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HumanaChoice Value H2029-001 (PPO)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for HumanaChoice Value H2029-001 (PPO). The information on this page is a summary only.
For a complete listing of all available benefits and cost information on HumanaChoice Value H2029-001 (PPO) in 2025, please refer to our full plan details page.
HumanaChoice Value H2029-001 (PPO) is a PPO plan offered by Humana Inc. available for enrollment in 2025 to people living in Puerto Rico Island Wide. This plan received an overall rating of 3 out of 5 stars in 2025.
It's important to know that HumanaChoice Value H2029-001 (PPO) 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 HumanaChoice Value H2029-001 (PPO).
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 HumanaChoice Value H2029-001 (PPO), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $46.00. 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 no drug deductible. Your prescription medication coverage will start immediately.
Out-of-Pocket Maximums
This plan has a combined Maximum Out-Of-Pocket cost of $10000.00 (in-network or out-of-network combined). You will pay copays, coinsurance, and deductibles toward this amount. Once your total out-of-pocket costs reach $10000.00 for covered services, the plan will pay 100% of covered costs for the rest of the year.
The plan may have separate out-pocket-maximums for in-network and out-of-network services. See our full plan details page for more information.
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 HumanaChoice Value H2029-001 (PPO) plan has a $0 deductible for prescription drugs. During the initial coverage phase, you'll pay varying costs depending on the drug tier and pharmacy type. For example, you'll pay no copay for preferred generic drugs and specialty tier drugs at standard, mail, and preferred mail pharmacies. Standard generic drugs have a $25 copay at preferred pharmacies, while preferred brand drugs have a 25% coinsurance.
Additional Benefits
The HumanaChoice Value H2029-001 (PPO) plan offers a range of benefits with varying costs. Inpatient hospital stays and many outpatient services have a $0 copay, while emergency services have a $75 copay. This plan also covers primary care with no copay, specialist visits for $8, and offers hearing, vision, and dental services with no copays for many services. Additionally, the plan provides coverage for home health services, skilled nursing facilities, and other services such as acupuncture and over-the-counter items.
Inpatient Hospital See details
Inpatient Hospital benefits for HumanaChoice Value H2029-001 (PPO) include coverage for Inpatient Hospital-Acute and Inpatient Hospital Psychiatric, with a $0 copay for Medicare-covered stays, but non-Medicare-covered stays and upgrades are not covered. Additional Days for Inpatient Hospital-Acute are covered with no copay.
Outpatient Services See details
Outpatient Services include coverage for all outpatient hospital services with a copay between $20 and $50, observation services with no copay, and ambulatory surgical center services with no copay. Outpatient substance abuse services, including individual and group sessions, have a copay between $8 and $50. Outpatient blood services are covered with no copay.
Partial Hospitalization See details
Partial Hospitalization is covered with prior authorization and has no copay.
Ambulance and Transportation Services See details
Ambulance and Transportation Services are covered under the HumanaChoice Value H2029-001 (PPO) plan. Ground Ambulance Services have a $100 copay, while Air Ambulance Services have a 20% coinsurance, and Transportation Services are not covered.
Emergency Services See details
Emergency Services are covered by the HumanaChoice Value H2029-001 (PPO) plan with a $75 copay, and no coinsurance. Urgently Needed Services have a $15 copay, with no coinsurance. Worldwide Emergency Services, including Worldwide Emergency Coverage, Worldwide Urgent Coverage, and Worldwide Emergency Transportation, each have a $75 copay, with no coinsurance.
Primary Care See details
The HumanaChoice Value H2029-001 (PPO) plan covers primary care physician services with no copay, chiropractic services with a $15 copay, and occupational therapy services with a copay between $20 and $40. It also covers physician specialist services with an $8 copay, mental health and psychiatric services with an $8 copay for individual and group sessions, and physical therapy and speech-language pathology services with a copay between $20 and $40. Additional telehealth benefits have a copay between $0 and $15, and opioid treatment program services have a copay between $8 and $50.
