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Humana Select Partner Plan H1951-038 (HMO)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for Humana Select Partner Plan H1951-038 (HMO). The information on this page is a summary only.
For a complete listing of all available benefits and cost information on Humana Select Partner Plan H1951-038 (HMO) in 2025, please refer to our full plan details page.
Humana Select Partner Plan H1951-038 (HMO) is a HMO plan offered by Humana Inc. available for enrollment in 2025 to people living in New Orleans Area. This plan received an overall rating of 4 out of 5 stars in 2025.
It's important to know that Humana Select Partner Plan H1951-038 (HMO) is a Medicare Advantage (MA) Plan with drug coverage. That means that this plan covers both medical services and prescription drugs.
Key Plan Facts
Below are a few key facts and commonly-asked questions about Humana Select Partner Plan H1951-038 (HMO).
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 Select Partner Plan H1951-038 (HMO), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $0.00. This is the amount you must pay every month. Additionally, this plan comes with a Part B Premium reduction of $35.00. You must continue to pay paying your reduced 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 no drug deductible. Your prescription medication coverage will start immediately.
Out-of-Pocket Maximums
This plan has a Maximum Out-Of-Pocket cost of $3000.00 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 Select Partner Plan H1951-038 (HMO) has a $0 deductible for prescription drugs. In the initial coverage phase, you will pay different copays or coinsurance amounts depending on the drug tier and pharmacy you use. For example, you'll pay no copay for preferred generic drugs at a standard pharmacy, or a $20.00 copay for preferred generic drugs through standard mail order. Once your total drug costs reach $2,000.00, you enter the catastrophic coverage phase where you pay nothing for covered Part D drugs. However, you may still have to pay a share of the costs for excluded drugs covered under any enhanced benefit.
Additional Benefits
The Humana Select Partner Plan H1951-038 (HMO) offers comprehensive coverage including inpatient and outpatient hospital services with varying copays. This plan also includes coverage for primary care, specialist visits, mental health, and other therapies with a $20 copay. Preventive services, such as annual physical exams and screenings, are covered with no copay, along with hearing and vision services. Additionally, the plan provides dental coverage, ambulance services, and home health services.
Inpatient Hospital See details
Inpatient Hospital services are covered, including Inpatient Hospital-Acute and Inpatient Hospital Psychiatric. For the first 10 days, there is a $65 copay, and days 11-90 have no copay. Additional days for Inpatient Hospital-Acute have no copay. Non-Medicare-covered stays and upgrades for Inpatient Hospital-Acute are not covered, and additional days and non-Medicare-covered stays for Inpatient Hospital Psychiatric are not covered.
Outpatient Services See details
Outpatient Services include coverage for all outpatient hospital services, with a copay between $0 and $250, and observation services with a $65 copay. Ambulatory Surgical Center (ASC) Services and Outpatient Blood Services have no copay, while outpatient substance abuse services have a $20 copay for both individual and group sessions.
Partial Hospitalization See details
Partial Hospitalization is covered with a $20 copay, and requires prior authorization.
Ambulance and Transportation Services See details
Ambulance and Transportation Services are covered, with prior authorization required for all ambulance services. Ground ambulance services have a $300 copay, while air ambulance services have a 20% coinsurance; transportation services to plan-approved or any health-related locations are not covered.
Emergency Services See details
Emergency Services, Urgently Needed Services, and Worldwide Emergency Services are covered. Emergency Services and Worldwide Emergency Coverage have a $135 copay, while Urgently Needed Services have a $35 copay; all have no coinsurance.
Primary Care See details
The Humana Select Partner Plan H1951-038 (HMO) covers primary care physician services with no copay, and chiropractic services with a $20 copay. Occupational Therapy Services has a $20 copay, while physician specialist services, and physical therapy and speech-language pathology services have a $20 copay. Mental health, psychiatric services, and opioid treatment program services have a $20 copay. Additional telehealth benefits have a copay that ranges from $0 to $35.
