2022 Humana Honor (PPO)

Humana Honor (PPO) H5216-216 is a 2022 Medicare Advantage Plan or Part-C by Humana available to residents in Nevada. This plan does not provide additional prescription drug (Part-D) coverage. The Humana Honor (PPO) has a monthly premium of $0 and has an in-network maximum out-of-pocket limit of $6,700 (MOOP). This means that if you get sick or need a high cost procedure the co-pays are capped once you pay $6,700 out-of-pocket. This can be a extremely nice safety net.

Humana Honor (PPO) is a Local PPO *. A preferred provider organization (PPO) is a Medicare plan that has created contracts with a network of "preferred" providers for you to choose from at reduced rates. You do not need to select a primary care physician and you do not need referrals to see other providers in the network. Offering you a little more flexibility overall. You can get medical attention from a provider outside of the network but you will have to pay the difference between the out-of-network bill and the PPOs discounted rate.

Humana works with Medicare to provide significant coverage beyond Part A and Part B benefits. If you decide to sign up for Humana Honor (PPO) you still retain Original Medicare. But you will get additional Part A (Hospital Insurance) and Part B (Medical Insurance) coverage from Humana and not Original Medicare. With Medicare Advantage you are always covered for urgently needed and emergency care. Plus you receive all the benefits of Original Medicare from Humana except hospice care. Original Medicare still provides you with hospice care even if you sign up for Medicare Advantage.

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1-855-778-4180
Mon-Fri 8am-8pm EST
Sat 8am-8pm EST

2022 Humana Medicare Advantage Plan Costs

2021 Humana Honor (PPO) Summary of Benefits

*This will be updated with 2022 data when available.

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Additional Benefits

No

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Comprehensive Dental

Diagnostic services	Not covered
Endodontics	70% coinsurance
Endodontics	55-75% coinsurance (Out-of-Network)
Extractions	55-75% coinsurance (Out-of-Network)
Extractions	50% coinsurance
Non-routine services	50% coinsurance
Non-routine services	55-75% coinsurance (Out-of-Network)
Periodontics	70% coinsurance
Periodontics	55-75% coinsurance (Out-of-Network)
Prosthodontics, other oral/maxillofacial surgery, other services	55-75% coinsurance (Out-of-Network)
Prosthodontics, other oral/maxillofacial surgery, other services	70% coinsurance
Restorative services	50-70% coinsurance
Restorative services	55-75% coinsurance (Out-of-Network)

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Deductible

$1,000 annual deductible

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Diagnostic Tests and Procedures

Diagnostic radiology services (e.g., MRI)	40% coinsurance (Out-of-Network)
Diagnostic radiology services (e.g., MRI)	$0 copay or 20% coinsurance
Diagnostic tests and procedures	$0 copay or 20-40% coinsurance (Out-of-Network)
Diagnostic tests and procedures	$0-20 copay or 20% coinsurance
Lab services	20-40% coinsurance (Out-of-Network)
Lab services	$0-20 copay or 20% coinsurance
Outpatient x-rays	20-40% coinsurance (Out-of-Network)
Outpatient x-rays	$0-20 copay or 20% coinsurance

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Doctor Visits

Primary	$0 copay
Primary	40% coinsurance per visit (Out-of-Network)
Specialist	40% coinsurance per visit (Out-of-Network)
Specialist	20% coinsurance per visit

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Emergency care/Urgent Care

Emergency	$90 copay per visit (always covered)
Urgent care	$0-20 copay or 20-40% coinsurance per visit (always covered)

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Foot Care (podiatry services)

Foot exams and treatment	20% coinsurance
Foot exams and treatment	40% coinsurance (Out-of-Network)
Routine foot care	Not covered

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Ground Ambulance

20% coinsurance
20% coinsurance (Out-of-Network)

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Hearing

Fitting/evaluation	$0 copay (Out-of-Network)
Fitting/evaluation	$0 copay
Hearing aids	$699-999 copay (Out-of-Network)
Hearing aids	$699-999 copay
Hearing exam	20% coinsurance
Hearing exam	40% coinsurance (Out-of-Network)

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Inpatient Hospital Coverage

$480 per day for days 1 through 3 $0 per day for days 4 through 90 $0 per day for days 91 and beyond
40% per stay (Out-of-Network)

