Medicare Advantage

Humana's Pittsburgh Medicare Advantage menu for 2027: one plan gone, two renamed, the rest explained

Pittsburgh, Pa. — Fall 2026. If you have a Humana Medicare Advantage plan in the Pittsburgh area, the Annual Notice of Change in your mailbox this month is the one piece of paper worth reading twice. For 2027, Humana will offer 12 Medicare Advantage plans in Allegheny County, the county Pittsburgh sits in — one fewer than this year, with two plans carrying new names. Nothing on this page is from Humana; MyMedicarePlans.org is an independent consumer site, and 15 other carriers also sell Medicare Advantage plans in the county.

How many Humana Medicare Advantage plans are offered in Pittsburgh for 2027?

In Allegheny County, which is the county that sets plan availability for Pittsburgh, Humana will offer 12 Medicare Advantage plans for 2027. By plan type, that is 1 HMO and 11 PPOs (several of the PPOs are Regional PPOs). Nine of the 12 include Part D prescription drug coverage; three do not. Two of the plans are Dual-Eligible Special Needs Plans, designed for people who have both Medicare and Medicaid. The table below lists every Humana plan for 2027 by name and type.

For context, 15 other carriers also offer Medicare Advantage plans in Allegheny County next year. Across all carriers, the county's 2027 lineup totals 95 plans. This article covers only the Humana slice of that lineup.

What is new, renamed, or not returning from Humana in Allegheny County for 2027?

For 2027, Humana has no new Medicare Advantage plans in Allegheny County, one plan that is not returning, and two plans that have been renamed. The renamed plans are Humana Essentials Plus Giveback (PPO), previously called HumanaChoice Giveback H5525-085 (PPO), and Humana Value Choice (PPO), previously called HumanaChoice H5525-051 (PPO). A rename does not automatically mean the plan is identical to last year's — the Annual Notice of Change (ANOC) that Humana mails to current members spells out what, if anything, is different about the premium, cost-sharing, drug list and network.

If your current plan is the one that is not returning, Medicare treats that as a trigger for a Special Enrollment Period so you can pick a different plan without waiting until the end of Annual Enrollment.

Which Humana plans in Pittsburgh include Part D drug coverage, and which don't?

Of Humana's 12 Medicare Advantage plans in Allegheny County for 2027, 9 include Part D prescription drug coverage built in (often called MAPD plans) and 3 do not. The three without drug coverage are Humana USAA Honor Giveback (PPO), HumanaChoice Giveback H5216-116 (PPO) and HumanaChoice R0110-007 (Regional PPO). If you enroll in a Medicare Advantage plan without drug coverage and you want Part D, your options are limited — in most cases you cannot add a standalone Part D plan on top of a Medicare Advantage plan that is not a PFFS, so check the rules before you choose.

Two program-level Part D figures to keep in mind as you compare drug plans: the out-of-pocket cap on covered Part D drugs is $2,100 in 2026 and rises to $2,400 in 2027, and the maximum Part D deductible a plan can charge is $615 in 2026 and $700 in 2027. The old "donut hole" coverage gap has been gone since 2025.

What are the Humana Special Needs Plans in Allegheny County for 2027?

Humana offers two Special Needs Plans in Allegheny County for 2027, both Dual-Eligible SNPs (D-SNPs) built as PPOs: HumanaChoice SNP-DE H5216-227 (PPO D-SNP) and HumanaChoice SNP-DE H7617-048 (PPO D-SNP). Both include prescription drug coverage. D-SNPs are only for people who qualify for both Medicare and Medicaid; the level of Medicaid help you receive affects which D-SNP you are eligible for, so verification is part of the enrollment process. Humana does not offer a Chronic-Condition SNP (C-SNP) or Institutional SNP (I-SNP) in the county for 2027.

How do I check a Humana plan against my doctors and prescriptions before December 7?

The most reliable way to check any 2027 Medicare Advantage plan against your own doctors and medications is the Plan Finder at medicare.gov. Create or sign in to your account, enter your ZIP code, add your prescriptions with their exact doses, and add your pharmacies. Plan Finder will then show plan-by-plan estimates of your yearly drug costs, flag drugs that are not covered, and let you open each plan's provider directory. You can also call 1-800-MEDICARE around the clock for help running the same comparison.

A few steps worth doing before December 7, 2026:

• Read the Annual Notice of Change for your current plan. It explains next year's premium, deductible, cost-sharing, drug list and any network changes.
• Confirm each doctor, hospital and specialist you use is in the 2027 network — networks can change year to year, even if the plan name has not.
• Check that each prescription is on the plan's 2027 formulary and note its tier; a tier change can move a familiar drug into a more expensive category.
• If drug costs are hard to budget around, ask about the Medicare Prescription Payment Plan, which spreads your Part D out-of-pocket costs across the year in monthly installments.

If you make no change by December 7, your current plan will simply renew for 2027 as long as it is still offered, with whatever changes the ANOC describes. There is also a Medicare Advantage Open Enrollment Period from January 1 through March 31, 2027, when you can switch Medicare Advantage plans or move back to Original Medicare once if you want to.

What 2027 Medicare figures are not final yet?

A few 2027 numbers that affect Medicare households have not been published yet. The Part B standard monthly premium and deductible for 2027, and the 2027 IRMAA income brackets that add a surcharge for higher incomes, are usually announced by CMS in the fall — commonly November. Until then, be cautious with any figure you see online that claims to be the "2027 Part B premium"; use medicare.gov for the official number once it is out. For reference, IRMAA surcharges in 2026 begin above $109,000 in income for a single filer.