Humana’s 2026 Medicare Advantage Plans Prioritize Simplicity, Stability and Quality Care for Beneficiaries

Audio By Carbonatix

LOUISVILLE, Ky.--(BUSINESS WIRE)--Oct 1, 2025--

Humana Inc. (NYSE: HUM), a leading health and well-being company, today announced its Medicare Advantage and Medicare Prescription Drug Plan offerings for 2026. During the Medicare Annual Election Period (AEP) Oct. 15-Dec. 7, Medicare beneficiaries may review plan changes for the coming year and select a plan to meet their evolving healthcare needs.

"For decades, Humana has been dedicated to making healthcare easy to navigate for Medicare beneficiaries, offering clear and consistent options that prioritize stability, quality and affordability," said George Renaudin, President of Insurance at Humana. "Our 2026 plans reflect valuable feedback from Humana members and a sustained commitment to supporting the health and independence of our members."

Thoughtful plan design offers cost predictability and benefit consistency, helping members plan for their healthcare needs with confidence. Humana’s Medicare Advantage plans include medical, dental, vision, hearing and—in many cases—prescription drug coverage.

Commitment to Simplicity and Clarity. Humana’s 2026 Medicare Advantage plans are designed to be straightforward and stress-free, making it easier for members to understand and use their benefits. Standardized plan offerings and easy-to-understand plan materials are designed to support confident decision-making .

Focusing on Member Priorities. Benefits for 2026 reflect input from thousands of Medicare members, helping ensure the features they value most remain in place.

• All Humana non-special needs Medicare Advantage plans include dental, vision and hearing coverage; $0 copays for covered preventive dental services; and $0 copays for in-network preventive services. Nearly all of these plans also include $0 in-network copays for primary care provider (PCP) visits and $0 copays on Tier 1 prescriptions.

• All Humana’s Dual-eligible Special Needs Plans (DSNP) include $0 copays for preventive services; $0 copays for covered vaccinations; care management support to manage complex chronic conditions; and dental, vision and hearing coverage. Most DSNPs also include a Healthy Options Allowance to help pay for covered over-the-counter items as well as $0 copays on hundreds of prescriptions.

Primary Care and Prevention. Humana’s focus on primary and preventive care supports our members, especially older adults, in maintaining independence. Primary care visits provide opportunities for early detection and chronic condition management, supporting improved clinical outcomes and helping reduce unnecessary emergency room visits.

Expanded Screenings and Wellness Support. Preventive and diagnostic screenings for breast cancer, colon cancer and bone density are now included in Humana’s Medicare Advantage plans at no additional cost to members. Humana continues to invest in innovative wellness programs, such as Go365, to empower members to stay proactive about their health while being rewarded for taking certain healthy actions.

Prescription Drug Plans: Lower Premiums, Stronger Value. Humana’s stand-alone Prescription Drug Plans (PDP) for 2026 are designed to make prescription coverage more affordable and easier to access for Medicare beneficiaries nationwide. Approximately 83% of Humana PDPs will feature a premium decrease, and the maximum out-of-pocket for covered prescriptions, set by the Centers for Medicare & Medicaid (CMS), will be $2,100 for the year.

Humana continues to offer three distinct PDPs to meet a variety of needs: options focused on budget-conscious coverage, plans with robust generic drug value, and coverage for those seeking a broad formulary. These plans offer $0 copays for many common generic medications, no deductibles on select tiers, and access to an extensive national network of pharmacies. Medicare beneficiaries can select the plan in their area that best fits their priorities for cost savings, medication access, and coverage flexibility.

Market Expansion and Increased Access. In 2026, Humana will have Medicare Advantage plan offerings in 46 states and Washington, D.C., covering 85% of U.S. counties. New plan types will be available in four states and 177 counties, broadening geographical access to coverage.

Humana is expanding its Special Needs Plans (SNP) to new states to help more beneficiaries with special circumstances get the coverage and support they need.

• D-SNPs (Dual Eligible) – Illinois
• C-SNPs (Chronic Condition) – Idaho, Maine and New Jersey

In 2026, Humana will introduce benefits to support members with End-Stage Renal Disease or Chronic Kidney Condition on certain non-special needs Medicare Advantage plans in Oklahoma, Texas, North Carolina and Virginia. While these plans are available to anyone with Medicare, Medicare Advantage members with eligible chronic conditions will receive additional benefits to support kidney health, such as $0 or low copays for visits at in-network dialysis centers coordinate care and transportation to and from eligible medical visits, including dialysis centers.

