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Humana USAA Honor Giveback (PPO)

Benefits Summary and Overview

This page is a benefits summary and overview of key plan information for Humana USAA Honor Giveback (PPO). The information on this page is a summary only.

For a complete listing of all available benefits and cost information on Humana USAA Honor Giveback (PPO) in 2025, please refer to our full plan details page.

Humana USAA Honor Giveback (PPO) is a PPO plan offered by Humana Inc. available for enrollment in 2025 to people living in Select Counties in IA, MN, MT, NE, ND, SD, WY. This plan received an overall rating of 3.5 out of 5 stars in 2025.

It's important to know that Humana USAA Honor Giveback (PPO) is a Medicare Advantage (MA) Plan without drug coverage. That means that this plan covers medical services but doesn't cover prescription drugs. If you are looking for a plan with prescription drug coverage, please search for other MA and PDP plans offered in your area.

Overview IconKey Plan Facts

Below are a few key facts and commonly-asked questions about Humana USAA Honor Giveback (PPO).

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 USAA Honor Giveback (PPO), 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. Additionally, this plan comes with a Part B Premium reduction of $70.00. You must continue to pay paying your reduced Part B Premium.

Deductibles

This plan has a $100.00 health deductible. This means, every calendar year, you pay this amount towards covered services before your insurance coverage kicks in.

Drugs are not covered by this plan, so a prescription drug deductible is not applicable.

Out-of-Pocket Maximums

This plan has a combined Maximum Out-Of-Pocket cost of $10000.00 (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 $10000.00 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:

Regular visits to your primary care doctor are covered and will have a copay of $0.00 and coinsurance of 0% (no coinsurance).

Specialist Visits:

Visits to specialists are covered and will have a copay of $35.00 and coinsurance of 0% (no coinsurance). Specialist visits may require a referral from your primary care doctor or prior authorization.

Emergency Room:

Trips to the Emergency Room are covered, and will have a copay of $125.00 and coinsurance of 0% (no coinsurance). Coverage may vary for in-network and out-of-network hospitals.

Urgent Care:

Trips to Urgent Care arecovered and will have a copay of $55.00 and coinsurance of 0% (no coinsurance). Coverage may vary for in-network and out-of-network hospitals.

Sign up for Humana USAA Honor Giveback (PPO)

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Drug Coverage IconDrug Coverage

Prescription drugs are not covered by Humana USAA Honor Giveback (PPO).

Additional Benefits IconAdditional Benefits

The Humana USAA Honor Giveback (PPO) plan offers a range of benefits. Inpatient hospital stays have a copay, and outpatient services have varying copays depending on the service. Emergency, primary care, preventive, and vision services may have copays, while dental services and home health services may have no copay. This plan covers ambulance services with copays, as well as hearing services with copays for exams and hearing aids. The plan also covers home infusion services, dialysis, medical equipment, diagnostic and radiological services, and skilled nursing facility services with specific cost-sharing structures. Other services like acupuncture and meal benefits are covered with no copay.

Inpatient Hospital See details

Inpatient Hospital benefits, including Inpatient Hospital-Acute and Inpatient Hospital Psychiatric, are covered. For days 1-6, you'll pay a $380 copay, and for days 7-90, there is no copay. Additional days for Inpatient Hospital-Acute are covered with no copay for days 91-999, while Non-Medicare-covered Stay and Upgrades for Inpatient Hospital-Acute are not covered.

Outpatient Services See details

Outpatient Services are covered, with copays varying from $0 to $380 for Outpatient Hospital Services and $380 for Observation Services. Ambulatory Surgical Center (ASC) Services and Outpatient Blood Services have no copay, while Individual and Group Sessions for Outpatient Substance Abuse have copays ranging from $40 to $50.

Partial Hospitalization See details

Partial Hospitalization is covered, but requires prior authorization. You will pay an $80 copay for this service.

Ambulance and Transportation Services See details

Ambulance and Transportation Services are covered by the Humana USAA Honor Giveback (PPO) plan. Ground ambulance services have a $315 copay, while air ambulance services have a $1250 copay; there is no coinsurance for either. Transportation services to any health-related location are not covered.

Emergency Services See details

Emergency Services, Urgently Needed Services, and Worldwide Emergency Services are covered under the Humana USAA Honor Giveback (PPO) plan. Emergency Services have a $125 copay with no coinsurance, Urgently Needed Services have a $55 copay with no coinsurance, and Worldwide Emergency Services have a $125 copay with no coinsurance for Worldwide Emergency Coverage, Worldwide Urgent Coverage, and Worldwide Emergency Transportation.

