HumanaChoice SNP-DE H5216-277 (PPO D-SNP)

HumanaChoice SNP-DE H5216-277 (PPO D-SNP) is a PPO D-SNP plan offered by Humana Inc. available for enrollment in 2025 to people living in South Carolina. This plan received an overall rating of 3.5 out of 5 stars in 2026.

It's important to know that HumanaChoice SNP-DE H5216-277 (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 H5216-277 (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 H5216-277 (PPO D-SNP) Medicare plan features an annual drug deductible of $615. For Tier 1 preferred generic and Tier 2 generic drugs, there is no copay for one-month or three-month supplies filled at standard pharmacies or through preferred mail order. However, using standard mail order for these generic tiers results in a copay of $10 to $20 for a one-month supply and $30 to $60 for a three-month supply. For higher-tier medications, including Tier 3 preferred brand, Tier 4 non-preferred, and Tier 5 specialty drugs, you will pay a 25% coinsurance. This 25% coinsurance rate applies to standard pharmacies as well as preferred and standard mail order options. For Tier 5 specialty drugs, coverage is limited to a one-month supply at this same coinsurance rate.

Additional Benefits

The HumanaChoice SNP-DE H5216-277 (PPO D-SNP) plan offers comprehensive medical coverage where many routine services, including primary care, specialist visits, outpatient hospital care, and dialysis, require no copay and a 20% coinsurance. For emergency care, members pay a $115 copay with no coinsurance, while inpatient hospital stays require copays of $2,230 for acute care and $2,080 for psychiatric care per stay with no coinsurance. Preventive care and home health services are fully covered with no copay and no coinsurance. Ancillary benefits include dental services covered up to $3,000 annually and eyewear up to $450 annually, both with no copay and no coinsurance. Medical equipment, prosthetics, and diagnostic procedures carry a 20% coinsurance with no copay, though outpatient x-rays and diagnostic radiological services require additional copays of $50 and $200, respectively. Skilled nursing facility care is also available with no copay for the first 20 days, followed by a $218 daily copay for days 21 through 100.