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Humana Dual Select H1036-329 (HMO D-SNP)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for Humana Dual Select H1036-329 (HMO D-SNP). The information on this page is a summary only.
For a complete listing of all available benefits and cost information on Humana Dual Select H1036-329 (HMO D-SNP) in 2026, please refer to our full plan details page.
Humana Dual Select H1036-329 (HMO D-SNP) is a HMO D-SNP plan offered by Humana Inc. available for enrollment in 2026 to people living in Gulf Coast, Jackson, Hattiesburg, Memphis. This plan received an overall rating of 4.5 out of 5 stars in 2026.
It's important to know that Humana Dual Select H1036-329 (HMO D-SNP) is a Medicare Advantage (MA) Plan with drug coverage. That means that this plan covers both medical services and prescription drugs.
Important:
Humana Dual Select H1036-329 (HMO D-SNP)is a Special Needs Type (SNP) plan. This means you can only enroll in this plan if you meet specific criteria. See our full plan details page for more information.
Key Plan Facts
Below are a few key facts and commonly-asked questions about Humana Dual Select H1036-329 (HMO D-SNP).
Plan Costs:
The cost of a Medicare Advantage Plan is made up of four main parts.
- First, the monthly premium — the amount you pay every month.
- Second, the deductible — the amount you pay out of pocket for covered services before the plan starts paying.
- Third, the copayments and coinsurance — the amounts you pay out of pocket for covered services, usually after meeting the deductible (if applicable). Copays are fixed dollar amounts; coinsurance is a percentage of the cost.
- Fourth, the Out-of-Pocket Maximum — the maximum amount you could have to pay out of pocket in a year. This may be different for in-network and out-of-network services.
For Humana Dual Select H1036-329 (HMO D-SNP), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $23.80. This is the amount you must pay every month.
This plan does not come with a Part B Premium reduction. You must continue to pay your Part B premium.
Deductibles
This plan does not have a health deductible. Your insurance coverage on covered health services will start immediately.
This plan has a $615.00 drug deductible. You will need to pay this amount towards covered prescriptions before your insurance coverage for prescription medications kicks in.
Out-of-Pocket Maximums
This plan has a Maximum Out-Of-Pocket cost of $9250.00 for out-of-network services. You will pay copays, coinsurance, and deductibles toward this amount. Once your total out-of-pocket costs reach $0.00 for in-network covered services, the plan will pay 100% of in-network covered costs for the rest of the year.
You can see below for the coinsurance and specific copayments for in the Additional Benefits section below, or refer to our Plan Details page for more details.
Common Services:
Doctor Visits:
Specialist Visits:
Emergency Room:
Urgent Care:
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Drug Coverage
The Humana Dual Select H1036-329 (HMO D-SNP) prescription drug plan features an annual drug deductible of $615. For Tier 1 preferred generic and Tier 2 generic medications, members pay no copay for 1-month and 3-month supplies at standard retail pharmacies and through preferred mail order. If you use standard mail order, Tier 1 drugs carry a $10 to $30 copay, while Tier 2 drugs cost between $20 and $60 depending on the supply. For Tier 3 preferred brand, Tier 4 non-preferred, and Tier 5 specialty drugs, the plan charges a consistent 25% coinsurance. This 25% coinsurance applies across standard pharmacies, preferred mail order, and standard mail order services. While Tier 3 and Tier 4 drugs are available in 1-month and 3-month supplies, Tier 5 specialty drugs are limited to a 1-month supply at this 25% rate.
Additional Benefits
The Humana Dual Select H1036-329 (HMO D-SNP) offers comprehensive medical coverage with no copay or coinsurance for primary care visits and preventive services. Specialist visits require a $50 copay, while inpatient hospital stays have a $650 copay for the first three days and no copay for subsequent days. Outpatient hospital services feature no coinsurance, with copays ranging from no copay up to $550 depending on the service. Members also benefit from additional coverage including no copay for routine dental, vision, and hearing exams, alongside a $1,250 annual dental limit and $350 for eyewear. The plan also covers up to 36 one-way trips per year to approved locations with no copay or coinsurance. Durable medical equipment and dialysis services are covered with no copay and a standard 20% coinsurance.
Inpatient Hospital See details
Humana Dual Select H1036-329 (HMO D-SNP) partially covers inpatient hospital services with no coinsurance, though prior authorization is required. Acute care requires a $650 copay for days 1 to 3 followed by no copay for days 4 and beyond, whereas psychiatric care requires a $615 copay for days 1 to 3 and no copay for days 4 to 90. Upgrades, non-Medicare-covered stays, and additional psychiatric days are not covered.
Outpatient Services See details
Outpatient services covered by Humana Dual Select H1036-329 (HMO D-SNP) feature no coinsurance for all services, with no copay for ambulatory surgical center and blood services. Outpatient hospital services require a copay of $0 to $550, observation services have a $650 copay per stay, and outpatient substance abuse sessions carry a $35 copay.
Partial Hospitalization See details
Humana Dual Select H1036-329 (HMO D-SNP) covers partial hospitalization services with a $35.00 copay and no coinsurance. Prior authorization is required to receive this benefit.