Primary Care See details

The Humana USAA Honor Giveback (PPO) plan covers primary care physician services with no copay, chiropractic services with a $15 copay, occupational therapy services with a $35 copay, physician specialist services with a $35 copay, and mental health specialty services with no copay for individual and group sessions. The plan does not cover podiatry services. Additionally, other health care professional services have a copay between $0 and $35, psychiatric services have no copay for individual and group sessions, physical therapy and speech-language pathology services have a $35 copay, additional telehealth benefits have a copay between $0 and $55, and opioid treatment program services have a copay between $40 and $50.

Preventive Services See details

Preventive Services include coverage for Medicare-covered preventive services, Annual Physical Exams with no copay, and additional preventive services with varying copays. Additional services like Health Education, In-Home Safety Assessment, and others are not covered.

Hearing Services See details

Hearing services include hearing exams with a $35 copay, routine hearing exams with no copay, and fitting/evaluation for hearing aids with no copay. Prescription hearing aids (all types) are covered with a copay between $699 and $999, while other types of prescription hearing aids and OTC hearing aids are not covered.

Vision Services See details

The Humana USAA Honor Giveback (PPO) plan covers vision services, including eye exams with a copay of $0-$35, and eyewear with no copay. Eyeglass lenses, eyeglass frames, and upgrades are not covered.

Dental Services See details

The Humana USAA Honor Giveback (PPO) plan covers Medicare Dental Services with a $35 copay, as well as Oral Exams, Dental X-Rays, Other Diagnostic Dental Services, Prophylaxis (Cleaning), Other Preventive Dental Services, Restorative Services, Adjunctive General Services, Endodontics, Periodontics, Prosthodontics (removable and fixed), and Oral and Maxillofacial Surgery with no copay. Fluoride Treatment, Maxillofacial Prosthetics, Implant Services, and Orthodontics are not covered. This plan has a maximum benefit of $2,000 per year for in-network and out-of-network services.

Home Infusion bundled Services See details

Home Infusion bundled Services are covered under the Humana USAA Honor Giveback (PPO) plan. This includes coverage for Medicare Part B Insulin Drugs with a $35 copay and a coinsurance between 0% and 20%, as well as Medicare Part B Chemotherapy/Radiation Drugs and Other Medicare Part B Drugs with a coinsurance between 0% and 20%.

Dialysis Services See details

Dialysis Services are covered by the Humana USAA Honor Giveback (PPO) plan, but require prior authorization. The plan has a coinsurance of 20% for these services.

Medical Equipment See details

Medical Equipment is covered by the Humana USAA Honor Giveback (PPO) plan, including Durable Medical Equipment with 15% coinsurance and Prosthetics/Medical Supplies with 15% coinsurance, and Diabetic Equipment with a 10-20% coinsurance for Diabetic Supplies and 0% copay for Diabetic Therapeutic Shoes/Inserts. Durable Medical Equipment for use outside the home is not covered.

Diagnostic and Radiological Services See details

Diagnostic and Radiological Services are covered, including diagnostic procedures and tests with a copay between $0 and $55, and lab services with no copay. Diagnostic Radiological Services have a copay of up to $380, and Therapeutic Radiological Services have a coinsurance of at least 20%.

Home Health Services See details

Home Health Services are covered by the Humana USAA Honor Giveback (PPO) plan with no copay and no coinsurance, but Additional Hours of Care and Personal Care Services are not covered. Prior authorization is required for this benefit.

Cardiac Rehabilitation Services See details

Cardiac Rehabilitation Services are not covered by the Humana USAA Honor Giveback (PPO) plan. Prior authorization is required for this benefit.

Skilled Nursing Facility (SNF) See details

Skilled Nursing Facility (SNF) services are covered by the Humana USAA Honor Giveback (PPO) plan, with a $0 copay for days 1-20, a $214 copay for days 21-70, and a $0 copay for days 71-100. Additional days beyond Medicare-covered and non-Medicare-covered stays for SNF are not covered.

Other Services See details

The Humana USAA Honor Giveback (PPO) plan covers acupuncture with a $35 copay, up to 20 treatments per year, and meal benefits with no copay. Over-the-counter items, Dual Eligible SNPs with Highly Integrated Services, Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) Services, Private Duty Nursing Services, Case Management (Long Term Care), Institution for Mental Disease Services for Individuals 65 or Older, Services in an Intermediate Care Facility for Individuals with Intellectual Disabilities, Case Management, Tobacco Cessation Counseling for Pregnant Women, Freestanding Birth Center Services, Respiratory Care Services, Family Planning Services, Nursing Home Services, Home and Community Based Services, Personal Care Services, and Self-Directed Personal Assistance Services are not covered.

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