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Humana USAA Honor Giveback (PPO)

Benefits Summary and Overview

This page is a benefits summary and overview of key plan information for Humana USAA Honor Giveback (PPO). The information on this page is a summary only.

For a complete listing of all available benefits and cost information on Humana USAA Honor Giveback (PPO) in 2025, please refer to our full plan details page.

Humana USAA Honor Giveback (PPO) is a PPO plan offered by Humana Inc. available for enrollment in 2025 to people living in Select Counties in AR, IL, KS, MO, and OK. This plan received an overall rating of 3.5 out of 5 stars in 2025.

It's important to know that Humana USAA Honor Giveback (PPO) is a Medicare Advantage (MA) Plan without drug coverage. That means that this plan covers medical services but doesn't cover prescription drugs. If you are looking for a plan with prescription drug coverage, please search for other MA and PDP plans offered in your area.

Overview IconKey Plan Facts

Below are a few key facts and commonly-asked questions about Humana USAA Honor Giveback (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 Humana USAA Honor Giveback (PPO), the main costs are as follows:

Monthly Premium

The Monthly Premium for this plan is $0.00. This is the amount you must pay every month. Additionally, this plan comes with a Part B Premium reduction of $50.00. 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.

Drugs are not covered by this plan, so a prescription drug deductible is not applicable.

Out-of-Pocket Maximums

This plan has a combined Maximum Out-Of-Pocket cost of $10100.00 (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 $10100.00 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:

Regular visits to your primary care doctor are covered and will have a copay of $0.00 and coinsurance of 0% (no coinsurance).

Specialist Visits:

Visits to specialists are covered and will have a copay of $35.00 and coinsurance of 0% (no coinsurance). Specialist visits may require a referral from your primary care doctor or prior authorization.

Emergency Room:

Trips to the Emergency Room are covered, and will have a copay of $125.00 and coinsurance of 0% (no coinsurance). Coverage may vary for in-network and out-of-network hospitals.

Urgent Care:

Trips to Urgent Care arecovered and will have a copay of $55.00 and coinsurance of 0% (no coinsurance). Coverage may vary for in-network and out-of-network hospitals.

Sign up for Humana USAA Honor Giveback (PPO)

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Drug Coverage IconDrug Coverage

Prescription drugs are not covered by Humana USAA Honor Giveback (PPO).

Additional Benefits IconAdditional Benefits

The Humana USAA Honor Giveback (PPO) plan offers comprehensive coverage, including inpatient and outpatient hospital services, with varying copays. You'll find no copay for many services like preventive care, outpatient blood services, and home health, along with a $0 copay for many services. Hearing, vision, and dental services are also included, with copays for exams and some procedures. This plan provides coverage for emergency services, ambulance services, and diagnostic services, with copays and coinsurance depending on the service. Additional benefits include coverage for home infusion, dialysis, and medical equipment. It also includes some coverage for hearing aids, vision, and dental services, with specific copays and coinsurance.

Inpatient Hospital See details

Inpatient Hospital benefits include coverage for Inpatient Hospital-Acute and Inpatient Hospital Psychiatric services, with a copay of $360 for days 1-5 and no copay for days 6-90 for Inpatient Hospital-Acute, and a copay of $318 for days 1-5 and no copay for days 6-90 for Inpatient Hospital Psychiatric. Additional Days for Inpatient Hospital-Acute has no copay for days 91-999. Non-Medicare-covered Stay and Upgrades for Inpatient Hospital-Acute, and Additional Days and Non-Medicare-covered Stay for Inpatient Hospital Psychiatric are not covered.

Outpatient Services See details

Outpatient Services, including all outpatient hospital services, are covered under this plan. Outpatient Hospital Services have a copay between $0 and $275, Observation Services have a $360 copay, and Ambulatory Surgical Center (ASC) Services have no copay. Outpatient Substance Abuse services have a $35 copay for both individual and group sessions, and Outpatient Blood Services have no copay.

Partial Hospitalization See details

Partial Hospitalization is covered by the Humana USAA Honor Giveback (PPO) plan with a $35 copay, and prior authorization is required. There is no coinsurance for this benefit.

Ambulance and Transportation Services See details

Ambulance and Transportation Services are covered, with prior authorization required for all ambulance services. Ground ambulance services have a $265 copay, and air ambulance services have 20% coinsurance; transportation services to health-related locations are not covered.

Emergency Services See details

Emergency Services, Urgently Needed Services, and Worldwide Emergency Services are covered under the Humana USAA Honor Giveback (PPO) plan. Emergency Services and Worldwide Emergency Coverage have a $125 copay, while Urgently Needed Services have a $55 copay; all have no coinsurance.

