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Humana Dual Fully Integrated H2875-001 (HMO-POS D-SNP)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for Humana Dual Fully Integrated H2875-001 (HMO-POS 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 Fully Integrated H2875-001 (HMO-POS D-SNP) in 2026, please refer to our full plan details page.
Humana Dual Fully Integrated H2875-001 (HMO-POS D-SNP) is a HMO-POS D-SNP plan offered by Humana Inc. available for enrollment in 2025 to people living in Virginia. The overall rating for this plan is not yet available for 2026.
It's important to know that Humana Dual Fully Integrated H2875-001 (HMO-POS 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 Fully Integrated H2875-001 (HMO-POS 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 Fully Integrated H2875-001 (HMO-POS 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 Fully Integrated H2875-001 (HMO-POS D-SNP), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $23.70. 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.
Common Services:
Doctor Visits:
Specialist Visits:
Emergency Room:
Urgent Care:
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Drug Coverage
The Humana Dual Fully Integrated H2875-001 (HMO-POS D-SNP) prescription drug plan features an annual drug deductible of $615. For Tier 1 preferred generic and Tier 2 generic medications, there is no copay for one-month or three-month supplies filled at standard pharmacies or through preferred mail order. If you choose standard mail order for these generic tiers, you will pay a copay of $10 to $20 for a one-month supply and $30 to $60 for a three-month supply. For higher-tier medications, this Humana plan utilizes coinsurance rather than flat copays. Tier 3 preferred brands and Tier 4 non-preferred drugs require a 25% coinsurance for both one-month and three-month supplies at standard pharmacies and mail order services. Tier 5 specialty drugs also carry a 25% coinsurance for a one-month supply across standard pharmacies and all mail order options.
Additional Benefits
The Humana Dual Fully Integrated H2875-001 (HMO-POS D-SNP) offers comprehensive healthcare coverage, though costs vary depending on the service. Inpatient hospital stays require a copay of either $2,080 or $2,230 per stay, while primary care, specialist visits, outpatient procedures, and diagnostic tests generally feature no copay and a 20% coinsurance. Emergency care is available with a $115 copay, which is waived upon hospital admission, and emergency ambulance services carry a $335 copay. Many routine and preventive services are covered with no copay and no coinsurance, including annual physicals, home health services, and over-the-counter items. Vision and dental benefits also feature no copay, with dental services covered up to a $3,000 annual maximum and eyewear covered up to a $450 yearly limit. Hearing aid fittings and devices are covered with no copays or coinsurance, making this plan a strong option for comprehensive ancillary care.
Inpatient Hospital See details
Humana Dual Fully Integrated H2875-001 (HMO-POS D-SNP) covers inpatient hospital services, requiring a $2,230 copayment per stay for acute care and a $2,080 copayment per stay for psychiatric care, both with no coinsurance. Prior authorization is required, and certain services such as upgrades, non-Medicare-covered stays, and additional psychiatric days are not covered.
Outpatient Services See details
Humana Dual Fully Integrated H2875-001 (HMO-POS D-SNP) covers outpatient services—including outpatient hospital, ambulatory surgical center, substance abuse, and blood services—with no copays and a 20% coinsurance. Prior authorization is required for these services, and there is no deductible for outpatient blood services, with the cost of the first three pints waived.
Partial Hospitalization See details
Humana Dual Fully Integrated H2875-001 (HMO-POS D-SNP) covers partial hospitalization with no copay and a 20% coinsurance. Prior authorization is required to access these services.
Ambulance and Transportation Services See details
Humana Dual Fully Integrated H2875-001 (HMO-POS D-SNP) covers ground and air ambulance services with a $335 copay and no coinsurance, subject to prior authorization. Transportation services to health-related locations are not covered under this plan.
Emergency Services See details
Emergency services are covered by Humana Dual Fully Integrated H2875-001 (HMO-POS 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 20% coinsurance (up to $40) and no copay, while worldwide emergency, urgent, and transportation services are covered with a $115 copay and no coinsurance.
Primary Care See details
Humana Dual Fully Integrated H2875-001 (HMO-POS D-SNP) covers primary care, specialist, mental health, psychiatric, and physical therapy services with no copay and a 20% coinsurance, though prior authorization is required for most of these benefits. Podiatry services and chiropractic services, including routine care, are not covered.
