HumanaChoice SNP-DE H5216-228 (PPO D-SNP)

HumanaChoice SNP-DE H5216-228 (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 Oklahoma. This plan received an overall rating of 3.5 out of 5 stars in 2026.

It's important to know that HumanaChoice SNP-DE H5216-228 (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 H5216-228 (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 H5216-228 (PPO D-SNP) prescription drug plan features an annual drug deductible of $615. For Tier 1 preferred generic and Tier 2 generic medications, there is no copay for 1-month or 3-month supplies filled at standard pharmacies or through preferred mail order. If you choose standard mail order for these generic tiers, you will pay a copay ranging from $10 to $30 for Tier 1 and $20 to $60 for Tier 2. For Tier 3 preferred brand, Tier 4 non-preferred, and Tier 5 specialty drugs, the plan charges a consistent 25% coinsurance. This 25% coinsurance applies to 1-month and 3-month supplies at standard pharmacies, preferred mail order, and standard mail order. Specialty tier medications are limited to a 1-month supply, which also requires a 25% coinsurance.

Additional Benefits

The HumanaChoice SNP-DE H5216-228 (PPO D-SNP) plan offers robust medical coverage with affordable cost-sharing, featuring no copay for preventive services, primary care, specialist visits, and outpatient care. While doctor visits and outpatient services require a 20% coinsurance, inpatient hospital stays require a set copay of $2,230 per acute stay and $2,080 per psychiatric stay. Emergency services are covered with a $115 copay, which is waived upon hospital admission, while urgent care requires a 20% coinsurance up to $40. For extra wellness support, this plan provides excellent supplemental benefits including dental care with no copay or coinsurance up to a $2,000 annual limit. Members also enjoy vision benefits with no copay or coinsurance for eyewear up to $450 yearly, alongside covered OTC hearing aids and up to 36 free one-way transportation trips. Other essential services like home health care, over-the-counter items, and chronic illness meals are fully covered with no copay and no coinsurance.