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 Ohio and Indiana. 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 $100.00. 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 $14000.00 (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 $14000.00 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 variety of benefits with varying costs. The plan covers inpatient hospital stays with a $475 copay, outpatient services with copays ranging from $0 to $475, and emergency services with copays between $45 and $110. This plan also includes coverage for primary care visits with a $15 copay, hearing and vision services, and dental services with no copay for many services. Additional benefits include home health services with no copay, skilled nursing with no copay for the first 20 days, and coverage for diagnostic and radiological services.
Inpatient Hospital benefits are covered, with a copay of $475 per stay for days 1-5 and no copay for days 6-90 for Inpatient Hospital-Acute, and a copay of $475 per stay for days 1-4 and no copay for days 5-90 for Inpatient Hospital Psychiatric. Additional days for Inpatient Hospital-Acute have no copay for days 91-999. Non-Medicare-covered stays and upgrades for Inpatient Hospital-Acute and Additional days for Inpatient Hospital Psychiatric and Non-Medicare-covered Stay for Inpatient Hospital Psychiatric are not covered.
Outpatient Services are covered, including outpatient hospital services, observation services, ambulatory surgical center services, outpatient substance abuse services, and outpatient blood services. Outpatient hospital services have a copay between $0 and $475, observation services have a $475 copay, ambulatory surgical center services have no copay, individual and group sessions for outpatient substance abuse have a copay between $30 and $80, and outpatient blood services have no copay.
Partial Hospitalization is covered by the Humana USAA Honor Giveback (PPO) plan, with a $50 copay. Prior authorization is required for this benefit.
Ambulance and Transportation Services are covered by the Humana USAA Honor Giveback (PPO) plan. Ground and Air Ambulance Services have a $315 copay, with no coinsurance, while 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 has a $110 copay, Urgently Needed Services has a $45 copay, and Worldwide Emergency Services has a $110 copay for Worldwide Emergency Coverage, Worldwide Urgent Coverage, and Worldwide Emergency Transportation. There is no coinsurance for any of these services.
The Humana USAA Honor Giveback (PPO) plan covers primary care physician services, chiropractic services, occupational therapy services, physician specialist services, mental health specialty services, other health care professional services, psychiatric services, physical therapy and speech-language pathology services, additional telehealth benefits, and opioid treatment program services. Primary care physician and chiropractic services have a $15 copay, physician specialist services have a $45 copay, and physical therapy and speech-language pathology services have a $35 copay. Occupational, mental health, psychiatric, and opioid treatment program services have copays ranging from $30 to $80, and additional telehealth benefits have a copay from $0 to $45. Podiatry services are not covered.
Preventive services include no copay for Medicare-covered services, annual physical exams, glaucoma screenings, diabetes self-management training, barium enemas, digital rectal exams, and EKG following a Welcome Visit. Additional preventive services are covered, but require prior authorization and may have a copay.
Hearing exams are covered with a $45 copay, and routine hearing exams are covered with no copay. Fitting/evaluation for hearing aids have no copay, while prescription hearing aids have a copay between $99 and $699. OTC hearing aids are covered with a maximum benefit of $150 every three months.
Vision Services include coverage for eye exams with a copay of $0-$45 and eyewear with no copay, but eyeglass lenses, eyeglass frames, and upgrades are not covered. Routine eye exams, contact lenses, and eyeglasses (lenses and frames) are covered.
The Humana USAA Honor Giveback (PPO) plan covers Medicare Dental Services with a $45 copay, and other dental services including 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. Fluoride treatment, maxillofacial prosthetics, implant services, and orthodontics are not covered. The plan has a $2,000 maximum benefit for in-network and out-of-network dental services each year.
Home Infusion bundled Services are covered, but require prior authorization. Medicare Part B Insulin Drugs have a $35 copay and a coinsurance between 0% and 20%, while Medicare Part B Chemotherapy/Radiation Drugs and Other Medicare Part B Drugs have a coinsurance between 0% and 20%.
Dialysis Services are covered by the Humana USAA Honor Giveback (PPO) plan, but require prior authorization. You will pay 20% coinsurance for these services.
Medical Equipment benefits include coverage for Durable Medical Equipment (DME) with an 18% coinsurance and Prosthetics/Medical Supplies with a 20% coinsurance for some services. Diabetic Supplies have a coinsurance between 10% and 20% with no copay, while Diabetic Therapeutic Shoes/Inserts have a $10 copay.
Diagnostic and Radiological Services are covered by the Humana USAA Honor Giveback (PPO) plan. Diagnostic Procedures/Tests have a copay between $0 and $105, Lab Services have no copay, and Outpatient X-Ray Services have a $15 copay. Diagnostic Radiological Services have a copay of at most $720, and Therapeutic Radiological Services have a coinsurance of at most 20% and a copay of at most $45.
Home health services are covered by the Humana USAA Honor Giveback (PPO) plan with no copay and no coinsurance, but additional hours of care and personal care services are not covered. Authorization is required for this benefit.
Cardiac Rehabilitation Services are not covered by the Humana USAA Honor Giveback (PPO) plan. This includes Medicare-covered Intensive Cardiac Rehabilitation Services, Medicare-covered Pulmonary Rehabilitation Services, Medicare-covered Supervised Exercise Therapy (SET) for Symptomatic Peripheral Artery Disease (PAD) Services, and Additional Cardiac Rehabilitation Services.
Skilled Nursing Facility (SNF) services are covered by the Humana USAA Honor Giveback (PPO) plan. You will have no copay for days 1-20, and a $214 copay for days 21-100.
The Humana USAA Honor Giveback (PPO) plan covers acupuncture with a $45 copay, and up to 20 treatments per year with prior authorization, and also covers Over-the-Counter (OTC) items with a $150 maximum benefit every three months. The plan also offers a meal benefit with no copay, and provides meals for chronic illnesses, but many other services are not covered.
SMID: MULTIPLAN_HCIHNMEDADVRX25_HCI_M
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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.
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