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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|
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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.
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I will be getting Choice PPO in Md in 2022. Does Bisoprolol get covered under my new plan?
We have humana choice PPO….are shingle shots covered? We were told they were and paid our $35……….now we’re being billed for balance. Can’t get a straight answer from anyone