Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for Humana Dual Select H1951-056 (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 H1951-056 (HMO D-SNP) in 2026, please refer to our full plan details page.
Humana Dual Select H1951-056 (HMO D-SNP) is a HMO D-SNP plan offered by Humana Inc. available for enrollment in 2025 to people living in Louisiana. This plan received an overall rating of 4 out of 5 stars in 2026.
It's important to know that Humana Dual Select H1951-056 (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 H1951-056 (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.
Below are a few key facts and commonly-asked questions about Humana Dual Select H1951-056 (HMO D-SNP).
The cost of a Medicare Advantage Plan is made up of four main parts.
For Humana Dual Select H1951-056 (HMO D-SNP), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $30.20. 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.
Need help deciding? Talk with one of our licensed insurance specialists 1-877-649-2073 / TTY 711. 8am-11pm EST. 7 days a week
The Humana Dual Select H1951-056 (HMO D-SNP) plan features an annual drug deductible of $615. For Tier 1 preferred generic and Tier 2 generic medications, there is no copay when filled at standard pharmacies or through preferred mail order. However, using standard mail order for these generic tiers will result in copays ranging from $10 to $20 for a one-month supply. For higher-tier medications, including Tier 3 preferred brand, Tier 4 non-preferred drugs, and Tier 5 specialty drugs, you will pay a consistent 25% coinsurance. This 25% coinsurance applies across standard pharmacies, preferred mail order, and standard mail order options. These cost-sharing details help you estimate your out-of-pocket expenses when choosing this Humana Medicare plan.
The Humana Dual Select H1951-056 (HMO D-SNP) offers robust medical coverage with no copay or coinsurance for primary care visits and routine preventive services. For inpatient hospital stays, members pay a daily copay of $110 for the first 10 days and no copay for subsequent days up to day 90. Outpatient hospital services feature copays up to $175, while home health services are fully covered with no copays or coinsurance. This plan also provides valuable supplemental benefits, including routine eye and hearing exams with no copays, alongside a $250 annual allowance for eyewear and up to two prescription hearing aids every three years. Preventive and comprehensive dental care is covered with no copay or coinsurance up to a $2,000 annual limit. Additionally, members can access over-the-counter items and meal programs with no copays, ensuring comprehensive support for daily health needs.
Inpatient hospital services are covered by Humana Dual Select H1951-056 (HMO D-SNP) with no coinsurance, featuring a daily copay of $110 for days 1 through 10 and no copay for days 11 through 90. This partially covered benefit requires prior authorization and excludes upgrades, non-Medicare-covered stays, and additional days for psychiatric stays.
Outpatient services are covered by Humana Dual Select H1951-056 (HMO D-SNP) with no coinsurance, featuring a $0 to $175 copay for outpatient hospital services and a $110 copay per stay for observation services. Ambulatory surgical center and outpatient blood services have no copay and no coinsurance, while outpatient substance abuse sessions require a $20 copay with no coinsurance.
Partial hospitalization is covered by Humana Dual Select H1951-056 (HMO D-SNP) with a $20.00 copay and no coinsurance. Prior authorization is required to receive this benefit.
Ambulance and transportation services are covered by Humana Dual Select H1951-056 (HMO D-SNP), which features a $335 copay and no coinsurance for ground ambulance services, and a 20% coinsurance and no copay for air ambulance services. Transportation services are partially covered with no copay and no coinsurance for up to 36 yearly one-way trips to plan-approved locations, while transportation to any health-related location is not covered.
Emergency services are covered by Humana Dual Select H1951-056 (HMO D-SNP) with a $115 copay and no coinsurance, which is waived if you are admitted to the hospital within 24 hours. Urgently needed services require a $40 copay and no coinsurance, while worldwide emergency, urgent, and transportation services are available with a $115 copay and no coinsurance.
Humana Dual Select H1951-056 (HMO D-SNP) covers primary care physician services with no copay and no coinsurance, while specialist, therapy, mental health, and podiatry services require a $20 copay and no coinsurance. Chiropractic services are partially covered, offering routine care for a $15 copay and no coinsurance, though other chiropractic services are not covered.