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Medical Equipment/Supplies

Diabetes supplies	40% coinsurance per item (Out-of-Network)
Diabetes supplies	$0 copay or 10-20% coinsurance per item
Durable medical equipment (e.g., wheelchairs, oxygen)	25% coinsurance per item (Out-of-Network)
Durable medical equipment (e.g., wheelchairs, oxygen)	15% coinsurance per item
Prosthetics (e.g., braces, artificial limbs)	30% coinsurance per item (Out-of-Network)
Prosthetics (e.g., braces, artificial limbs)	20% coinsurance per item

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Medicare Part B Drugs

Chemotherapy	20% coinsurance
Chemotherapy	40% coinsurance (Out-of-Network)
Other Part B drugs	40% coinsurance (Out-of-Network)
Other Part B drugs	20% coinsurance

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Mental Health Services

Inpatient hospital - psychiatric	$480 per day for days 1 through 3 $0 per day for days 4 through 90
Inpatient hospital - psychiatric	40% per stay (Out-of-Network)
Outpatient group therapy visit	40% coinsurance (Out-of-Network)
Outpatient group therapy visit	20% coinsurance
Outpatient group therapy visit with a psychiatrist	20% coinsurance
Outpatient group therapy visit with a psychiatrist	40% coinsurance (Out-of-Network)
Outpatient individual therapy visit	40% coinsurance (Out-of-Network)
Outpatient individual therapy visit	20% coinsurance
Outpatient individual therapy visit with a psychiatrist	20% coinsurance
Outpatient individual therapy visit with a psychiatrist	40% coinsurance (Out-of-Network)

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MOOP

$10,000 In and Out-of-network $6,700 In-network

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Option

No

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Optional supplemental benefits

No

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Outpatient Hospital Coverage

20% coinsurance per visit
40% coinsurance per visit (Out-of-Network)

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Preventive Care

$0 copay or 40% coinsurance (Out-of-Network)
$0 copay

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Preventive Dental

Cleaning	50% coinsurance (Out-of-Network)
Cleaning	$0 copay
Dental x-ray(s)	$0 copay
Dental x-ray(s)	50% coinsurance (Out-of-Network)
Fluoride treatment	$0 copay
Fluoride treatment	50% coinsurance (Out-of-Network)
Oral exam	$0 copay
Oral exam	50% coinsurance (Out-of-Network)

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Rehabilitation Services

Occupational therapy visit	20% coinsurance
Occupational therapy visit	40% coinsurance (Out-of-Network)
Physical therapy and speech and language therapy visit	20% coinsurance
Physical therapy and speech and language therapy visit	40% coinsurance (Out-of-Network)

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Skilled Nursing Facility

$0 per day for days 1 through 20 $178 per day for days 21 through 100
40% per stay (Out-of-Network)

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Transportation

50% coinsurance (Out-of-Network)
$0 copay

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Vision

Contact lenses	$0 copay (Out-of-Network)
Contact lenses	$0 copay
Eyeglass frames	Not covered
Eyeglass lenses	Not covered
Eyeglasses (frames and lenses)	$0 copay (Out-of-Network)
Eyeglasses (frames and lenses)	$0 copay
Other	Not covered
Routine eye exam	$0 copay (Out-of-Network)
Routine eye exam	$0 copay
Upgrades	Not covered

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Wellness Programs (e.g. fitness nursing hotline)

Not covered

CMS Star Ratings for Humana Honor (PPO) H5216

Staying Healthy, Screening, Testing, & Vaccines

Managing Chronic And Long Term Care for Older Adults

Member Experience with Health Plan

Member Complaints and Changes in Humana Honor (PPO) Plans Performance

Health Plan Customer Service Rating for Humana Honor (PPO)

Humana Honor (PPO) Drug Plan Customer Service Ratings

Ratings For Member Complaints and Changes in the Drug Plans Performance

Member Experience with the Drug Plan

Drug Safety and Accuracy of Drug Pricing

Ready to Enroll?

Click Here

Or Call
1-855-778-4180
Mon-Fri 8am-8pm EST
Sat 8am-8pm EST

Coverage Area for Humana Honor (PPO)

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Source: CMS.
Data as of September 1, 2021.
Notes: Data are subject to change as contracts are finalized. For 2022, enhanced alternative may offer additional cost sharing reductions in the gap on a sub-set of the formulary drugs, beyond the standard Part-D benefit. Includes 2022 approved contracts. Employer sponsored 800 series and plans under sanction are excluded.