary-care doctor and referrals; HMO-POS plans add some out-of-network coverage; PPO plans also cover out-of-network care, at a higher share; PFFS plans pay any provider that accepts the plan’s terms. Special Needs Plans serve people with Medicare and Medicaid (D-SNP), certain chronic conditions (C-SNP) or living in an institution (I-SNP).
Source: CMS Medicare Advantage Landscape Source Files, plan years 2026 and 2027. Plan availability is set at the county level. No plan is ranked or recommended; premiums, benefits, networks and star ratings are not shown. Plan details come from the Medicare Plan Finder at medicare.gov or the plan itself.
Key dates
Medicare enrollment periods at a glance
- Around your 65thInitial Enrollment PeriodA 7-month window around the month you turn 65 — your first chance to sign up.
- October 15 – December 7Annual Enrollment PeriodAnyone with Medicare can join, switch, or drop a Medicare Advantage or Part D plan.
- January 1 – March 31Medicare Advantage Open EnrollmentIf you're already in a Medicare Advantage plan, you can make one change.
- January 1 – March 31General Enrollment PeriodFor people who missed their first chance to sign up for Part B.
- VariesSpecial Enrollment PeriodTriggered by life events like moving or losing other coverage.
Dates are set by Medicare and apply nationwide. Confirm your personal windows at Medicare.gov or 1-800-MEDICARE.
Explore
When can you enroll? An interactive year
Enrollment windows are federal and the same nationwide. Confirm your personal dates at Medicare.gov or 1-800-MEDICARE.
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The parts of Medicare
Good to know
Frequently asked questions
Does Humana offer the same plans in every Philadelphia neighborhood?
My Humana plan was renamed. Do I need to re-enroll?
What is the difference between an HMO, a PPO and a Special Needs Plan?
What if I want to look at carriers besides Humana?
- CMS — MA Landscape Source File (plan-level availability by county)
- CMS — MA Landscape Source Files, current and coming plan year (year-over-year comparison)
- CMS — Medicare enrollment periods (medicare.gov)
For personalized answers, contact Medicare.gov or 1-800-MEDICARE.
Also for Philadelphia
Sources and methodology
- CMS, Medicare Advantage and Part D Landscape Source Files
- CMS, Medicare Advantage state/county penetration and enrollment files
- U.S. Census Bureau, American Community Survey (table B01001, age 65 and older)
- Medicare.gov, Medicare costs (Part B premium)
- CMS, Medicare prescription drug coverage (Part D) program rules
- CMS, Medicare Advantage and Part D plan-year announcements
- Medicare.gov, enrollment periods and plan rules
Figures cited in this article
- CMS Medicare Advantage Landscape Source Files (plan year 2026 and plan year 2027): the Humana plan counts, plan names, plan types, Special Needs Plan status, drug coverage, and year-over-year changes for Philadelphia County.
- CMS: the confirmed 2027 Part D out-of-pocket cap, maximum deductible and national base beneficiary premium, and the 2026 program figures.
- Medicare.gov: the Annual Enrollment Period and Medicare Advantage Open Enrollment dates, and the Plan Finder tool.
How we put this together: area counts come from the CMS files listed above for the county that contains this city, program figures come from CMS, Medicare.gov and the Social Security Administration, and no plan is ranked or recommended.
By The Medicare Desk · Published . For personalized answers, contact Medicare.gov or 1-800-MEDICARE.
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This page was last updated: October 2026.