A non-government entity
Humana Together in Health (PPO I-SNP)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for Humana Together in Health (PPO I-SNP). The information on this page is a summary only.
For a complete listing of all available benefits and cost information on Humana Together in Health (PPO I-SNP) in 2025, please refer to our full plan details page.
Humana Together in Health (PPO I-SNP) is a PPO I-SNP plan offered by Humana Inc. available for enrollment in 2025 to people living in Select Counties in Georgia. This plan received an overall rating of 3.5 out of 5 stars in 2025.
It's important to know that Humana Together in Health (PPO I-SNP) is a Medicare Advantage (MA) Plan with drug coverage. That means that this plan covers both medical services and prescription drugs.
Important:
Humana Together in Health (PPO I-SNP)is a Special Needs Type (SNP) plan. This means you can only enroll in this plan if you meet specific criteria. See our full plan details page for more information.
Key Plan Facts
Below are a few key facts and commonly-asked questions about Humana Together in Health (PPO I-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.
For Humana Together in Health (PPO I-SNP), 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.
This plan does not come with a Part B Premium reduction. You must continue to pay your Part B premium.
Deductibles
This plan does not have a health deductible. Your insurance coverage on covered health services will start immediately.
This plan has a $470.00 drug deductible. You will need to pay this amount towards covered prescriptions before your insurance coverage for prescription medications kicks in.
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.
Common Services:
Doctor Visits:
Specialist Visits:
Emergency Room:
Urgent Care:
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Drug Coverage
The Humana Together in Health (PPO I-SNP) plan has an enhanced alternative drug benefit. The plan has a deductible of $470.00. In the initial coverage phase, after your deductible is met, you will pay varying copays or coinsurance depending on the drug tier and pharmacy. For example, you'll pay no copay for preferred generic drugs at a standard pharmacy or through mail order, but a $20 copay at a standard mail order pharmacy. After your total drug costs reach $2000.00, you enter the catastrophic coverage phase, and you will pay nothing for your Part D drugs.
Additional Benefits
The Humana Together in Health (PPO I-SNP) plan offers a range of benefits with varying costs. Inpatient hospital stays have a copay, while outpatient services, including blood services, have a 20% coinsurance. Emergency services have a $110 copay, and primary care and chiropractic services have no copay. Preventive services, like annual physical exams, have no copay, and hearing exams and hearing aids have a copay. Vision services, including eye exams and eyewear, have no copay, and dental services have a 20% coinsurance for Medicare dental services. Transportation to a plan-approved health-related location has no copay for up to 36 one-way trips per year.
Inpatient Hospital See details
The Humana Together in Health (PPO I-SNP) plan covers inpatient hospital stays, including acute and psychiatric care, but requires prior authorization. For inpatient hospital-acute, you will pay a $598 copay for days 1-4, and no copay for days 5-90, and no copay for additional days 91-999. For inpatient hospital psychiatric, the copay is $1872. Non-Medicare-covered stays and upgrades for Inpatient Hospital-Acute, and additional days and non-Medicare-covered stays for Inpatient Hospital Psychiatric are not covered.
Outpatient Services See details
Outpatient Services with Humana Together in Health (PPO I-SNP) covers outpatient hospital services, observation services, and outpatient substance abuse services, all with a 20% coinsurance, and ambulatory surgical center services with a coinsurance between 20% and 20%. Outpatient blood services are covered with no copay.
Partial Hospitalization See details
Partial Hospitalization is covered with a 20% coinsurance, and prior authorization is required.
Ambulance and Transportation Services See details
Ambulance and Transportation Services are covered, including ground and air ambulance services with a 20% coinsurance. Transportation Services to a plan-approved health-related location are covered with no copay, up to 36 one-way trips per year. Transportation Services to any health-related location is not covered.
Emergency Services See details
Emergency Services, Urgently Needed Services, and Worldwide Emergency Services are covered under the Humana Together in Health (PPO I-SNP) plan. Emergency Services has a $110 copay, while Urgently Needed Services has a 20% coinsurance. Worldwide Emergency Coverage, Worldwide Urgent Coverage, and Worldwide Emergency Transportation all have a $110 copay.