Preventive Services See details
The Humana Select Partner Plan H1951-038 (HMO) covers preventive services with no copay for annual physical exams, glaucoma screenings, diabetes self-management training, barium enemas, digital rectal exams, and EKGs following a welcome visit. Additional preventive services include additional sessions of smoking and tobacco cessation counseling, and fitness benefits, both of which have no copay.
Hearing Services See details
Hearing services include hearing exams with a $20 copay, routine hearing exams with no copay, and fitting/evaluation for hearing aids with no copay. Prescription hearing aids (all types) are covered with no copay, while OTC hearing aids are covered with no copay. Prescription Hearing Aids - Inner Ear, Prescription Hearing Aids - Outer Ear, and Prescription Hearing Aids - Over the Ear are not covered.
Vision Services See details
The Humana Select Partner Plan H1951-038 (HMO) covers vision services, including eye exams with a copay of $0-$20, and eyewear with a copay of $0 and a combined maximum benefit of $300 per year. Eyeglass lenses, eyeglass frames, and upgrades are not covered.
Dental Services See details
The Humana Select Partner Plan H1951-038 (HMO) plan covers dental services, with a $20 copay for Medicare Dental Services, and other services like oral exams, dental x-rays, and cleanings with no copay. Fluoride treatment, maxillofacial prosthetics, implant services, and orthodontics are not covered. The plan has a maximum benefit of $2,500 per year for other dental services.
Home Infusion bundled Services See details
Home Infusion bundled Services are covered and require prior authorization. The plan covers Medicare Part B Insulin Drugs with a $35 copay and between 0-20% coinsurance, and also covers Medicare Part B Chemotherapy/Radiation Drugs and Other Medicare Part B Drugs with between 0-20% coinsurance.
Dialysis Services See details
Dialysis Services are covered under the Humana Select Partner Plan H1951-038 (HMO) with a coinsurance of 20%. Prior authorization is required for this benefit.
Medical Equipment See details
Medical Equipment benefits include coverage for Durable Medical Equipment (DME), Prosthetics/Medical Supplies, and Diabetic Equipment. DME has a 20% coinsurance, and Prosthetic Devices and Medical Supplies have a 20% coinsurance. Diabetic Supplies have a 10-20% coinsurance with no copay, while Diabetic Therapeutic Shoes/Inserts have a $10 copay.
Diagnostic and Radiological Services See details
Diagnostic and Radiological Services, including all diagnostic services, are covered with a copay. Diagnostic Procedures/Tests have a copay between $0 and $50, while Lab Services have no copay. Diagnostic Radiological Services have a copay up to $325, Therapeutic Radiological Services have a copay up to $20, and Outpatient X-Ray Services have no copay.
Home Health Services See details
Home Health Services are covered by the Humana Select Partner Plan H1951-038 (HMO) with no copay and no coinsurance. Additional hours of care and personal care services are not covered.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are covered, but the plan does not cover Intensive Cardiac Rehabilitation Services, Pulmonary Rehabilitation Services, or SET for PAD Services. Prior authorization is required, and there is a copay, but the specific amount is not specified.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) services are covered by the Humana Select Partner Plan H1951-038 (HMO), with a copay of $20 for days 1-20 and $203 for days 21-100. Additional days beyond Medicare-covered for SNF and non-Medicare-covered stays for SNF are not covered.
Other Services See details
The Humana Select Partner Plan H1951-038 (HMO) covers acupuncture with a $20 copay per visit, up to 20 treatments per year, and also covers Over-the-Counter (OTC) items with a $75 allowance every three months, including Nicotine Replacement Therapy (NRT) and Naloxone. The plan also covers a meal benefit with no copay. However, the plan does not cover Dual Eligible SNPs with Highly Integrated Services, Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) Services, Private Duty Nursing Services, Case Management (Long Term Care), Institution for Mental Disease Services for Individuals 65 or Older, Case Management, Tobacco Cessation Counseling for Pregnant Women, Freestanding Birth Center Services, Respiratory Care Services, Family Planning Services, Nursing Home Services, Home and Community Based Services, Personal Care Services, and Self-Directed Personal Assistance Services.
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