Preventive Services See details
Preventive services are covered by Humana Dual Fully Integrated H2875-001 (HMO-POS D-SNP) with no copays and no coinsurance for annual physicals, kidney disease education, and memory fitness. This benefit is partially covered, excluding health education, in-home safety assessments, personal emergency response systems, medical nutrition therapy, medication reconciliation, readmission prevention, wigs, weight management, alternative therapies, therapeutic massage, adult day health, nutritional benefits, palliative care, in-home support, caregiver support, smoking cessation, disease management, telemonitoring, remote access, home modifications, and counseling.
Hearing Services See details
Hearing services are covered by Humana Dual Fully Integrated H2875-001 (HMO-POS D-SNP) with no deductible, featuring routine hearing exams with a 20% coinsurance and no copay. Hearing aid fittings, OTC hearing aids, and prescription hearing aids are covered with no copays or coinsurance, though prescription coverage is partial as inner ear, outer ear, and over the ear devices are not covered.
Vision Services See details
Humana Dual Fully Integrated H2875-001 (HMO-POS D-SNP) partially covers vision services, featuring one annual routine eye exam with no copay and a 20% coinsurance, while other eye exams are not covered. Covered eyewear includes one annual pair of contact lenses or eyeglasses (lenses and frames) with no copay, no coinsurance, and a $450 yearly limit, though individual eyeglass lenses, frames, and upgrades are not covered.
Dental Services See details
Dental services are partially covered by Humana Dual Fully Integrated H2875-001 (HMO-POS D-SNP), which offers Medicare-covered dental care with no copay and 20% coinsurance. Other covered preventive and comprehensive dental benefits have no copay and no coinsurance up to a $3,000 annual maximum, though fluoride treatment, maxillofacial prosthetics, implant services, and orthodontics are not covered.
Home Infusion bundled Services See details
Humana Dual Fully Integrated H2875-001 (HMO-POS D-SNP) covers home infusion bundled services with prior authorization, subject to a coinsurance of up to 20% for chemotherapy, radiation, and other Part B drugs. Other Part B drugs have no copay, while covered Part B insulin requires a $35 copay and up to 20% coinsurance.
Dialysis Services See details
Humana Dual Fully Integrated H2875-001 (HMO-POS D-SNP) covers dialysis services with no copay and a 20% coinsurance. Prior authorization is required to receive these covered services.
Medical Equipment See details
Medical equipment is covered by Humana Dual Fully Integrated H2875-001 (HMO-POS D-SNP) with no copays across durable medical equipment, prosthetics, medical supplies, and diabetic services. A 20% coinsurance applies to durable medical equipment, prosthetic devices, medical supplies, and diabetic supplies, and prior authorization is required.
Diagnostic and Radiological Services See details
Diagnostic and radiological services are covered by Humana Dual Fully Integrated H2875-001 (HMO-POS D-SNP) with prior authorization required. Diagnostic tests, procedures, and lab services require no copay and 20% coinsurance, while radiological services require 20% coinsurance and copays ranging from $50 for X-rays to $200 for diagnostic radiology.
Home Health Services See details
Humana Dual Fully Integrated H2875-001 (HMO-POS D-SNP) covers home health services with no copay and no coinsurance, although prior authorization is required.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are covered by Humana Dual Fully Integrated H2875-001 (HMO-POS D-SNP) with no copay, though prior authorization is required. However, some services are not covered, including standard cardiac rehabilitation, intensive cardiac rehabilitation, pulmonary rehabilitation, and supervised exercise therapy (SET) for peripheral artery disease, which all require a 20% coinsurance.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) care is covered by Humana Dual Fully Integrated H2875-001 (HMO-POS D-SNP) with no coinsurance and does not require a prior three-day hospital stay, though prior authorization is required. There is no copay for days 1 through 20, followed by a $218 copay for days 21 through 100, with additional days beyond the Medicare limit not covered.
Other Services See details
Other services under the Humana Dual Fully Integrated H2875-001 (HMO-POS D-SNP) are partially covered, featuring acupuncture with no copay and 20% coinsurance for up to 20 treatments per year. Over-the-counter items and meal benefits are also covered with no copay and no coinsurance, while dual eligible highly integrated services are not covered.
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