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 |
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|---|---|---|---|
| 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 |  |
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| 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 |
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| 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 |
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|---|---|---|---|
| Life Enrichment Program | |
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| Fitness Program | |
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| 24 Hour Nurse Advice Line | |
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| Alternative Medicine | |
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| 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 have Humana Choice Florida (PPO) and need to know what my Dental Benefits are. Please outline for me. Also, please send me a benefit booklet for 2019.
I have Humana Choice PPO. I understand the plan now includes Dental. A list of dentists on the plan has not been provided as well as a list of doctors on the plan. I called today and was told in about seven to ten days this information would be mailed to me. I thought I would also check on line and all I found were plans I could purchase. Information should be available to members when the cards are mailed for the year.