Ambulance and Transportation Services See details
Humana Dual Select H1036-329 (HMO D-SNP) covers ground ambulance services with a $335 copay and air ambulance services with a 20% coinsurance, with prior authorization required for both. Transportation services are also covered with no copay or coinsurance for up to 36 one-way trips per year to plan-approved locations, though transportation to any health-related location is not covered.
Emergency Services See details
Humana Dual Select H1036-329 (HMO D-SNP) covers emergency services with a $115 copay and no coinsurance, with the copay waived if you are admitted to the hospital within 24 hours. Urgently needed services are covered with a $40 copay and no coinsurance, and worldwide emergency, urgent, and transportation services are covered with a $115 copay and no coinsurance.
Primary Care See details
Primary care physician services are covered by the Humana Dual Select H1036-329 (HMO D-SNP) with no copay and no coinsurance, while specialist visits require a $50 copay and no coinsurance. Chiropractic services are partially covered, featuring routine care for a $15 copay and no coinsurance for up to 12 visits per year while other chiropractic services are not covered, and other specialty benefits like therapy, mental health, and podiatry range from a $20 to $35 copay with no coinsurance.
Preventive Services See details
Preventive services are covered under the Humana Dual Select H1036-329 (HMO D-SNP) plan with no copay and no coinsurance, though prior authorization is required for certain services. Additional preventive benefits are partially covered, but health education, personal emergency response systems, in-home safety assessments, medical nutrition therapy, post-discharge medication reconciliation, readmission prevention, weight management, alternative therapies, therapeutic massage, adult day health, nutritional benefits, palliative care, caregiver support, enhanced disease management, telemonitoring, remote access, home safety modifications, and counseling are not covered.
Hearing Services See details
Humana Dual Select H1036-329 (HMO D-SNP) covers Medicare-covered hearing exams for a $50 copay and no coinsurance, while routine exams, fitting evaluations, and OTC hearing aids have no copay and no coinsurance. Prescription hearing aids are partially covered with no copay and no coinsurance for up to two devices every three years, but inner ear, outer ear, and over-the-ear hearing aids are not covered.
Vision Services See details
Vision services are partially covered by Humana Dual Select H1036-329 (HMO D-SNP) with no coinsurance, featuring a $0 to $50 copay for eye exams (no copay for routine exams) and requiring prior authorization. Covered eyewear has no copay and a $350 annual limit for one pair of contact lenses or eyeglasses (lenses and frames), while other eye exam services, eyeglass lenses, eyeglass frames, and upgrades are not covered.
Dental Services See details
Humana Dual Select H1036-329 (HMO D-SNP) covers Medicare dental services with a $50 copay and no coinsurance, alongside other diagnostic, preventive, and comprehensive dental services with no copay and no coinsurance up to a $1,250 annual maximum. This benefit is partially covered, as fluoride treatments, maxillofacial prosthetics, implant services, and orthodontics are not covered.
Home Infusion bundled Services See details
Home infusion bundled services are covered by Humana Dual Select H1036-329 (HMO D-SNP) with prior authorization, featuring a 0% to 20% coinsurance for all covered Part B drugs. Under this benefit, Medicare Part B insulin has a $35 copay, other Part B drugs have no copay, and chemotherapy or radiation drugs require a copay alongside the 0% to 20% coinsurance.
Dialysis Services See details
Dialysis services are covered under the Humana Dual Select H1036-329 (HMO D-SNP) plan with no copay and a 20% coinsurance. Prior authorization is required to receive these covered services.
Medical Equipment See details
Humana Dual Select H1036-329 (HMO D-SNP) covers medical equipment, including durable medical equipment, prosthetics, medical supplies, and diabetic equipment, with no copays and a 20% coinsurance. Prior authorization is required for these services, and diabetic supplies are limited to specified manufacturers.
Diagnostic and Radiological Services See details
Diagnostic and radiological services are covered by Humana Dual Select H1036-329 (HMO D-SNP), with prior authorization required. Diagnostic tests and procedures have a $0 to $50 copay with no coinsurance, lab services and outpatient X-rays have no copay, and diagnostic radiological services have a copay starting at $0. Therapeutic radiological services require a minimum $50 copay and a minimum 20% coinsurance.
Home Health Services See details
Home Health Services are covered by Humana Dual Select H1036-329 (HMO D-SNP) with no copay and no coinsurance, though prior authorization is required.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are covered by Humana Dual Select H1036-329 (HMO D-SNP) with no copay and no coinsurance, though prior authorization is required. While some services are covered, specific benefits such as cardiac rehabilitation, intensive cardiac rehabilitation, pulmonary rehabilitation, and supervised exercise therapy (SET) for symptomatic peripheral artery disease (PAD) are not covered by the plan in practice.
Skilled Nursing Facility (SNF) See details
Humana Dual Select H1036-329 (HMO D-SNP) covers Skilled Nursing Facility (SNF) services with no coinsurance, requiring prior authorization but no prior three-day inpatient hospital stay. There is no copay for days 1 through 20 and a daily copay of $218 for days 21 through 100, while additional days beyond the standard Medicare-covered period are not covered.
Other Services See details
Humana Dual Select H1036-329 (HMO D-SNP) partially covers other services, offering acupuncture for a $50 copay and no coinsurance, alongside over-the-counter items and chronic illness meals with no copay and no coinsurance. Highly integrated services and other miscellaneous services are not covered under this plan, and prior authorization is required for acupuncture and meals.
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