All Humana Medicare Advantage and Prescription Drug Plan members have the option to use CenterWell Pharmacy, a home delivery pharmacy that helps customers manage their prescription and over-the-counter medications with convenient, safe and on-time deliveries by mail to their front doorsteps or locations of their choice.

Humana has served Medicare beneficiaries for decades, with more than 8.2 million Medicare members as of June 30, 2025. About 5.8 million of those members are enrolled in a Medicare Advantage plan.

For More Information. Humana offers in-person, online and telephone enrollment options. All enrollment options will connect Medicare beneficiaries with a licensed sales agent. For information about Humana’s Medicare plan options available in your area, visit Humana.com/Medicare or call toll-free 1-800-706-1368 (TTY: 711). Licensed sales agents are available 8 a.m. to 8 p.m. local time, seven days a week. Spanish language resources are available here.

About Humana

Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers, and our company. Through our Humana insurance services, and our CenterWell health care services, we strive to make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. Learn more about what we offer atHumana.comand at CenterWell.com.

Additional Information

Humana is a Medicare Advantage HMO, PPO, and PFFS organization and a stand-alone PDP prescription drug plan with a Medicare contract.$0 in-network PCP visit copays not included on Humana Value Plus H5216-382 (PPO) & Humana Value Plus H5525-041. Prescription drug coverage can vary across plans. $0 prescription drug copay may be limited to specific tiers, coverage stages, 3-month supply and certain mail-order pharmacies. Enrollment in any Humana plan depends on contract renewal. Other providers are available in the Humana network.

Humana is also a Dual Eligible Special Needs [HMO PPO, PPO SNP] plan with a Medicare contract and a contract with the state Medicaid program. Florida: Humana is a DSNP with a Florida Medicaid Contract. The benefit information provided is a brief summary, not a complete description of benefits. For more information, contact the DSNP. Limitations, copayments and/or restrictions may apply. Benefits, formulary, pharmacy network, premium and/or copayments/co-insurance may change. Tennessee: TennCare is not responsible for payment for these benefits, except for appropriate cost sharing amounts. TennCare is not responsible for guaranteeing the availability or quality of these benefits. Any reference to more, extra, or additional Medicare benefits, is applicable to Medicare only and does not indicate increased Medicaid benefits. Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP) is only available for residents in the Qualified Medicare Beneficiary (QMB) Only Program without other Medicaid. Dual Special Needs Plans have a $0 premium for members with Extra Help from Medicare (Low Income Subsidy). Members who don’t qualify for Extra Help may have a premium of up to $41.50 a month in select markets. Dialysis visits may have a $30 copay in select markets.

The Humana Premier RX Plan (PDP) and the Humana Value RX Plan (PDP) Prescription Drug Plan pharmacy networks include limited lower-cost, preferred pharmacies in urban areas of AR, CT, DE, IA, IN, KY, MA, MI, MN, MO, ND, NJ, NY, OH, RI, SD, TN, WI, WV; suburban areas of AZ, CT, DE, HI, IN, MA, MI, MN, MT, ND, NJ, NY, OH, PA, RI, WI, WV; and rural areas of AK, IA, MN, MT, ND, NE, SD, VT, WY. There are an extremely limited number of preferred cost share pharmacies in urban areas in the following states: DE, MI, MN, ND; suburban areas of MT and ND; and rural areas of ND. The lower costs advertised in our plan materials for these pharmacies may not be available at the pharmacy you use. For up-to-date information about our network pharmacies, including whether there are any lower-cost preferred pharmacies in your area, please call Customer Care at 1-800-281-6918 (TTY: 711) or consult the online pharmacy directory at Humana.com.

Y0040_GHHMTKSEN_M

View source version on businesswire.com:https://www.businesswire.com/news/home/20251001265799/en/

CONTACT: Kelli LeGaspi

Humana Corporate Communications

[email protected]

KEYWORD: UNITED STATES NORTH AMERICA KENTUCKY

INDUSTRY KEYWORD: INSURANCE SENIORS PROFESSIONAL SERVICES HEALTH INSURANCE MANAGED CARE HEALTH CONSUMER PHARMACEUTICAL GENERAL HEALTH

SOURCE: Humana Inc.

Copyright Business Wire 2025.

PUB: 10/01/2025 07:00 AM/DISC: 10/01/2025 06:59 AM

http://www.businesswire.com/news/home/20251001265799/en