HumanaChoice PPO® is a Medicare Advantage Preferred Provider Organization (PPO) which offers additional benefits beyond original Medicare. Humana offers a wide array of products and services in addition to your original Medicare plan. HumanaChoice PPO® has a formed choice of hospitals, specialists and doctors for you to choose. No referral is required. You can also go to providers outside of the network but you reduce your costs when you use the in network providers. Some plans offer Prescription drug coverage better or equal to the requirement for a Medicare Part D Plan (not available in all regions). HumanaChoice PPO® offers worldwide coverage for emergency care. And features an affordable monthly plan premium for most plans. Coverage for annual screening are also offered at no additional charge. Below is a example of coverage of three plans offered by Humana that show in network benefits.
| HumanaChoice, PPO H5415-056 |
HumanaChoice, PPO R5826-018 |
HumanaChoice, PPO R5826-005 |
|
|---|---|---|---|
| Plan Type | Medicare Advantage Plan Preferred Provider Organization(PPO) |
Medicare Advantage Plan Preferred Provider Organization(PPO) |
Medicare Advantage Plan Preferred Provider Organization(PPO) |
| Rx Coverage |  |
 |
|
| Annual Premium | $468.00 | $0.00 | $960.00 |
| Annual Drug Deductible | $0.00 | No Prescription Drug Coverage | $0.00 |
Doctors and Hospitals
| HumanaChoice, PPO H5415-056 |
HumanaChoice, PPO R5826-018 |
HumanaChoice, PPO R5826-005 |
|
|---|---|---|---|
| Annual Medical Deductible | $0.00 | $0.00 | $0.00 |
| Annual Plan Deductible | N/A | N/A | N/A |
| Maximum Medical Out-of-Pocket | $5,000.00 | $4,000.00 | $4,750.00 |
| Hospital Deductible (Per Benefit Period) | $0.00 | $0.00 | $0.00 |
| Doctor Access |
|
|
|
| Primary Care Doctor Copay (per visit) | $15.00 | $10.00 | $5.00 |
| Specialist Doctor Copay (per visit) | $35.00 | $30.00 | $30.00 |
| Hospital Cost (per day, per admit) | $225.00 | $150.00 | $225.00 |
Additional Included Benefits
| HumanaChoice, PPO H5415-056 |
HumanaChoice, PPO R5826-018 |
HumanaChoice, PPO R5826-005 |
|
|---|---|---|---|
| Life Enrichment Program | |
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| Fitness Program | |
|
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| 24 Hour Nurse Advice Line | |
|
|
| Alternative Medicine | |
|
|
| Hearing Discount | |
|
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| Rx Discount | |
|
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| Weight Management | |
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| Vision Discount | |
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Humana Choice PPO Medicare Advantage Frequently Asked Questions
What is my premium?
The Humana Choice PPO Plan is $0-80 a month, depending on the version of the Medigap plan you choose and if you want part d prescription drug plans coverage. In addition to the Medicare Part B premium.
Do I need a referral?
No referral is required. You may use in or out-of-network providers at will. There is simply a higher cost for using non participating providers.
What is my out of pocket?
Depending on the version of plan in your area it could be $4000, $4750 or $5000 in network. To compare rates please get a Medicare supplement insurance quote.
I can not seem to find the list of doctors that accept Humana Medicare Advantage PPO. I am trying to find a list that was put out at one time with information on different specialities and primary physicians. Please provide me with that information. Thank you.
Sign in to MyHumana (https://www.humana.com/logon)
humana is mailing more detailed plan information soon yet my coverage does not mention dental plans is why i changed medicare to better fit my needs i dont feel this is the right plan for me and its quite frustrating attempting talk to anyone besides a recording gets nowhere and i have until 4-30-16 to cancel.hopefully i recieve my humana coverage by friday so i can make a decision,seems humana isnt interested to provide a complete description of dental benefits?
I receive low income subsidy. I was told for cataract surgery in network all I would have to pay is the $45 co-payment and then the plan pays 100%. They said I have no.deductible. I want to make sure this is correct before I schedule my surgery!!
Please Contact Humana Directly.
Where can I find a list of in network dentist for my Humana choice ppo plan
https://www.humana.com/provider/dentists/
I have Humana Choice PPO health insurance. My husband and I are vacationing in Minnesota currently. What would happen if I landed in the Emergency Room here in MN? We are from Nevada. How much out of pocket do I have to pay? How much will my insurance cover?
As long as you see a in-network provider you should still receive the same benefits. Please Check with Humana.
I cannot find a Gyn Dr in my area,in your book. Can i go to Cleveland Clinic Weston Fl or Holy Cross Hospital doctor in Ft Lauderdale, FL? and will
Humana pay for all of the visit, after the $50 copay ?
I have Humana PPO
You can look for one at Humana’s website here:
https://www.humana.com/finder/medical/
what is copay for insulin syringes on Humana Choice PPO with prescription also copays for diabetic testing supplies
previous question concerns 90 day supplies on mail order for syringes and blood glucose testing supplies
Do you offer discount memberships to fitness centers for Humana PPO members
I have not received my new card,when were they mailed.
Tier 1 or tier 2 medication to treat diabetic neuropothy on humana choice ppo formulary
If you order thru Humana pharmacy it’s zero copay on 90 day supplies
Why did my Medicare premium go up to $267.90 in 2017
that was over $150.00 increase?
Medicare Premium did not go up to what you posted. It is 134.00 for 2018
Will Humana Choice cover orthotics and durable medical equipment? Or does the coverage for the equipment or is it covered by Medicare only?
My husband has humana gold plus hmo. He is having dental problems and may also need a new lower denture. He called to find out what type of dental is covered and could not get help . Also for vision what is he covered for under this plan?
Are the $424 sunglasses provided by the hospital after combined cataract and cornea transplant surgery for eye protection reimbursed by Medicare?