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 Nevada. 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.
Below are a few key facts and commonly-asked questions about Humana USAA Honor Giveback (PPO).
The cost of a Medicare Advantage Plan is made up of four main parts.
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 $115.00. You must continue to pay paying your reduced Part B Premium.
Deductibles
This plan has a $500.00 health deductible. This means, every calendar year, you pay this amount towards covered services before your insurance coverage kicks in.
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 $9500.00 (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 $9500.00 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.
Need help deciding? Talk with one of our licensed insurance specialists 1-877-649-2073 / TTY 711. 8am-11pm EST. 7 days a week
Prescription drugs are not covered by Humana USAA Honor Giveback (PPO).
The Humana USAA Honor Giveback (PPO) plan offers a wide range of benefits with varying cost-sharing. You'll have no copay for primary care visits, preventive services, and many dental services. However, you may encounter copays for specialist visits, outpatient services, and emergency services, as well as coinsurance for services like partial hospitalization, ambulance, and therapy. This plan includes coverage for inpatient and outpatient hospital services, with copays and coinsurance depending on the specific service. Additionally, it offers benefits for hearing, vision, and dental, with specific copays and coinsurance for each. Other covered services include home health, skilled nursing, and medical equipment, with additional benefits like acupuncture and a meal benefit.
Inpatient Hospital benefits include coverage for Inpatient Hospital-Acute, with a copay of $360 for days 1-5 and no copay for days 6-90, and Additional Days for Inpatient Hospital-Acute with no copay for days 91-999; however, Non-Medicare-covered Stay and Upgrades for Inpatient Hospital-Acute are not covered. Inpatient Hospital Psychiatric benefits are covered with a copay of $440 for days 1-3 and no copay for days 4-90, but Additional Days for Inpatient Hospital Psychiatric and Non-Medicare-covered Stay for Inpatient Hospital Psychiatric are not covered.
Outpatient services include Outpatient Hospital Services with a $0-$350 copay and 20% coinsurance, Observation Services with a $360 copay, Ambulatory Surgical Center (ASC) Services with no copay, Outpatient Substance Abuse Services with a $30 copay and 20% coinsurance, and Outpatient Blood Services with no copay. Individual and Group Sessions for Outpatient Substance Abuse have a $30 copay and 20% coinsurance.
Partial Hospitalization is covered by the Humana USAA Honor Giveback (PPO) plan, but requires prior authorization. You will pay 20% coinsurance for this benefit.
Ambulance and Transportation Services are covered by the Humana USAA Honor Giveback (PPO) plan, with prior authorization required for all ambulance services. For ground ambulance services, there is a 20% coinsurance, while air ambulance services have a $1250 copay. Transportation services to any health-related location are not covered.
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; there is no coinsurance for these services. Worldwide Urgent Coverage and Worldwide Emergency Transportation also have a $125 copay.
The Humana USAA Honor Giveback (PPO) plan covers primary care physician services with no copay, and specialist services with a $40 copay. Chiropractic services have a $10 copay, routine chiropractic care has a $10 copay for 12 visits per year, and occupational therapy services have 20% coinsurance. Physical therapy and speech-language pathology services have 20% coinsurance. Additional telehealth benefits have a copay between $0 and $55, and mental health services have a $30 copay. Psychiatric services and Opioid Treatment Program Services are also covered.
Preventive Services include Medicare-covered zero-dollar services and an annual physical exam with no copay. Additional preventive services, including fitness benefits, kidney disease education services, and other preventive services, are covered with a $0 copay for glaucoma screening, diabetes self-management training, barium enemas, digital rectal exams, and EKG following a Welcome Visit.
Hearing Services includes hearing exams with a $40 copay, routine hearing exams with no copay for 1 visit per year, and fitting/evaluation for hearing aids with no copay. Prescription hearing aids are partially covered, with a copay between $699 and $999 for hearing aids of all types; however, prescription hearing aids for the inner ear, outer ear, and over the ear are not covered, and OTC hearing aids are not covered.
Vision services include eye exams with a copay of $0-$40, and eyewear with no copay. Contact lenses and eyeglasses (lenses and frames) are covered, while eyeglass lenses, eyeglass frames, and upgrades are not covered.
The Humana USAA Honor Giveback (PPO) plan covers dental services, including Medicare dental services with a $40 copay, oral exams, dental x-rays, other diagnostic dental services, prophylaxis (cleaning), other preventive dental services, restorative services, adjunctive general services, endodontics, periodontics, prosthodontics (removable and fixed) and oral and maxillofacial surgery with no copay, but prosthodontics (removable and fixed) have a 30% coinsurance. Fluoride treatment, maxillofacial prosthetics, implant services, and orthodontics are not covered. The plan has a maximum benefit of $1000 per year for both in-network and out-of-network services.
Home Infusion bundled Services are covered, with prior authorization required. The plan covers Medicare Part B Insulin Drugs with a $35 copay and a coinsurance between 0% and 19%. The plan also covers Medicare Part B Chemotherapy/Radiation Drugs and Other Medicare Part B Drugs with a coinsurance between 0% and 19%.
Dialysis Services are covered by the Humana USAA Honor Giveback (PPO) plan, but require prior authorization. You will pay a 20% coinsurance for this service.
Medical equipment benefits include Durable Medical Equipment (DME), Prosthetics/Medical Supplies, and Diabetic Equipment. DME has a 14% coinsurance and requires authorization, while Durable Medical Equipment for use outside the home is not covered. Prosthetics/Medical Supplies has a 20% coinsurance for Medicare-covered devices and supplies, and Diabetic Equipment requires prior authorization with varying coinsurance and copayments depending on the specific service. Diabetic Therapeutic Shoes/Inserts have no copay.
Diagnostic and Radiological Services, including all diagnostic services, are covered. Diagnostic Procedures/Tests have a copay of at most $55 and a coinsurance of at most 20%, while Lab Services have no copay. Diagnostic Radiological Services have a copay of at most $325, Therapeutic Radiological Services have a coinsurance of at most 20%, and Outpatient X-Ray Services have no copay.
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 are covered, but the specific cost-sharing details for copays and coinsurance are not provided. However, the plan does not cover Cardiac Rehabilitation Services, Intensive Cardiac Rehabilitation Services, Pulmonary Rehabilitation Services, or SET for PAD Services.
Skilled Nursing Facility (SNF) services are covered, but require prior authorization. For days 1-20, the copay is $10, and for days 21-100, the copay is $214. Additional days beyond Medicare-covered SNF and non-Medicare-covered SNF stays are not covered.
Other Services include acupuncture and a meal benefit. Acupuncture has a $40 copay, and the plan covers up to 20 treatments per year. The meal benefit has no copay. Over-the-counter items, 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 are not covered.
SMID: MULTIPLAN_HCIHNMEDADVRX25_HCI_M
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