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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 Baton Rouge 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 $36.00. 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 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 $3700.00 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 an annual prescription drug deductible of $615. Under this plan, you will pay no copay for Tier 1 preferred generic and Tier 2 generic drugs when using standard pharmacies or preferred mail order services. However, using standard mail order for these generic medications will result in a copay starting at $10 for a one-month supply. For Tier 3 preferred brand drugs, you can expect a $30 copay for a one-month supply at standard pharmacies and through preferred mail order. Tier 4 non-preferred drugs require a 50% coinsurance, while Tier 5 specialty drugs have a 25% coinsurance across standard pharmacies and mail order options.
Additional Benefits
The Humana Select Partner Plan (HMO) offers comprehensive medical coverage featuring no copay or coinsurance for primary care visits, while specialist visits and physical therapies require a $20 copay. For inpatient hospital stays, members pay an $85 daily copay for the first 11 days and no copay for days 12 through 90. Emergency room visits carry a $150 copay, which is waived if admitted, and urgent care services require a $65 copay. This plan also includes essential everyday health benefits, such as preventive dental care, routine eye exams, and routine hearing evaluations with no copays. Members benefit from a $200 yearly allowance for eyewear, up to $1,000 per ear annually for hearing aids, and up to 60 one-way trips for plan-approved transportation. Home health services and cardiac rehabilitation are also covered with no copayments or coinsurance.
Inpatient Hospital See details
Humana Select Partner Plan (HMO) covers inpatient acute and psychiatric hospital services with no coinsurance, requiring an $85 daily copay for days 1 through 11 and no copay for days 12 through 90. This benefit is partially covered, as upgrades, non-Medicare-covered stays, and additional psychiatric days are not covered, though unlimited additional acute care days are covered with no copay.
Outpatient Services See details
Outpatient services are covered by the Humana Select Partner Plan (HMO) with no coinsurance, though prior authorization is required for most services. Patients pay no copay for ambulatory surgical center and outpatient blood services, a $35 copay for substance abuse sessions, an $85 copay per stay for observation services, and a $0 to $100 copay for outpatient hospital services.
Partial Hospitalization See details
Partial hospitalization is covered by the Humana Select Partner Plan (HMO) with a $35.00 copay and no coinsurance, though prior authorization is required.
Ambulance and Transportation Services See details
Humana Select Partner Plan (HMO) covers ambulance services with a $335 copay (no coinsurance) for ground transport and a 20% coinsurance (no copay) for air transport, both requiring prior authorization. Transportation services are partially covered under prior authorization with no copay or coinsurance for up to 60 one-way trips per year to plan-approved locations, while trips to any health-related location are not covered.
Emergency Services See details
Humana Select Partner Plan (HMO) covers emergency services with a $150 copay, which is waived if you are admitted to the hospital within 24 hours, and urgently needed services with a $65 copay, with no coinsurance for either service. Worldwide emergency, urgent care, and emergency transportation are also 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 and physical, occupational, and speech therapies require a $20 copay and no coinsurance. Mental health, psychiatric, and opioid treatment services have a $35 copay with no coinsurance, but podiatry and routine chiropractic services are not covered.
Preventive Services See details
Preventive Services under the Humana Select Partner Plan (HMO) are partially covered with no copays and no coinsurance for covered care, which includes annual physical exams, kidney disease education, and diabetes self-management training. While supplemental benefits like fitness and in-home support are covered, several options like health education, nutritional therapy, and home safety assessments are not covered.
Hearing Services See details
Hearing services are covered under the Humana Select Partner Plan (HMO) with a $20 copay and no coinsurance for Medicare-covered exams, and no copay or coinsurance for annual routine exams and fitting evaluations. Prescription hearing aids are partially covered with no copay or coinsurance up to $1,000 per ear annually—excluding inner ear, outer ear, and over-the-ear types—while up to two over-the-counter hearing aids are covered each year with no copay or coinsurance.
Vision Services See details
Humana Select Partner Plan (HMO) provides partially covered vision services with no deductibles and no coinsurance. Routine eye exams are covered with no copay, but other eye exams are not covered. Eyewear is also partially covered with no copay up to a $200 yearly limit for one pair of contact lenses or eyeglasses, while individual eyeglass lenses, eyeglass frames, and upgrades are not covered.
Dental Services See details
Dental services are partially covered under the Humana Select Partner Plan (HMO) up to a $4,000 annual maximum, featuring a $20 copay and no coinsurance for Medicare-covered care, and no copay or coinsurance for preventive services. Restorative and prosthodontic services require no copay but carry a 30% to 40% coinsurance, while fluoride, implants, maxillofacial prosthetics, and orthodontics are not covered.
Home Infusion bundled Services See details
Humana Select Partner Plan (HMO) covers home infusion bundled services with no copay, though prior authorization is required. Covered Medicare Part B chemotherapy, radiation, and other drugs require no coinsurance to 20% coinsurance, while Part B insulin has a $35 copay and no coinsurance to 20% coinsurance.
Dialysis Services See details
The Humana Select Partner Plan (HMO) covers Dialysis Services with no copay and a 20% coinsurance, though prior authorization is required.
Medical Equipment See details
Humana Select Partner Plan (HMO) covers medical equipment, including durable medical equipment (DME), prosthetics, and medical supplies, with a 20% coinsurance and no copay. Diabetic supplies from specified manufacturers are covered with a 10% to 20% coinsurance and no copay, while diabetic therapeutic shoes or inserts require a $10 copay.
Diagnostic and Radiological Services See details
Humana Select Partner Plan (HMO) covers diagnostic and radiological services with prior authorization required. Outpatient diagnostic procedures and tests have no coinsurance and a copay of $0 to $65, lab services and X-rays have no copay, and therapeutic radiological services require a minimum $20 copay and 20% coinsurance.
Home Health Services See details
Humana Select Partner Plan (HMO) covers home health services with no copay and no coinsurance, although prior authorization is required for these services.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are covered by the Humana Select Partner Plan (HMO) with no copay and no coinsurance, although prior authorization is required. While some services are covered, standard cardiac, intensive cardiac, pulmonary, and SET for PAD rehabilitation services are not covered.
Skilled Nursing Facility (SNF) See details
Humana Select Partner Plan (HMO) covers skilled nursing facility services with no coinsurance, requiring prior authorization but no prior three-day inpatient hospital stay. There is no copay for days 1 through 20, followed by a $218 daily copay for days 21 through 100, with additional days beyond the Medicare-covered limit not covered.
Other Services See details
Humana Select Partner Plan (HMO) covers acupuncture with a $20 copay and no coinsurance for up to 20 treatments per year, requiring prior authorization. Over-the-counter items and chronic illness meal benefits are also covered with no copay and no coinsurance, with meals requiring prior authorization.
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