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Humana Dual Select H2875-006 (HMO-POS D-SNP)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for Humana Dual Select H2875-006 (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 Select H2875-006 (HMO-POS D-SNP) in 2026, please refer to our full plan details page.
Humana Dual Select H2875-006 (HMO-POS D-SNP) is a HMO-POS D-SNP plan offered by Humana Inc. available for enrollment in 2026 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 Select H2875-006 (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 Select H2875-006 (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 Select H2875-006 (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 Select H2875-006 (HMO-POS D-SNP), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $21.80. 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 Select H2875-006 (HMO-POS D-SNP) prescription drug plan has an annual drug deductible of $615. Beneficiaries enjoy no copay for Tier 1 preferred generic and Tier 2 generic drugs filled at standard pharmacies or through preferred mail order. If you choose standard mail order, copays range from $10 to $30 for Tier 1 and $20 to $60 for Tier 2 drugs. For Tier 3 preferred brand drugs, Tier 4 non-preferred drugs, and Tier 5 specialty tier drugs, the plan requires a 25% coinsurance. This 25% coinsurance rate applies to standard pharmacies, preferred mail order, and standard mail order options. These clear cost-sharing tiers make it easy to plan your budget for brand-name and specialty medications.
Additional Benefits
The Humana Dual Select H2875-006 (HMO-POS D-SNP) plan offers comprehensive medical coverage with no coinsurance for inpatient and outpatient hospital services. Patients pay no copay for primary care visits, preventive care, and home health services, while specialist visits require a copay between $25 and $35. Emergency room visits carry a $115 copay, which is waived upon admission, and inpatient stays require a $399 daily copay for the first few days before transitioning to no copay. This plan also features valuable supplemental benefits, including routine dental, vision, and hearing services with no copay and no coinsurance. Vision coverage includes up to $450 annually for eyewear, while dental services are covered up to a $1,000 yearly limit. For durable medical equipment, dialysis, and Part B drugs, members can expect up to a 20% coinsurance with no copay.
Inpatient Hospital See details
Humana Dual Select H2875-006 (HMO-POS D-SNP) partially covers inpatient hospital services with no coinsurance, requiring a $399 daily copay for days 1 through 6 of acute stays (no copay for days 7 and beyond) and a $399 daily copay for days 1 through 5 of psychiatric stays (no copay for days 6 through 90). Prior authorization is required, and specific sub-services such as upgrades, non-Medicare-covered stays, and additional psychiatric days are not covered.
Outpatient Services See details
Humana Dual Select H2875-006 (HMO-POS D-SNP) covers outpatient services with no coinsurance, featuring copays ranging from $0 to $450 for outpatient hospital services and a $399 copay per stay for observation services. Ambulatory surgical and outpatient blood services are provided with no copay and no coinsurance, while outpatient substance abuse sessions require a $35 copay with no coinsurance.
Partial Hospitalization See details
Humana Dual Select H2875-006 (HMO-POS D-SNP) covers partial hospitalization services with a $35.00 copay and no coinsurance. Prior authorization is required for this benefit.
Ambulance and Transportation Services See details
Humana Dual Select H2875-006 (HMO-POS D-SNP) covers Medicare-covered ground and air ambulance services with a $335 copay and no coinsurance, requiring prior authorization. Transportation services to plan-approved or other health-related locations are not covered under this plan.
Emergency Services See details
Humana Dual Select H2875-006 (HMO-POS D-SNP) covers emergency services with a $115 copay and no coinsurance, which is waived if you are admitted to the hospital within 24 hours. Urgently needed services are covered with a $40 copay and no coinsurance, while worldwide emergency, urgent, and transportation services require a $115 copay with no coinsurance.
Primary Care See details
Humana Dual Select H2875-006 (HMO-POS D-SNP) covers primary care physician services and routine chiropractic care with no copay and no coinsurance, while other chiropractic services are not covered. Covered specialist visits, mental health specialty services, and physical therapies require copays ranging from $25 to $35 with no coinsurance.