Primary Care See details

The Humana USAA Honor Giveback (PPO) plan covers primary care physician services with no copay, chiropractic services with a $20 copay, occupational therapy services with a $30 copay, and physician specialist services with a $35 copay. This plan also covers mental health specialty services, psychiatric services, and opioid treatment program services with a $35 copay for individual and group sessions, along with physical therapy and speech-language pathology services with a $30 copay. Additional telehealth benefits are covered with a copay ranging from $0 to $55. However, routine chiropractic care is not covered, and podiatry services are not covered.

Preventive Services See details

The Humana USAA Honor Giveback (PPO) plan covers preventive services, including an annual physical exam with no copay. Additional preventive services, including Glaucoma Screening, Diabetes Self-Management Training, Barium Enemas, Digital Rectal Exams, and EKG following Welcome Visit, are covered with no copay.

Hearing Services See details

Hearing exams are covered with a $35 copay, and routine hearing exams have no copay. Fitting/Evaluation for Hearing Aids have no copay. Prescription hearing aids are partially covered, with Prescription Hearing Aids (all types) requiring a copay between $399 and $699, but not covering Inner Ear, Outer Ear, or Over the Ear hearing aids. OTC Hearing Aids are covered, with a maximum benefit of $50 every month.

Vision Services See details

The Humana USAA Honor Giveback (PPO) plan covers vision services, including eye exams with a copay between $0 and $35, and eyewear with no copay. This plan provides coverage for Routine Eye Exams, Contact Lenses, and Eyeglasses (lenses and frames), but does not cover Eyeglass lenses, Eyeglass frames, or Upgrades.

Dental Services See details

Dental services include a $35 copay for Medicare dental services, and no copay for oral exams, dental x-rays, other diagnostic dental services, prophylaxis (cleaning), other preventive dental services, adjunctive general services, endodontics, periodontics, and oral and maxillofacial surgery. Restorative services and prosthodontics, removable, and prosthodontics, fixed have a 30% - 40% coinsurance. Fluoride treatment, maxillofacial prosthetics, implants services, and orthodontics are not covered.

Home Infusion bundled Services See details

Home Infusion bundled Services are covered, including Medicare Part B Insulin Drugs, Chemotherapy/Radiation Drugs, and Other Medicare Part B Drugs. Medicare Part B Insulin Drugs have a $35 copay and 0-20% coinsurance, while Chemotherapy/Radiation Drugs and Other Medicare Part B Drugs have 0-20% coinsurance.

Dialysis Services See details

Dialysis Services are covered under the Humana USAA Honor Giveback (PPO) plan, but require prior authorization. The coinsurance for dialysis services is 20%.

Medical Equipment See details

Medical Equipment is covered by the Humana USAA Honor Giveback (PPO) plan, including Durable Medical Equipment (DME) with 15% coinsurance, Prosthetics/Medical Supplies with 20% coinsurance, and Diabetic Equipment with varying coinsurance and copays depending on the service. Durable Medical Equipment for use outside the home is not covered. Diabetic Supplies have a coinsurance between 10-20% and no copay, while Diabetic Therapeutic Shoes/Inserts have no copay.

Diagnostic and Radiological Services See details

The Humana USAA Honor Giveback (PPO) plan covers diagnostic and radiological services. Diagnostic Procedures/Tests have a copay up to $55 and a coinsurance of at most 25%, while Lab Services have no copay. Diagnostic Radiological Services have a copay up to $350, Therapeutic Radiological Services have a copay up to $35, and Outpatient X-Ray Services have no copay.

Home Health Services See details

Home Health Services are covered by the Humana USAA Honor Giveback (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, but the plan does not cover Intensive Cardiac Rehabilitation Services, Pulmonary Rehabilitation Services, or SET for PAD Services. Prior authorization is required, and copays apply; see the plan details for more information.

Skilled Nursing Facility (SNF) See details

Skilled Nursing Facility (SNF) services are covered by the Humana USAA Honor Giveback (PPO) plan, with a copay of $10 for days 1-20 and $178 for days 21-100. Additional days beyond Medicare-covered and non-Medicare-covered stays for SNF are not covered.

Other Services See details

The Humana USAA Honor Giveback (PPO) plan covers acupuncture with a $35 copay, up to 20 treatments per year, and requires prior authorization. Over-the-counter items are covered, with a maximum benefit of $50 per month. The plan also covers a meal benefit with no copay. However, 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, 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 are not covered.

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