Preventive Services See details
Preventive Services are covered, including an annual physical exam with no copay. Additional preventive services, kidney disease education services, and other preventive services are covered, and some services may have a copay; however, Health Education, In-Home Safety Assessment, Personal Emergency Response System (PERS), Medical Nutrition Therapy (MNT), 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 Benefit, Home-Based Palliative Care, In-Home Support Services, Support for Caregivers of Enrollees, Additional Sessions of Smoking and Tobacco Cessation Counseling, Fitness Benefit, Enhanced Disease Management, Telemonitoring Services, Remote Access Technologies, and Counseling Services are not covered. Home and Bathroom Safety Devices and Modifications have no copay.
Hearing Services See details
Hearing services include hearing exams with an $8 copay, routine hearing exams with no copay for one visit per year, fitting/evaluation for hearing aids with no copay for one visit per year, and OTC hearing aids with no copay. Prescription hearing aids are partially covered, with a maximum benefit of $500 per ear per year, while inner ear, outer ear, and over-the-ear hearing aids are not covered.
Vision Services See details
Vision Services include eye exams with a copay of $0 - $8, and eyewear with no copay. Eyeglass lenses, eyeglass frames, and upgrades are not covered, but contact lenses and eyeglasses (lenses and frames) are covered with no copay.
Dental Services See details
Dental Services include coverage for Medicare Dental Services with an $8 copay, and Oral Exams, Dental X-Rays, Other Diagnostic Dental Services, Prophylaxis (Cleaning), Other Preventive Dental Services, Restorative Services, Endodontics, Periodontics, Prosthodontics (removable), Implant Services, Prosthodontics (fixed), and Oral and Maxillofacial Surgery with no coinsurance. Fluoride Treatment, Adjunctive General Services, Maxillofacial Prosthetics, and Orthodontics are not covered. Orthodontic Services has a maximum plan benefit of $1500 per year.
Home Infusion bundled Services See details
Home Infusion bundled Services are covered, and require prior authorization. Medicare Part B Insulin Drugs have a $35 copay and a coinsurance between 0% and 10%. Medicare Part B Chemotherapy/Radiation Drugs and Other Medicare Part B Drugs have a coinsurance between 0% and 10%.
Dialysis Services See details
Dialysis Services are covered by the HumanaChoice Value H2029-001 (PPO) plan. There is no copay, and the coinsurance is 20%.
Medical Equipment See details
Medical Equipment benefits include Durable Medical Equipment (DME), Prosthetics/Medical Supplies, and Diabetic Equipment. DME has no copay and 5% coinsurance, but Durable Medical Equipment for use outside the home is not covered. Prosthetic Devices and Medical Supplies have no copay and no coinsurance. Diabetic Equipment has no copay for Diabetic Supplies and Diabetic Therapeutic Shoes/Inserts.
Diagnostic and Radiological Services See details
For the HumanaChoice Value H2029-001 (PPO) plan, diagnostic and radiological services are covered. Diagnostic Procedures/Tests have a copay between $0 and $50, Lab Services have no copay and a coinsurance of at most 10%, Diagnostic Radiological Services have a copay of at most $50, and Outpatient X-Ray Services have no copay and a coinsurance of at most 10%.
Home Health Services See details
Home Health Services are covered by the HumanaChoice Value H2029-001 (PPO) 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 by the HumanaChoice Value H2029-001 (PPO) plan, but there is no copay information provided. However, the specific services of Cardiac Rehabilitation Services, Intensive Cardiac Rehabilitation Services, Pulmonary Rehabilitation Services, and SET for PAD Services are not covered.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) services are covered under the HumanaChoice Value H2029-001 (PPO) plan, with a $0 copay for days 1-20, and a $25 copay for days 21-100. Additional days beyond Medicare-covered for SNF and Non-Medicare-covered stays are not covered.
Other Services See details
Under "Other Services," HumanaChoice Value H2029-001 (PPO) covers acupuncture with an $8 copay for up to 20 treatments per year, and over-the-counter items with no copay, a maximum benefit of $15 per month, and the ability to carry over unused amounts. The plan does not cover services for 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.
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