A non-government entity
Humana Dual Select H4939-002 (HMO-POS D-SNP)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for Humana Dual Select H4939-002 (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 H4939-002 (HMO-POS D-SNP) in 2026, please refer to our full plan details page.
Humana Dual Select H4939-002 (HMO-POS D-SNP) is a HMO-POS D-SNP plan offered by Humana Inc. available for enrollment in 2026 to people living in Indiana. The overall rating for this plan is not yet available for 2026.
It's important to know that Humana Dual Select H4939-002 (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 H4939-002 (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 H4939-002 (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 H4939-002 (HMO-POS D-SNP), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $37.50. 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:
Sign up for Humana Dual Select H4939-002 (HMO-POS D-SNP)
Need help deciding? Talk with one of our licensed insurance specialists 1-877-649-2073 / TTY 711. 8am-11pm EST. 7 days a week
Drug Coverage
The Humana Dual Select H4939-002 (HMO-POS D-SNP) Medicare plan has an annual prescription drug deductible of $615. For Tier 1 preferred generic and Tier 2 generic drugs, members pay no copay for one-month or three-month supplies at standard pharmacies or through preferred mail order. If you choose standard mail order for these generic tiers, copays range from $10 to $20 for a one-month supply and $30 to $60 for a three-month supply. For Tier 3 preferred brand drugs, Tier 4 non-preferred drugs, and Tier 5 specialty drugs, the plan charges a 25% coinsurance. This 25% coinsurance rate applies to standard pharmacies as well as preferred and standard mail order options. Knowing these copay and coinsurance details helps you estimate your out-of-pocket costs with this Humana plan.
Additional Benefits
The Humana Dual Select H4939-002 (HMO-POS D-SNP) offers a variety of healthcare benefits with clear cost-sharing structures. For primary care and specialist visits, members pay no copay and a 20% coinsurance, while preventive services and home health care are covered with no copay and no coinsurance. If you require hospital care, inpatient acute stays carry a $2,230 copay with no coinsurance, whereas emergency room visits require a $115 copay. This plan also provides strong supplemental benefits, including routine dental services with no copay and no coinsurance up to a $3,500 annual limit. Routine vision and hearing exams are available with no copay and a 20% coinsurance, alongside coverage for eyeglasses and OTC hearing aids with no copay and no coinsurance. Additionally, members can utilize up to 36 one-way transportation trips to plan-approved locations, as well as over-the-counter items and meal benefits with no copay and no coinsurance.
Inpatient Hospital See details
Humana Dual Select H4939-002 (HMO-POS D-SNP) partially covers inpatient hospital services with no coinsurance, requiring a $2,230 copay per acute stay and a $2,080 copay per psychiatric stay. Prior authorization is required, and upgrades, non-Medicare-covered stays, and additional psychiatric days are not covered.
Outpatient Services See details
Humana Dual Select H4939-002 (HMO-POS D-SNP) covers outpatient hospital services with a $0 to $35 copay and 20% coinsurance, and ambulatory surgical center services with no copay and 20% coinsurance. Outpatient substance abuse services require a $35 copay per session with no coinsurance, while outpatient blood services are covered with no copay, no coinsurance, and no deductible.
Partial Hospitalization See details
Humana Dual Select H4939-002 (HMO-POS D-SNP) covers partial hospitalization benefits with a $35.00 copay and no coinsurance. Prior authorization is required for these services.
Ambulance and Transportation Services See details
Humana Dual Select H4939-002 (HMO-POS D-SNP) covers ground and air ambulance services with a $335 copay and no coinsurance. Transportation services are partially covered with no copay or coinsurance for up to 36 one-way trips per year to plan-approved locations, but transportation to any health-related location is not covered.
Emergency Services See details
Humana Dual Select H4939-002 (HMO-POS D-SNP) covers emergency services with a $115 copay (waived if admitted within 24 hours) and no coinsurance, while urgently needed services require a 20% coinsurance (maximum $40 per visit) and no copay. Worldwide emergency, urgent, and transportation services are also covered under the plan with a $115 copay and no coinsurance.
Primary Care See details
Humana Dual Select H4939-002 (HMO-POS D-SNP) covers primary care, specialist, occupational therapy, physical therapy, speech therapy, and other healthcare professional services with no copay and 20% coinsurance. Mental health, psychiatric, and opioid treatment services are covered with a $35 copay and no coinsurance, while telehealth services have a $0 to $35 copay and 20% coinsurance, and chiropractic and podiatry services are not covered.
Preventive Services See details
Humana Dual Select H4939-002 (HMO-POS D-SNP) provides partially covered preventive services with no copay and no coinsurance for covered benefits, including annual physical exams, glaucoma screenings, and diabetes self-management training. However, several additional services are not covered, such as health education, in-home safety assessments, personal emergency response systems, and nutritional/dietary benefits.
