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 Upstate South Carolina. 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 $7.30. 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) Medicare plan features an annual prescription drug deductible of $615. This deductible represents the amount you must pay out-of-pocket for your covered medications before the plan begins to pay its share. Knowing this upfront cost is essential for budgeting your yearly healthcare and medication expenses. While specific drug tier copayments and coinsurance details are not currently available for this plan, understanding the deductible helps you compare your coverage options. For comprehensive details on specific medication costs, you should review the plan's formulary directly. This ensures you find the best Medicare Advantage prescription drug plan for your health needs.
Additional Benefits
The Humana Together in Health (PPO I-SNP) plan offers robust medical coverage with no copay and no coinsurance for primary care, physical therapy, home health care, and skilled nursing facility stays. Additionally, members enjoy no-copay preventive care, routine dental services up to a $1,000 annual limit, and a $250 annual allowance for eyewear. Many other medical benefits, including specialist visits, outpatient procedures, and durable medical equipment, are covered with a 20% coinsurance and no copay. For acute care, inpatient hospital stays require a $611 daily copay for the first four days, while emergency room visits carry a $115 copay that is waived if you are admitted.
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 an acute stay (with no copay for days 5 and beyond) and a $1,872 copay per psychiatric stay. Prior authorization is required, and sub-services such as upgrades, additional psychiatric days, and non-Medicare-covered stays are not covered.
Outpatient Services See details
Humana Together in Health (PPO I-SNP) covers outpatient services with no copays, though a 20% coinsurance and prior authorization apply to outpatient hospital, ambulatory surgical center, and outpatient substance abuse services. Outpatient blood services are covered with no copay and no coinsurance.
Partial Hospitalization See details
Humana Together in Health (PPO I-SNP) covers partial hospitalization services with no copay and a 20% coinsurance. Prior authorization is required to receive 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, with prior authorization required. Transportation services to health-related locations are not covered.
Emergency Services See details
Humana Together in Health (PPO I-SNP) covers emergency services with a $115 copay and no coinsurance, which is waived if you are admitted to the hospital within 24 hours. Urgently needed services require a 20% coinsurance (capped at $40) and no copay, while worldwide emergency, urgent, and transportation services are covered with a $115 copay and no coinsurance.
Primary Care See details
Primary care benefits under the Humana Together in Health (PPO I-SNP) plan feature no copay and no coinsurance for primary care, occupational therapy, and physical or speech therapy. Specialist, mental health, psychiatric, telehealth, opioid treatment, and podiatry services (up to 12 routine visits yearly) are covered with no copay and a 20% coinsurance, though routine and other chiropractic services are not covered.
Preventive Services See details
Humana Together in Health (PPO I-SNP) covers key preventive services, including annual physical exams, kidney disease education, and diabetes self-management training, with no copay and no coinsurance. However, additional preventive services such as health education, fitness benefits, and personal emergency response systems are not covered.
Hearing Services See details
Hearing services are covered by Humana Together in Health (PPO I-SNP), offering routine hearing exams with no copay and 20% coinsurance, alongside OTC hearing aids with no copay and no coinsurance. Prescription hearing aids are partially covered with no coinsurance and a copay 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) offers partially covered vision services with no deductibles, featuring one annual routine eye exam with no copay and 20% coinsurance up to a $75 limit. Eyewear is also covered with no copay and no coinsurance up to a $250 annual limit for one pair of contact lenses or eyeglasses (lenses and frames), but other eye exams, eyeglass lenses, eyeglass frames, and upgrades are not covered.
Dental Services See details
Dental services are partially covered by Humana Together in Health (PPO I-SNP), offering up to a $1,000 annual maximum benefit with no copay and no coinsurance for most preventive and comprehensive services. While Medicare-covered dental services require no copay and a 20% coinsurance, fluoride treatment, maxillofacial prosthetics, implant services, and orthodontics are not covered.
Home Infusion bundled Services See details
Humana Together in Health (PPO I-SNP) covers Home Infusion bundled Services with prior authorization and step therapy, offering insulin for a $35 copay and no coinsurance to 20% coinsurance. Other Medicare Part B drugs require no copay and no coinsurance to 20% coinsurance, while chemotherapy and radiation drugs require no coinsurance to 20% coinsurance and a copayment.
Dialysis Services See details
Dialysis Services are covered under the Humana Together in Health (PPO I-SNP) plan with no copay and a 20% coinsurance. Prior authorization is required for these services.
Medical Equipment See details
Humana Together in Health (PPO I-SNP) covers durable medical equipment, prosthetics, medical supplies, and diabetic supplies with no copay and 20% coinsurance. Prior authorization is required for these services, and diabetic therapeutic shoes or inserts are also covered with no copay.
Diagnostic and Radiological Services See details
Diagnostic and radiological services under the Humana Together in Health (PPO I-SNP) require prior authorization and are subject to a 20% coinsurance. There is no copay for diagnostic procedures, lab services, and outpatient X-rays, though a copayment applies to diagnostic radiological services.
Home Health Services See details
Home health services are covered under the Humana Together in Health (PPO I-SNP) plan with no copay and no coinsurance, although prior authorization is required.
Cardiac Rehabilitation Services See details
Humana Together in Health (PPO I-SNP) does not cover Cardiac Rehabilitation Services, including intensive cardiac, pulmonary, and supervised exercise therapy.
Skilled Nursing Facility (SNF) See details
Humana Together in Health (PPO I-SNP) covers Skilled Nursing Facility (SNF) services for days 1 through 100 with no copay and no coinsurance, requiring prior authorization and a prior three-day inpatient hospital stay. Additional days beyond the standard Medicare-covered limit are not covered.
Other Services See details
Humana Together in Health (PPO I-SNP) provides acupuncture with no copay and 20% coinsurance for up to 20 treatments per year, alongside 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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