Preventive Services See details
Humana Dual Select H2875-006 (HMO-POS D-SNP) covers preventive services, including annual physical exams, kidney disease education, and select screenings, with no copay and no coinsurance. Additional preventive benefits are partially covered; a fitness benefit is included, but health education, in-home safety assessments, PERS, medical nutrition therapy, medication reconciliation, re-admission prevention, wigs, weight management, alternative therapies, therapeutic massage, adult day health, nutritional/dietary benefits, palliative care, in-home support, caregiver support, tobacco cessation, enhanced disease management, telemonitoring, remote access, home modifications, and counseling are not covered.
Hearing Services See details
Humana Dual Select H2875-006 (HMO-POS D-SNP) covers hearing services with no deductible, offering routine exams, fitting evaluations, and OTC hearing aids for no copay and no coinsurance, while Medicare-covered exams require a $25 copay and no coinsurance. Prescription hearing aids are partially covered with no copay and no coinsurance for up to two aids every three years, though inner ear, outer ear, and over the ear models are not covered.
Vision Services See details
Humana Dual Select H2875-006 (HMO-POS D-SNP) provides partially covered vision services with no copay, no coinsurance, and no deductible, featuring one routine eye exam and up to $450 yearly for one pair of eyeglasses or contact lenses. Other eye exams, separate eyeglass lenses, separate eyeglass frames, and upgrades are not covered.
Dental Services See details
Humana Dual Select H2875-006 (HMO-POS D-SNP) partially covers dental services up to a $1,000 annual limit, offering Medicare-covered dental for a $25 copay and no coinsurance, and other covered services with no copay and no coinsurance. Fluoride treatment, maxillofacial prosthetics, implant services, fixed prosthodontics, and orthodontics are not covered.
Home Infusion bundled Services See details
Home Infusion bundled Services are covered by Humana Dual Select H2875-006 (HMO-POS D-SNP) subject to prior authorization and step therapy. Covered insulin requires a $35 copay and 0% to 20% coinsurance, other Part B drugs have no copay and 0% to 20% coinsurance, and chemotherapy or radiation drugs require a copay and 0% to 20% coinsurance.
Dialysis Services See details
Humana Dual Select H2875-006 (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 Select H2875-006 (HMO-POS D-SNP) with a 20% coinsurance and no copay for durable medical equipment, prosthetics, and diabetic supplies. Prior authorization is required for these benefits, and diabetic supplies are limited to specified manufacturers.
Diagnostic and Radiological Services See details
Diagnostic and radiological services are covered by Humana Dual Select H2875-006 (HMO-POS D-SNP) with prior authorization required for all services. Diagnostic procedures and tests carry a copay of $0 to $120 alongside 20% coinsurance, therapeutic radiological services require a minimum $25 copay and 20% coinsurance, and lab, outpatient X-ray, and diagnostic radiological services feature no copay.
Home Health Services See details
Home health services are covered under the Humana Dual Select H2875-006 (HMO-POS D-SNP) plan with no copay and no coinsurance, though prior authorization is required.
Cardiac Rehabilitation Services See details
Humana Dual Select H2875-006 (HMO-POS D-SNP) offers cardiac rehabilitation services with no coinsurance, but in practice only some services are covered. Specific sub-services, including cardiac, intensive cardiac, pulmonary, and SET for PAD rehabilitation, are not covered and require prior authorization along with copayments ranging from $20 to $30.
Skilled Nursing Facility (SNF) See details
Humana Dual Select H2875-006 (HMO-POS D-SNP) covers Skilled Nursing Facility (SNF) services with no coinsurance and no prior three-day hospital stay requirement, though prior authorization is required. There is no copay for days 1 through 20, followed by a $218 daily copay for days 21 through 100, with no coverage provided for additional days beyond the Medicare-covered limit.
Other Services See details
Humana Dual Select H2875-006 (HMO-POS D-SNP) partially covers other services, offering acupuncture for a $25.00 copay and no coinsurance for up to 20 treatments per year. Over-the-counter items and chronic illness meal benefits are also covered with no copay and no coinsurance, while highly integrated and other miscellaneous services are not covered.
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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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