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 AR, IL, IA, MO, KS, NE and OK. 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.
Below are a few key facts and commonly-asked questions about Humana USAA Honor Giveback (PPO).
The cost of a Medicare Advantage Plan is made up of four main parts.
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 $110.00. 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 $10100.00 (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 $10100.00 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.
Need help deciding? Talk with one of our licensed insurance specialists 1-877-649-2073 / TTY 711. 8am-11pm EST. 7 days a week
Prescription drugs are not covered by Humana USAA Honor Giveback (PPO).
The Humana USAA Honor Giveback (PPO) plan offers a wide range of benefits with varying costs. Inpatient hospital stays require a copay, while outpatient services have copays that vary by service. The plan includes coverage for emergency services, primary care, preventive services, and several other services, often with copays. The plan offers additional benefits such as hearing, vision, and dental services, with copays for exams and specific treatments. Medical equipment, home health, and skilled nursing facility services are covered, with a coinsurance or copay depending on the service. The plan also includes coverage for other services like acupuncture and OTC items.
Inpatient Hospital services, including acute and psychiatric, are covered by the Humana USAA Honor Giveback (PPO) plan. For Inpatient Hospital-Acute, you'll pay a $425 copay for days 1-5, and no copay for days 6-90, while Inpatient Hospital Psychiatric services require a $370 copay for days 1-5, and no copay for days 6-90. Additional Days for Inpatient Hospital-Acute are covered with no copay. Non-Medicare-covered stays and upgrades for Inpatient Hospital-Acute are not covered, and Additional Days and Non-Medicare-covered stays for Inpatient Hospital Psychiatric are not covered.
Outpatient Services include coverage for all outpatient hospital services, observation services, ambulatory surgical center services, outpatient substance abuse services, and outpatient blood services. Outpatient Hospital Services have a copay between $0 and $325, while Observation Services have a $425 copay, and Ambulatory Surgical Center Services have no copay. Outpatient Substance Abuse Services have a copay of $35 for both individual and group sessions, and Outpatient Blood Services have no copay.
Partial Hospitalization is covered by the Humana USAA Honor Giveback (PPO) plan, with a $35 copay. Prior authorization is required for this benefit.
Ambulance and Transportation Services are covered by the Humana USAA Honor Giveback (PPO) plan. Ground ambulance services have a $265 copay, while air ambulance services have a 20% coinsurance; transportation services to health-related locations are not covered.
Emergency Services, Urgently Needed Services, and Worldwide Emergency Services are covered by the Humana USAA Honor Giveback (PPO) plan. Emergency Services and Worldwide Emergency Coverage have a $125 copay, while Urgently Needed Services has a $55 copay; all of these services have no coinsurance.
Primary Care Physician Services have no copay. Chiropractic Services have a $15 copay. Occupational Therapy Services have a $35 copay, with no coinsurance. Physician Specialist Services have a $40 copay. Mental Health Specialty Services have a $40 copay. Physical Therapy and Speech-Language Pathology Services have a $35 copay, with no coinsurance. Additional Telehealth Benefits have a copay between $0 and $55. Opioid Treatment Program Services have a $35 copay.
Preventive Services are covered by the Humana USAA Honor Giveback (PPO) plan, including Medicare-covered services with no copay. Annual physical exams are covered with no copay, while additional preventive services have a copay, including the fitness benefit. Other services like health education and home safety assessments are not covered.
Hearing Services includes coverage for hearing exams with a $40 copay, routine hearing exams with no copay for one exam per year, fitting/evaluation for hearing aids with no copay, and prescription hearing aids with a copay of $399-$999 for two aids every year; however, inner ear, outer ear, and over the ear prescription hearing aids are not covered. OTC hearing aids are covered up to a $15 monthly benefit.
The Humana USAA Honor Giveback (PPO) plan covers vision services, including eye exams with a copay of $0-$40 and eyewear with no copay. Eyeglass lenses, eyeglass frames, and upgrades are not covered.
Dental Services are covered, including Medicare Dental Services with a $40 copay. 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 are covered with no copay and 30-40% coinsurance. Fluoride treatment, maxillofacial prosthetics, implant services, and orthodontics are not covered.
Home Infusion bundled Services are covered, and prior authorization is required. Medicare Part B Insulin Drugs have a $35 copay and a coinsurance between 0% and 20%, while Medicare Part B Chemotherapy/Radiation Drugs and Other Medicare Part B Drugs have a coinsurance between 0% and 20%.
Dialysis Services are covered by the Humana USAA Honor Giveback (PPO) plan, but require prior authorization. You will pay 20% coinsurance for these services.
Medical Equipment benefits include Durable Medical Equipment (DME) with a 15% coinsurance and authorization required, Prosthetics/Medical Supplies with a 20% coinsurance, and Diabetic Equipment with a 10% coinsurance and no copay for Diabetic Supplies. Durable Medical Equipment for use outside the home is not covered.
Diagnostic and Radiological Services are covered, including Diagnostic Procedures/Tests with a copay up to $55 and at least 25% coinsurance, Lab Services with no copay, Diagnostic Radiological Services with a copay up to $350, Therapeutic Radiological Services with a copay up to $40 (minimum $35), and Outpatient X-Ray Services with no copay. Prior authorization is required for all diagnostic and radiological services.
Home Health Services are covered by the Humana USAA Honor Giveback (PPO) plan with no copay and no coinsurance. Additional hours of care and personal care services are not covered.
Cardiac Rehabilitation Services are not covered by the Humana USAA Honor Giveback (PPO) plan. Prior authorization is required for these services.
Skilled Nursing Facility (SNF) services are covered by the Humana USAA Honor Giveback (PPO) plan, but require prior authorization. For days 1-20, the copay is $10, and for days 21-100, the copay is $203, while additional days beyond Medicare-covered and non-Medicare-covered stays are not covered.
Other Services includes acupuncture, over-the-counter (OTC) items, and a meal benefit. Acupuncture has a $40 copay and requires prior authorization, while the plan provides up to $15 per month for OTC items, including nicotine replacement therapy and naloxone. The meal benefit has no copay and also requires prior authorization.
SMID: MULTIPLAN_HCIHNMEDADVRX25_HCI_M
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Part B premium reduction is not available with all plans. Availability varies by carrier and location. Actual Part B premium reduction could be lower. Deductibles, copays and coinsurance may apply.
* Benefit(s) mentioned may be part of a special supplemental program for chronically ill members with one of the following conditions: Diabetes mellitus, Cardiovascular disorders, Chronic and disabling mental health conditions, Chronic lung disorders, Chronic heart failure. This is not a complete list of qualifying conditions. Having a qualifying condition alone does not mean you will receive the benefit(s). Other requirements may apply.
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