Preventive services are covered by Humana Dual Select H1951-056 (HMO D-SNP) with no copay and no coinsurance, though additional preventive benefits are only partially covered. Covered options include annual physicals, kidney disease education, in-home support, smoking cessation, and fitness benefits, while excluded services include health education, in-home safety assessments, PERS, medical nutrition therapy, medication reconciliation, readmission prevention, wigs, weight management, alternative therapies, therapeutic massage, adult day health, nutritional benefits, palliative care, caregiver support, disease management, telemonitoring, remote access technologies, home safety modifications, and counseling.
Hearing services covered by Humana Dual Select H1951-056 (HMO D-SNP) feature no coinsurance and no deductible, with no copay for routine exams, fitting evaluations, and OTC hearing aids, while Medicare-covered exams require a $20 copay. Prescription hearing aids are partially covered with no copay for up to two devices every three years, though inner ear, outer ear, and over the ear hearing aids are not covered.
Humana Dual Select H1951-056 (HMO D-SNP) partially covers vision services with no copays, no coinsurance, and no deductibles, though prior authorization is required. Covered benefits include one routine eye exam and a $250 annual combined maximum for eyeglasses (lenses and frames) or contact lenses, while other eye exam services, individual eyeglass lenses, eyeglass frames, and upgrades are not covered.
Humana Dual Select H1951-056 (HMO D-SNP) offers partially covered dental services with a $20 copay and no coinsurance for Medicare-covered dental, and no copay or coinsurance for other covered preventive and comprehensive services up to a $2,000 annual limit. Excluded services that are not covered under this plan include fluoride treatments, endodontics, prosthodontics, implants, oral surgery, and orthodontics.
Humana Dual Select H1951-056 (HMO D-SNP) covers home infusion bundled services with prior authorization, featuring a 0% to 20% coinsurance and no copay for most Medicare Part B drugs, including chemotherapy and radiation. Covered Part B insulin has a $35 copay and a 0% to 20% coinsurance, and step therapy may apply.
Humana Dual Select H1951-056 (HMO D-SNP) covers dialysis services with no copay and a 20% coinsurance. Prior authorization is required to receive these covered services.
Humana Dual Select H1951-056 (HMO D-SNP) covers medical equipment, including durable medical equipment, prosthetics, medical supplies, and diabetic equipment, with no copay and a 20% coinsurance for most items. Prior authorization is required for these services, and diabetic supplies are limited to specified manufacturers.
Humana Dual Select H1951-056 (HMO D-SNP) covers diagnostic and radiological services with prior authorization required. Diagnostic procedures and tests require 20% coinsurance and a $0 to $40 copay, while therapeutic radiological services carry a 20% coinsurance and a $20 copay. Lab services, diagnostic radiological services, and outpatient X-ray services are covered with no copay.
Home Health Services are covered by Humana Dual Select H1951-056 (HMO D-SNP) with no copay and no coinsurance, though prior authorization is required.
Humana Dual Select H1951-056 (HMO D-SNP) covers some Cardiac Rehabilitation Services, but cardiac rehabilitation, intensive cardiac rehabilitation, pulmonary rehabilitation, and SET for PAD services are not covered. Any covered services require prior authorization and are subject to a $15 copay and 20% coinsurance.
Humana Dual Select H1951-056 (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, a $218 daily copay for days 21 through 100, and additional days beyond the standard Medicare-covered limit are not covered.
Other Services are partially covered under the Humana Dual Select H1951-056 (HMO D-SNP) plan, while Dual Eligible SNPs with Highly Integrated Services and other additional services are not covered. Covered benefits include acupuncture with a $20 copay and no coinsurance, alongside over-the-counter items and meal benefits with no copay and no coinsurance.
SMID: MULTIPLAN_HCIHNMEDADVRX25_HCI_M
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* Benefit(s) mentioned may be part of a special supplemental program for chronically ill members with one of the following conditions: Diabetes mellitus, Cardiovascular disorders, Chronic and disabling mental health conditions, Chronic lung disorders, Chronic heart failure. This is not a complete list of qualifying conditions. Having a qualifying condition alone does not mean you will receive the benefit(s). Other requirements may apply.
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