HumanaChoice - Diabetes and Heart (PPO C-SNP)

HumanaChoice - Diabetes and Heart (PPO C-SNP) is a PPO C-SNP plan offered by Humana Insurance Company available for the 2026 plan year to people living in Select Counties in Arkansas. This plan received an overall rating of 3.5 out of 5 stars in 2026.

It's important to know that HumanaChoice - Diabetes and Heart (PPO C-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 - Diabetes and Heart (PPO C-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 - Diabetes and Heart (PPO C-SNP) plan features an annual prescription drug deductible of $615.00 before the initial coverage phase begins. Once the deductible is met, copays for generic drugs range from $9.00 for preferred generics to $47.00 for standard generics. Brand-name and non-preferred drugs require coinsurance of 47% and 25% respectively, while specialty tier drugs have no copay. After your yearly out-of-pocket drug costs reach $2,100.00, you enter the catastrophic coverage phase and pay nothing for covered Medicare Part D drugs. Additionally, individuals who qualify for the low-income subsidy (LIS) can benefit from reduced premiums and a $0.00 Part D cost. This structured plan offers clear cost-sharing tiers to help you manage your prescription medication expenses effectively.

Additional Benefits

The HumanaChoice - Diabetes and Heart (PPO C-SNP) plan offers comprehensive medical coverage featuring no copay or coinsurance for primary care physician visits, routine preventive services, and home health care. Specialist visits, physical therapy, and outpatient mental health services are also highly accessible, requiring copays ranging from $15 to $35 with no coinsurance. For inpatient hospital stays, members pay a $295 copay for days 1 through 6, with no copay for days 7 through 90. Additional benefits include routine dental, vision, and hearing care with no copay, including up to $1,250 annually for dental services and a $250 annual allowance for eyewear. Members also benefit from no copay for up to 36 annual one-way transportation trips to plan-approved locations and diabetic therapeutic shoes. Most durable medical equipment and dialysis services require a 20% coinsurance, while emergency room visits carry a $130 copay.

Plan Providers

Medicare Advantage and Part D plans and benefits offered by the following carriers: Aetna Medicare, Anthem Blue Cross and Blue Shield, Aspire Health Plan, Dean Health Plan, Devoted Health, Florida Blue Medicare, Freedom Health, Health Care Service Corporation, HealthSpring^SM, HealthSun, Healthy Blue, Humana, Molina Healthcare, Mutual of Omaha, Medica Central Health Plan, Optimum HealthCare, Premera Blue Cross, SCAN Health Plan, Simply, UnitedHealthcare(R), Wellcare, WellPoint.