HumanaChoice SNP-DE H5216-219 (PPO D-SNP)

HumanaChoice SNP-DE H5216-219 (PPO D-SNP) is a PPO D-SNP plan offered by Humana Inc. available for enrollment in 2025 to people living in Select Counties in Arkansas. This plan received an overall rating of 3.5 out of 5 stars in 2026.

It's important to know that HumanaChoice SNP-DE H5216-219 (PPO D-SNP) is a Medicare Advantage (MA) Plan with drug coverage. That means that this plan covers both medical services and prescription drugs.

Key Plan Facts

Below are a few key facts and commonly-asked questions about HumanaChoice SNP-DE H5216-219 (PPO 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.

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:

Drug Coverage

The HumanaChoice SNP-DE H5216-219 (PPO D-SNP) Medicare plan features an Enhanced Alternative drug benefit with an annual prescription deductible of $615.00. If you qualify for the Low-Income Subsidy (LIS), your Part D premium may be reduced to $8.90. After your yearly out-of-pocket prescription drug costs reach $2,100.00, you enter the catastrophic coverage phase where you will pay nothing for covered Part D drugs. During the initial coverage phase, Tier 1 preferred generic drugs feature no copay at standard pharmacies and through preferred mail order, while standard mail orders carry a $20.00 copay. For Tier 2 standard generics, Tier 3 preferred brands, and Tier 4 non-preferred drugs, you will pay a 25% coinsurance at standard pharmacies and through both mail order options.

Additional Benefits

The HumanaChoice SNP-DE H5216-219 (PPO D-SNP) offers comprehensive medical coverage, though costs vary depending on the service. Inpatient hospital stays require a copay of either $2,230 for acute care or $2,080 for psychiatric care, while outpatient services, emergency visits, and primary care generally involve a twenty percent coinsurance or set copays. Notably, there is no copay for preventive services, telehealth visits, home health services, or up to sixty one-way non-emergency transportation trips per year. For ancillary care, the plan provides valuable dental, vision, and hearing benefits to help reduce your out-of-pocket expenses. Dental and vision care feature no copay and no coinsurance for covered preventive and comprehensive services up to annual plan limits, alongside no copay for over-the-counter items and home-delivered meals. Fitting evaluations and prescription hearing aids also feature no copay, though other specialized services like diagnostic imaging, dialysis, and medical equipment require a twenty percent coinsurance.