Hearing Services See details
Humana Dual Select H4939-002 (HMO-POS D-SNP) offers hearing services with no deductible, featuring unlimited fitting evaluations and OTC hearing aids with no copay and no coinsurance. Routine hearing exams are covered once annually with a 20% coinsurance and no copay, while prescription hearing aids are partially covered with no copay or coinsurance for up to two devices every three years, excluding inner ear, outer ear, and over the ear models.
Vision Services See details
Vision services are partially covered by Humana Dual Select H4939-002 (HMO-POS D-SNP), requiring prior authorization for care. Routine eye exams are covered once annually with no copay and a 20% coinsurance, while other eye exams are not covered. Up to a $400 annual limit, contact lenses are covered with no copay and a 20% coinsurance, and eyeglasses (lenses and frames) are covered with no copay and no coinsurance, but separate eyeglass lenses, frames, and upgrades are not covered.
Dental Services See details
Dental Services are partially covered by Humana Dual Select H4939-002 (HMO-POS D-SNP), featuring Medicare dental services with no copay and a 20% coinsurance, and other dental services with no copay or coinsurance up to a $3,500 annual limit. Covered benefits include cleanings, exams, and restorative services, while fluoride treatments, implants, maxillofacial prosthetics, and orthodontics are not covered.
Home Infusion bundled Services See details
Humana Dual Select H4939-002 (HMO-POS D-SNP) covers home infusion bundled services, requiring prior authorization and step therapy. For associated Part B drugs, insulin has a $35 copay with 0% to 20% coinsurance, other Part B drugs have no copay with 0% to 20% coinsurance, and chemotherapy drugs require both a copay and 0% to 20% coinsurance.
Dialysis Services See details
Dialysis services are covered by Humana Dual Select H4939-002 (HMO-POS D-SNP) with no copay and a 20% coinsurance. Prior authorization is required for these services.
Medical Equipment See details
Medical equipment is covered by Humana Dual Select H4939-002 (HMO-POS D-SNP) with a 20% coinsurance and no copay for durable medical equipment, prosthetics, medical supplies, and diabetic services. 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 under Humana Dual Select H4939-002 (HMO-POS D-SNP) with a 20% coinsurance and require prior authorization. There is no copay for lab services, diagnostic procedures, and diagnostic radiological services, while therapeutic radiological services require a copay in addition to the coinsurance.
Home Health Services See details
Humana Dual Select H4939-002 (HMO-POS D-SNP) covers home health services with no copay and no coinsurance, though prior authorization is required.
Cardiac Rehabilitation Services See details
Humana Dual Select H4939-002 (HMO-POS D-SNP) offers no copay for Cardiac Rehabilitation Services, meaning some services are covered, but cardiac, intensive cardiac, pulmonary, and SET for PAD rehabilitation services are not covered and require a 20% coinsurance.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) services are covered by Humana Dual Select H4939-002 (HMO-POS D-SNP) with no coinsurance, requiring prior authorization but allowing admission without a prior three-day inpatient hospital stay. There is no copay for days 1 through 20, a $218.00 copay for days 21 through 100, and additional days beyond the standard Medicare-covered limit are not covered.
Other Services See details
Humana Dual Select H4939-002 (HMO-POS D-SNP) provides other services including acupuncture for up to 20 treatments per year with no copay and 20% coinsurance. Additionally, over-the-counter items and meal benefits are covered with no copay and no coinsurance.
Get Personalized Help from a licensed insurance agent
1-877-649-2073 / TTY 711. 8am-11pm EST. 7 days a week
*/SMID: MULTIPLAN_HCIHNMEDADVRX25_HCI_M
MedicareAdvantageRX.com is owned and operated by Dog Media Solutions LLC.
This is a promotional communication.
Every year, Medicare evaluates plans based on a 5-star rating system.
Part B premium reduction is not available with all plans. Availability varies by carrier and location. Actual Part B premium reduction could be lower. Deductibles, copays and coinsurance may apply.
* 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.
Enrollment in Medicare/Medicare Advantage may be limited to certain times of the year unless you qualify for a Special Enrollment Period
We do not offer every plan available in your area. Currently, we represent 18 organizations, which offer 52,101 products in your area. Please contact Medicare.gov, 1-800-MEDICARE, or your local State Health Insurance Program (SHIP) to get information on all of your options.
We represent Medicare Advantage HMO, PPO and PFFS organizations and stand-alone PDP prescription drug plans that are contracted with Medicare. Enrollment depends on the plan's contract renewal.
Not all plans offer all of these benefits. Benefits may vary by carrier and location. Limitations and exclusions may apply.
Please contact Medicare.gov ,1-800-MEDICARE , or your local State Health Insurance Program (SHIP) to get information on all of your options.
Medicare has neither approved nor endorsed any information on this site.
Speak with a licensed insurance agent: 1-877-649-2073 / TTY 711 | 8am - 11pm ET | 7 days a week
© 2023 Dog Media Solutions LLC. All rights reserved