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Humana Dual Select H1951-056 (HMO D-SNP)
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 2025, 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 2025.
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.
Key Plan Facts
Below are a few key facts and commonly-asked questions about Humana Dual Select H1951-056 (HMO D-SNP).
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 Dual Select H1951-056 (HMO D-SNP), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $55.60. This is the amount you must pay every month. Additionally, this plan comes with a Part B Premium reduction of $1.00. 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 $590.00 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 $9350.00 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 Dual Select H1951-056 (HMO D-SNP) plan has a $590.00 deductible for prescription drugs. If you qualify for the low-income subsidy, your monthly premium will be $55.60. After the deductible is met, you will pay the costs associated with your drug tier until your total drug costs reach $2000.00. After your yearly out-of-pocket drug costs reach $2000.00, you pay nothing for Medicare Part D covered drugs.
Additional Benefits
The Humana Dual Select H1951-056 (HMO D-SNP) plan offers a range of benefits, including coverage for inpatient and outpatient services, with varying copays and coinsurance amounts. This plan provides coverage for ambulance and transportation services, as well as emergency and urgent care services. It also covers primary care, preventive services, hearing, vision, and dental services, with specific copays and limitations on certain services like eyewear and dental procedures. Additional benefits include coverage for home health services, skilled nursing facilities, and other services like acupuncture and over-the-counter items. The plan also covers home infusion, dialysis, and medical equipment, but with coinsurance requirements. However, some services such as additional days for inpatient hospital stays, certain dental procedures, and specific rehabilitation services may not be covered.
Inpatient Hospital See details
Inpatient Hospital benefits, including Acute and Psychiatric, are covered, with a copay of $1995 per admission or stay for Acute and $1900 per admission or stay for Psychiatric. Additional days for Inpatient Hospital-Acute are covered with no copay, while Non-Medicare-covered stays and Upgrades for Inpatient Hospital-Acute, 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 20% coinsurance and a copay between $0 and $550, observation services with a 20% coinsurance, and ambulatory surgical center services with no copay. Outpatient substance abuse services include individual and group sessions with a 20% coinsurance and a copay between $30 and $30. Outpatient blood services are covered with no copay.
Partial Hospitalization See details
Partial Hospitalization is covered by this plan, but requires prior authorization. You will pay 20% coinsurance for this benefit.
Ambulance and Transportation Services See details
Ambulance and Transportation Services are covered. Ground ambulance services have a $315 copay, while air ambulance services have 20% coinsurance. Transportation Services to a plan-approved health-related location are covered with no copay for up to 36 one-way trips per year, and include taxi, bus/subway, or medical transport.
Emergency Services See details
Emergency Services, Urgently Needed Services, and Worldwide Emergency Services are covered under the Humana Dual Select H1951-056 (HMO D-SNP) plan. Emergency Services have a $110 copay and no coinsurance, Urgently Needed Services have a $35 copay and no coinsurance, and Worldwide Emergency Coverage, Worldwide Urgent Coverage, and Worldwide Emergency Transportation each have a $110 copay and no coinsurance.
Primary Care See details
The Humana Dual Select H1951-056 (HMO D-SNP) plan covers primary care physician services with no copay, chiropractic services with a $15 copay, occupational therapy services with a $20 copay, and physician specialist services with a $50 copay. This plan also covers mental health specialty services, podiatry services, other health care professional services, psychiatric services, physical therapy, speech-language pathology services, additional telehealth benefits, and opioid treatment program services.
Preventive Services See details
Preventive Services include coverage for Medicare-covered preventive services, annual physical exams, and additional preventive services. Annual physical exams have no copay, while other preventive services may have a copay, including 14c3: Additional Sessions of Smoking and Tobacco Cessation Counseling, 14c4: Fitness Benefit*, and 14c21: In-Home Support Services. Kidney Disease Education Services, Glaucoma Screening, Diabetes Self-Management Training, Barium Enemas, Digital Rectal Exams, and EKG following Welcome Visit have no copay.
Hearing Services See details
Hearing Services include hearing exams, routine hearing exams, fitting/evaluation for hearing aids, prescription hearing aids, and OTC hearing aids. Hearing exams have a $50 copay, while routine hearing exams and fitting/evaluation for hearing aids have no copay. Prescription hearing aids are partially covered; prescription hearing aids (all types) have no copay. OTC hearing aids are not covered.
Vision Services See details
Vision services include eye exams with a copay between $0 and $50, and eyewear with no copay. Eyeglass lenses, eyeglass frames, and upgrades are not covered.
Dental Services See details
Dental services include coverage for Medicare Dental Services with a $50 copay, and other dental services with a $2,500 maximum benefit per year. Oral exams, dental x-rays, other diagnostic dental services, prophylaxis (cleaning), and other preventive dental services are covered with no copay, but fluoride treatment is not covered. Restorative services, adjunctive general services, endodontics, periodontics, prosthodontics (fixed), and oral and maxillofacial surgery are covered with no copay, while prosthodontics (removable), maxillofacial prosthetics, implant services, and orthodontics are not covered.
Home Infusion bundled Services See details
Home Infusion bundled Services are covered, but require prior authorization. Medicare Part B Insulin Drugs have a $35 copay with coinsurance between 0% and 20%, while Other Medicare Part B Drugs have no copay and coinsurance between 0% and 20%.
Dialysis Services See details
Dialysis Services are covered by the Humana Dual Select H1951-056 (HMO D-SNP) plan, but require prior authorization. The coinsurance for these services is 20%.
Medical Equipment See details
Medical Equipment benefits are covered by the Humana Dual Select H1951-056 (HMO D-SNP) plan. Durable Medical Equipment (DME) has an 18% coinsurance, and Prosthetic Devices have a 20% coinsurance. Diabetic Supplies have a 20% coinsurance with no copay, while Diabetic Therapeutic Shoes/Inserts have no copay.
Diagnostic and Radiological Services See details
Diagnostic and Radiological Services, including diagnostic procedures/tests, lab services, diagnostic radiological services, therapeutic radiological services, and outpatient X-ray services, are covered. Diagnostic procedures/tests have a maximum copay of $50 and at least 20% coinsurance, while lab services have no copay. Diagnostic radiological services have a maximum copay of $675, and therapeutic radiological services have a maximum copay of $50 and at least 20% coinsurance. Outpatient X-ray services have no copay.
Home Health Services See details
Home Health Services are covered by the Humana Dual Select H1951-056 (HMO D-SNP) plan 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 specific services like Intensive Cardiac Rehabilitation, Pulmonary Rehabilitation, and SET for PAD Services are not covered. Prior authorization is required, and the plan does not specify the copay or coinsurance amounts for the covered services.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) services are covered by the Humana Dual Select H1951-056 (HMO D-SNP) plan, with prior authorization required. There is no copay for days 1-20, and a $214 copay for days 21-100; additional days beyond Medicare and non-Medicare stays are not covered.
Other Services See details
The Humana Dual Select H1951-056 (HMO D-SNP) plan covers acupuncture with a $50 copay, and covers up to 20 treatments per year with prior authorization. The plan also covers over-the-counter (OTC) items, including nicotine replacement therapy and Naloxone, with a maximum benefit of $1200 per year. Additionally, the plan provides a meal benefit for chronic illnesses with no copay, and requires prior authorization. However, several other services are not covered, including Dual Eligible SNPs with Highly Integrated Services, Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) Services, Private Duty Nursing Services, and more.
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