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Humana Select Partner Plan (HMO)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for Humana Select Partner Plan (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 (HMO) in 2026, please refer to our full plan details page.
Humana Select Partner Plan (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 2026.
It's important to know that Humana Select Partner Plan (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 (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 (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 $41.00. 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 $2900.00 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 (HMO) features a $0 drug deductible, meaning your prescription drug coverage begins immediately without any upfront out-of-pocket costs. For Tier 1 preferred generic and Tier 2 generic medications, there is no copay for 1-month or 3-month supplies filled at standard pharmacies or through preferred mail order. If you utilize standard mail order, Tier 1 and Tier 2 copays are $10 and $20 respectively for a 1-month supply. For Tier 3 preferred brand drugs, you will pay a $30 copay for a 1-month supply at standard pharmacies and preferred mail order, or $47 through standard mail order. Tier 4 non-preferred drugs require a 47% coinsurance, while Tier 5 specialty tier drugs carry a 33% coinsurance across standard pharmacies and mail-order options.
Additional Benefits
The Humana Select Partner Plan (HMO) offers robust coverage for essential medical needs, featuring no copay for primary care visits and a low $20 copay for specialist appointments. If you require hospital care, inpatient stays carry a $65 daily copay for the first 10 days followed by no copay, while emergency room visits require a $150 copay that is waived upon admission. Additionally, routine preventive services, home health care, and up to 60 one-way transportation trips to approved locations are available with no copay or coinsurance. For supplemental health needs, the plan provides generous dental benefits with no copay or coinsurance up to a $3,000 annual maximum, alongside no copay for routine vision and hearing exams. Vision coverage includes a $300 annual allowance for eyewear, while hearing benefits cover up to two over-the-counter hearing aids at no cost. Most durable medical equipment and dialysis services require a 20% coinsurance with no copay, helping you easily manage your ongoing medical specialty costs.
Inpatient Hospital See details
Humana Select Partner Plan (HMO) covers inpatient acute and psychiatric hospital services with no coinsurance, requiring a $65 daily copay for days 1 to 10 and no copay for days 11 to 90. Prior authorization is required, and while unlimited additional acute days are covered with no copay, upgrades, non-Medicare-covered stays, and additional psychiatric days are not covered.
Outpatient Services See details
Humana Select Partner Plan (HMO) covers outpatient services with no coinsurance, including ambulatory surgical center and blood services with no copay. Outpatient hospital services have a $0 to $100 copay, observation services have a $65 copay per stay, and outpatient substance abuse sessions require a $35 copay.
Partial Hospitalization See details
Partial hospitalization is covered by the Humana Select Partner Plan (HMO) with a $35 copay and no coinsurance, though prior authorization is required for these services.
Ambulance and Transportation Services See details
Humana Select Partner Plan (HMO) covers ground ambulance services with a $335 copay and no coinsurance, and air ambulance services with a 20% coinsurance and no copay. Transportation services are partially covered with no copay and no coinsurance for up to 60 one-way trips per year to plan-approved locations, but transportation to any health-related location is not covered.
Emergency Services See details
Humana Select Partner Plan (HMO) covers emergency services with a $150 copay and no coinsurance, which is waived if you are admitted to the hospital within 24 hours. Urgently needed services require a $65 copay and no coinsurance, while worldwide emergency, urgent, and transportation services are covered with a $150 copay and no coinsurance.
Primary Care See details
Humana Select Partner Plan (HMO) covers primary care physician services with no copay and no coinsurance, while specialist visits, physical therapy, and occupational therapy require a $20 copay and no coinsurance. Mental health, psychiatric, and opioid treatment services have a $35 copay and no coinsurance, whereas podiatry is not covered and chiropractic services are partially covered, with routine chiropractic care not covered.
Preventive Services See details
Preventive services are partially covered by the Humana Select Partner Plan (HMO) with no copays and no coinsurance for covered options like annual physicals, kidney education, glaucoma screenings, and diabetes self-management. While memory fitness, in-home support, and tobacco cessation counseling are included at no cost, other supplemental services are not covered, including health education, personal emergency response systems, medical nutrition therapy, weight management, alternative therapies, therapeutic massage, adult day health, and home safety modifications.
Hearing Services See details
Hearing services are covered by the Humana Select Partner Plan (HMO) with no coinsurance, offering no copay for annual routine exams, fitting evaluations, and up to two OTC hearing aids. Medicare-covered exams require a $20 copay, and while some prescription hearing aid services are covered up to $1,000 per ear, inner ear, outer ear, and over the ear models are not covered.
Vision Services See details
Vision services are partially covered by the Humana Select Partner Plan (HMO) with no copay and no coinsurance, which includes one annual routine eye exam and up to $300 yearly for contact lenses or eyeglasses. Prior authorization is required, and other eye exam services, eyeglass lenses, eyeglass frames, and upgrades are not covered.
Dental Services See details
Humana Select Partner Plan (HMO) partially covers dental services, offering Medicare-covered dental with a $20 copay and no coinsurance, alongside other diagnostic, preventive, and comprehensive services with no copay and no coinsurance up to a $3,000 annual maximum. Fluoride treatments, maxillofacial prosthetics, implant services, and orthodontics are not covered under this plan.
Home Infusion bundled Services See details
Humana Select Partner Plan (HMO) covers home infusion bundled services with no copay, though prior authorization is required. Associated Medicare Part B chemotherapy and other drugs have no copay and coinsurance ranging from no coinsurance to 20%, while Part B insulin requires a $35 copay and coinsurance ranging from no coinsurance to 20%.
Dialysis Services See details
Humana Select Partner Plan (HMO) covers dialysis services with no copay and a 20% coinsurance. Prior authorization is required to receive these covered services.
Medical Equipment See details
Humana Select Partner Plan (HMO) covers medical equipment, including durable medical equipment (DME), prosthetics, medical supplies, and diabetic equipment, with prior authorization required for most items. Durable medical equipment, prosthetics, and medical supplies have a 20% coinsurance and no copay, while diabetic supplies carry a 10% to 20% coinsurance with no copay, and diabetic therapeutic shoes or inserts require a $10 copay.
Diagnostic and Radiological Services See details
Diagnostic and radiological services are covered by the Humana Select Partner Plan (HMO), with prior authorization required for all services. Diagnostic tests and procedures feature a copay ranging from $0 to $65 with no coinsurance, while lab services and outpatient X-rays have no copay. Diagnostic radiological services have copays starting at $0, and therapeutic radiological services require a minimum $20 copay and a minimum 20% coinsurance.
Home Health Services See details
Home Health Services are covered by the Humana Select Partner Plan (HMO) with no copay and no coinsurance, though prior authorization is required.
Cardiac Rehabilitation Services See details
Humana Select Partner Plan (HMO) covers some cardiac rehabilitation services with no copay and no coinsurance, but cardiac, intensive cardiac, pulmonary, and SET for PAD services are not covered.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) care is covered by the Humana Select Partner Plan (HMO) with no coinsurance, requiring prior authorization but no prior three-day hospital stay. There is no copay for days 1 through 20, a daily copay of $218 applies for days 21 through 100, and additional days beyond the Medicare-covered limit are not covered.
Other Services See details
Humana Select Partner Plan (HMO) partially covers other services, offering acupuncture with a $20 copay and no coinsurance, alongside over-the-counter items and chronic-illness meal benefits with no copay and no coinsurance. Under this plan, Other 1, Other 2, Other 3, and Dual Eligible SNPs with Highly Integrated Services are not covered.
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