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 2026, 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 2026.
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 $615.00 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 $13900.00 (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 $13900.00 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:
Sign up for Humana Together in Health (PPO I-SNP)
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Drug Coverage
The Humana Together in Health (PPO I-SNP) prescription drug plan features an annual drug deductible of $615. During the initial coverage phase, cost sharing is primarily based on coinsurance percentages rather than flat copayments. For Tier 1 preferred generic drugs, you will pay a 20% coinsurance at standard pharmacies and a 25% coinsurance through standard mail order. You can maximize your savings by using preferred mail order, which features no coinsurance for a 3-month supply of Tier 1 preferred generic and Tier 2 generic drugs. For Tier 2 generic, Tier 3 preferred brand, Tier 4 non-preferred, and Tier 5 specialty drugs, you will typically pay a 25% coinsurance for your prescriptions at standard pharmacies and mail-order services.
Additional Benefits
Humana Together in Health (PPO I-SNP) offers comprehensive coverage with no copay and no coinsurance for primary care, preventive services, and home health care. For inpatient hospital stays, members pay a $611 daily copay for the first four days and no copay thereafter, while skilled nursing facility stays feature no copay or coinsurance for up to 100 days. Emergency services require a $115 copay, while outpatient, specialist, and diagnostic services generally charge no copay but require a 20% coinsurance. The plan also includes valuable supplemental dental, vision, and hearing benefits to help lower your out-of-pocket costs. Preventive and comprehensive dental services are covered up to $1,000 annually with no copay and no coinsurance, and eyewear is covered up to $250 per year with no copay or coinsurance. Additionally, members can take advantage of acupuncture and over-the-counter items with no copay, though certain medical equipment and dialysis require a 20% coinsurance.
Inpatient Hospital See details
Humana Together in Health (PPO I-SNP) partially covers inpatient hospital services with no coinsurance, requiring a $611 daily copay for days 1 through 4 of acute care (with no copay for days 5 and beyond) and a $1,872 copay per stay for psychiatric care. Prior authorization is required, and upgrades as well as non-Medicare-covered stays are not covered.
Outpatient Services See details
Humana Together in Health (PPO I-SNP) covers outpatient services with no copay, though a 20% coinsurance applies to outpatient hospital, observation, ambulatory surgical center, and outpatient substance abuse services. Outpatient blood services are covered with no copay, no coinsurance, and no deductible.
Partial Hospitalization See details
Partial hospitalization is covered by Humana Together in Health (PPO I-SNP) with no copay and a 20% coinsurance. Prior authorization is required to access this benefit.
Ambulance and Transportation Services See details
Humana Together in Health (PPO I-SNP) covers ground and air ambulance services with a 20% coinsurance and no copay, though prior authorization is required. Transportation services are not covered under this plan.
Emergency Services See details
Humana Together in Health (PPO I-SNP) covers emergency services with a $115 copay and no coinsurance, with the copay waived if you are admitted to the hospital within 24 hours. Urgently needed services are covered with a 20% coinsurance (up to $40 per visit) and no copay, while worldwide emergency, urgent, and transportation services are covered with a $115 copay and no coinsurance.
Primary Care See details
Humana Together in Health (PPO I-SNP) covers primary care, occupational therapy, and physical therapy with no copay and no coinsurance. Specialist, psychiatric, mental health, podiatry, telehealth, and opioid treatment services are covered with no copay and 20% coinsurance, but for chiropractic care, some services are covered though routine and other chiropractic services are not covered.
Preventive Services See details
Humana Together in Health (PPO I-SNP) covers preventive services, including annual physical exams, kidney disease education, glaucoma screenings, and diabetes self-management training, with no copay and no coinsurance. Additional preventive services, such as health education, fitness benefits, and personal emergency response systems, are not covered.
Hearing Services See details
Humana Together in Health (PPO I-SNP) covers hearing services, offering routine hearing exams with no copay and 20% coinsurance, alongside fitting evaluations and OTC hearing aids with no copay and no coinsurance. Prescription hearing aids are partially covered with no coinsurance and copays ranging from $0 to $599, though inner ear, outer ear, and over the ear prescription hearing aids are not covered.
Vision Services See details
Humana Together in Health (PPO I-SNP) provides partially covered vision services with no deductibles, including one routine eye exam per year with no copay and 20% coinsurance up to a $75 limit, while other exam services are not covered. Covered eyewear features no copay and no coinsurance up to a $250 annual limit for contact lenses and complete eyeglasses, though separate eyeglass lenses, frames, and upgrades are not covered.
Dental Services See details
Dental services are partially covered by Humana Together in Health (PPO I-SNP), offering no copay and no coinsurance for most preventive and comprehensive care up to a $1,000 annual limit. Medicare-covered dental services have no copay and a 20% coinsurance, while fluoride treatments, implants, orthodontics, and maxillofacial prosthetics are not covered.
Home Infusion bundled Services See details
Humana Together in Health (PPO I-SNP) covers home infusion bundled services with prior authorization, offering Medicare Part B insulin for a $35 copay and no coinsurance to 20% coinsurance. Chemotherapy and radiation drugs require a copay and no coinsurance to 20% coinsurance, while other Part B drugs have no copay and no coinsurance to 20% coinsurance.
Dialysis Services See details
Humana Together in Health (PPO I-SNP) covers Dialysis Services with no copay and a 20% coinsurance. Prior authorization is required to receive these covered services.
Medical Equipment See details
Humana Together in Health (PPO I-SNP) covers medical equipment, including durable medical equipment (DME), prosthetics, medical supplies, and diabetic services, with no copays. A 20% coinsurance applies to DME, prosthetics, medical supplies, and diabetic supplies, and prior authorization is required for these benefits.
Diagnostic and Radiological Services See details
Diagnostic and radiological services are covered by Humana Together in Health (PPO I-SNP) with a 20% coinsurance and no copay for lab services, diagnostic tests, outpatient X-rays, and therapeutic radiology. Diagnostic radiological services require a copay in addition to the 20% coinsurance, and prior authorization is required for all services.
Home Health Services See details
Home Health Services are covered by Humana Together in Health (PPO I-SNP) with no copay and no coinsurance, though prior authorization is required.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are covered under the Humana Together in Health (PPO I-SNP) plan with prior authorization, but some services are covered while cardiac, intensive cardiac, pulmonary, and supervised exercise therapy (SET) for PAD services are not covered. Covered intensive cardiac rehab carries a 20% coinsurance and no copay, while pulmonary and SET for PAD services require a $15 and $20 copay, respectively, with no coinsurance.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) services are covered by Humana Together in Health (PPO I-SNP) with no copay and no coinsurance for Medicare-covered days 1 through 100. Prior authorization and a three-day inpatient hospital stay are required prior to admission, and additional days beyond the Medicare-covered limit are not covered.
Other Services See details
Humana Together in Health (PPO I-SNP) partially covers other services, offering acupuncture with no copay and 20% coinsurance for up to 20 treatments per year, and over-the-counter items with no copay and no coinsurance. Meal benefits and other additional services are not covered under this plan.
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