Primary Care See details
The Humana Together in Health (PPO I-SNP) plan covers Primary Care Physician Services and Chiropractic Services with no copay, but Routine Chiropractic Care is not covered. Occupational Therapy Services, Physical Therapy, and Speech-Language Pathology Services are covered with no coinsurance, and no copay for the latter two services. Physician Specialist, Mental Health Specialty, Podiatry, Other Health Care Professional, Psychiatric, Additional Telehealth, and Opioid Treatment Program Services are covered with 20% coinsurance.
Preventive Services See details
The Humana Together in Health (PPO I-SNP) plan covers preventive services, including an annual physical exam with no copay. Additional preventive services are partially covered, but services like health education, in-home safety assessments, and others are not covered. Kidney disease education services, glaucoma screenings, and diabetes self-management training have no copay.
Hearing Services See details
The Humana Together in Health (PPO I-SNP) plan covers hearing exams with at most 20% coinsurance, and fitting/evaluation for hearing aids with no copay. Prescription hearing aids are covered, but only with a copay between $99 and $699 depending on the type. OTC hearing aids are covered up to $75 every three months.
Vision Services See details
Vision services include eye exams with 20% coinsurance and no copay, and eyewear with no copay. Eyeglass lenses, eyeglass frames, and upgrades are not covered.
Dental Services See details
Dental Services are covered under the Humana Together in Health (PPO I-SNP) plan, with a 20% coinsurance for Medicare Dental Services. Other services like Oral Exams, Dental X-Rays, Other Diagnostic Dental Services, Prophylaxis (Cleaning), and Other Preventive Dental Services are covered with no copay, while Fluoride Treatment, Maxillofacial Prosthetics, Implant Services, and Orthodontics are not covered.
Home Infusion bundled Services See details
The Humana Together in Health (PPO I-SNP) plan covers Home Infusion bundled Services, including Insulin, Medicare Part B Insulin Drugs, Medicare Part B Chemotherapy/Radiation Drugs, and Other Medicare Part B Drugs. Medicare Part B Insulin Drugs have a $35 copay with a coinsurance between 0-20%, while other services have a coinsurance between 0-20% and no copay.
Dialysis Services See details
Dialysis Services are covered by the Humana Together in Health (PPO I-SNP) plan and require prior authorization. You will pay 20% coinsurance for these services.
Medical Equipment See details
Medical Equipment benefits include Durable Medical Equipment (DME) with 20% coinsurance, Prosthetics/Medical Supplies with 20% coinsurance, and Diabetic Equipment. Diabetic Supplies have a 20% coinsurance and no copay, while Diabetic Therapeutic Shoes/Inserts have no copay.
Diagnostic and Radiological Services See details
Diagnostic and Radiological Services include coverage for diagnostic procedures, lab services, and radiological services. Diagnostic procedures and radiological services have a coinsurance of at most 20%, and lab services have a $0 copay and a coinsurance of at most 20%.
Home Health Services See details
Home Health Services are covered by Humana Together in Health (PPO I-SNP) 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 See details
Cardiac Rehabilitation Services are covered by Humana Together in Health (PPO I-SNP). However, Intensive Cardiac Rehabilitation Services, Pulmonary Rehabilitation Services, and SET for PAD Services are not covered.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) services are covered by the Humana Together in Health (PPO I-SNP) plan, with no copay for days 1-100. Additional days beyond Medicare-covered for SNF and non-Medicare-covered stays for SNF are not covered.
Other Services See details
Other Services include acupuncture, which has a 20% coinsurance after prior authorization, and over-the-counter (OTC) items, with a maximum benefit coverage of $75 every three months. The plan also offers nicotine replacement therapy (NRT) and Naloxone coverage as a Part C OTC benefit. However, meal benefits, dual eligible SNPs with highly integrated services, Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) Services, Private Duty Nursing Services, and several other services are not covered.
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