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Humana Select Partner Plan H1951-039 (HMO)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for Humana Select Partner Plan H1951-039 (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 H1951-039 (HMO) in 2025, please refer to our full plan details page.
Humana Select Partner Plan H1951-039 (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 2025.
It's important to know that Humana Select Partner Plan H1951-039 (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 H1951-039 (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 H1951-039 (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 $30.00. 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 $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 H1951-039 (HMO) has a $0 deductible for prescription drugs. In the initial coverage phase, you will pay varying copays and coinsurance depending on the drug tier and pharmacy type. For example, you will pay no copay for preferred generic drugs at a standard pharmacy or preferred mail, but $20.00 at a standard mail pharmacy. Once your total drug costs reach $2,000, you enter the catastrophic coverage phase, where you will pay nothing for your Part D covered drugs. If you qualify for the low-income subsidy, you will pay $0.00 for Part D drugs.
Additional Benefits
The Humana Select Partner Plan H1951-039 (HMO) offers a range of benefits, including inpatient hospital stays with an $85 copay for the first 11 days, and then no copay for the remaining days. Outpatient services have varying copays depending on the service, and emergency services have a $135 copay. The plan also includes coverage for primary care with no copay for primary care physician services, preventive services with no copay, hearing and vision services, and dental services with varying copays. Additional benefits include ambulance services, with a $300 copay for ground transport, and a 20% coinsurance for air transport. The plan offers coverage for home health services with no copay, and skilled nursing facility (SNF) services with a $20 copay for the first 20 days. The plan also provides coverage for medical equipment with a 20% coinsurance, and diagnostic and radiological services with varying copays.
Inpatient Hospital See details
Inpatient Hospital benefits include coverage for acute and psychiatric stays, with a copay of $85 for days 1-11 and no copay for days 12-90. Additional days for inpatient hospital-acute have no copay, while non-Medicare-covered stays and upgrades for inpatient hospital-acute and additional days for inpatient hospital psychiatric are not covered.
Outpatient Services See details
Outpatient Services include coverage for outpatient hospital services with a copay between $0 and $250, observation services with an $85 copay, and ambulatory surgical center services with no copay. Outpatient substance abuse services have a $20 copay, and outpatient blood services have no copay.
Partial Hospitalization See details
Partial Hospitalization is covered, but requires prior authorization. The plan has a $20 copay for this benefit.
Ambulance and Transportation Services See details
Ambulance and Transportation Services are covered, including both ground and air ambulance services. Ground ambulance services have a $300 copay, while air ambulance services have a 20% coinsurance. Transportation services to any health-related location are not covered.
Emergency Services See details
Emergency Services, Urgently Needed Services, and Worldwide Emergency Services are covered. Emergency Services have a $135 copay, and Urgently Needed Services have a $65 copay, while there is a $135 copay for Worldwide Emergency Coverage, Worldwide Urgent Coverage, and Worldwide Emergency Transportation.
Primary Care See details
Primary Care services include no copay for Primary Care Physician Services. Chiropractic Services have a $20 copay, while Routine Chiropractic Care is not covered. Occupational Therapy Services and Physical Therapy/Speech-Language Pathology Services have a $20 copay. Physician Specialist Services have a $30 copay. Mental Health and Psychiatric Services, including individual and group sessions, have a $20 copay. Other Health Care Professional services have a copay between $0 and $30. Additional Telehealth Benefits have a copay between $0 and $65. Opioid Treatment Program Services have a $20 copay.
Preventive Services See details
Preventive Services include coverage for Medicare-covered services with no copay, an annual physical exam with no copay, additional preventive services, kidney disease education services, and other preventive services. Additional preventive services do not specify a copay, and other preventive services include glaucoma screening, diabetes self-management training, barium enemas, digital rectal exams, and EKG following a welcome visit, all with no copay. Health education, in-home safety assessments, personal emergency response systems, medical nutrition therapy, post-discharge in-home medication reconciliation, re-admission prevention, wigs for hair loss related to chemotherapy, weight management programs, alternative therapies, therapeutic massage, adult day health services, nutritional/dietary benefits, home-based palliative care, in-home support services, and support for caregivers of enrollees are not covered.
Hearing Services See details
Hearing exams have a $30 copay, routine hearing exams have no copay, and fitting/evaluation for hearing aids have no copay. Prescription hearing aids are covered up to $1,000 per year, and OTC hearing aids have no copay and are covered up to $1,000 per ear per year. Prescription hearing aids - inner ear, outer ear, and over the ear are not covered.
Vision Services See details
Vision services include eye exams with a copay of $0-$30, and eyewear with no copay. Contact lenses and eyeglasses (lenses and frames) are covered. Eyeglass lenses, eyeglass frames, and upgrades are not covered.
Dental Services See details
The Humana Select Partner Plan H1951-039 (HMO) plan covers dental services, including oral exams with no coinsurance, dental x-rays with no coinsurance, other diagnostic dental services with no coinsurance, prophylaxis (cleaning) with no coinsurance, and other preventive dental services with no coinsurance. The plan does not cover fluoride treatment, endodontics, prosthodontics (removable and fixed), maxillofacial prosthetics, implant services, oral and maxillofacial surgery, or orthodontics. Restorative services and periodontics have a $25 copay.
Home Infusion bundled Services See details
Home Infusion bundled Services are covered, including Medicare Part B Insulin Drugs, Medicare Part B Chemotherapy/Radiation Drugs, and Other Medicare Part B Drugs. Medicare Part B Insulin Drugs have a $35 copay, with a coinsurance between 0% and 20%. The other drugs have a coinsurance between 0% and 20%.
Dialysis Services See details
Dialysis Services are covered by the Humana Select Partner Plan H1951-039 (HMO), with a coinsurance between 20% and 20%. Prior authorization is required for this service.
Medical Equipment See details
Medical Equipment is covered, including Durable Medical Equipment with a 20% coinsurance and Prosthetics/Medical Supplies with a 20% coinsurance. Diabetic Supplies have no copay and a 10-20% coinsurance, and Diabetic Therapeutic Shoes/Inserts have a $10 copay.
Diagnostic and Radiological Services See details
Diagnostic and Radiological Services are covered by the Humana Select Partner Plan H1951-039 (HMO). Diagnostic Procedures/Tests have a copay between $0 and $65, Lab Services have no copay, Diagnostic Radiological Services have a copay of at most $325, Therapeutic Radiological Services have a copay of $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 H1951-039 (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 Cardiac Rehabilitation Services, Intensive Cardiac Rehabilitation Services, Pulmonary Rehabilitation Services, or SET for PAD Services. Prior authorization is required.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) services are covered under the Humana Select Partner Plan H1951-039 (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
Other Services include acupuncture, which has a $30 copay, and a meal benefit with no copay. Over-the-counter items, 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, Services in an Intermediate Care Facility for Individuals with Intellectual Disabilities, 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 are not covered.
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