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 Maryland. 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 $50.00. You must continue to pay paying your reduced Part B Premium.
Deductibles
This plan does not have a health deductible. Your insurance coverage on covered health services will start immediately.
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. It covers inpatient hospital stays with a copay, and outpatient services with copays ranging from $40 to $800. This plan includes coverage for primary care with no copay, as well as preventive, hearing, vision, and dental services, often with no copay. Additionally, it offers home health services with no copay, and covers medical equipment with coinsurance.
Inpatient Hospital benefits include coverage for Inpatient Hospital-Acute and Inpatient Hospital Psychiatric services, with a copay of $450 for days 1-5, and no copay for days 6-90 for Inpatient Hospital-Acute, and a copay of $450 for days 1-4, and no copay for days 5-90 for Inpatient Hospital Psychiatric. Additional days for Inpatient Hospital-Acute have no copay, while non-Medicare-covered stays and upgrades for Inpatient Hospital-Acute and Inpatient Hospital Psychiatric are not covered.
Outpatient Services include coverage for all outpatient hospital services with a copay between $40 and $800, observation services with a $450 copay, and ambulatory surgical center services with a $345 copay. Outpatient substance abuse services are covered with a copay between $40 and $60 for individual and group sessions, and outpatient blood services are covered with no copay.
Partial Hospitalization is covered under the Humana USAA Honor Giveback (PPO) plan, with a $40 copay. Prior authorization is required.
Ambulance and Transportation Services include coverage for ground and air ambulance services with a $315 copay, and transportation services to plan-approved health-related locations with no copay for up to 24 one-way trips per year; however, transportation services to any health-related location are not covered.
Emergency Services, Urgently Needed Services, and Worldwide Emergency Services are covered by the Humana USAA Honor Giveback (PPO) plan. Emergency Services has a $125 copay, Urgently Needed Services has a $55 copay, and Worldwide Emergency Coverage, Worldwide Urgent Coverage, and Worldwide Emergency Transportation each have a $125 copay.
The Humana USAA Honor Giveback (PPO) plan covers primary care physician services with no copay, chiropractic services with a $20 copay, and occupational therapy services with a copay between $10 and $40. Additionally, physician specialist services have a $35 copay, and mental health specialty services, psychiatric services, and opioid treatment program services have a copay of $40. Physical therapy and speech-language pathology services have a copay between $10 and $40, and additional telehealth benefits range from no copay to a $55 copay.
Preventive Services include coverage for Medicare-covered services with no copay, as well as annual physical exams with no copay. Additional preventive services, including fitness benefits, glaucoma screening, diabetes self-management training, barium enemas, digital rectal exams, and EKG following Welcome Visit, are covered with no copay.
Hearing services include coverage for hearing exams with a $35 copay, routine hearing exams with no copay, and fitting/evaluation for hearing aids with no copay. Prescription hearing aids are partially covered, but prescription hearing aids for the inner ear, outer ear, and over the ear are not covered, while OTC hearing aids are covered with a maximum benefit of $10 per month.
Vision Services include eye exams and eyewear, with services not usually covered by Medicare plans; routine eye exams and contact lenses and eyeglasses (lenses and frames) have no copay. Eyeglass lenses, eyeglass frames, and upgrades are not covered.
The Humana USAA Honor Giveback (PPO) plan covers Medicare Dental Services with a $35 copay, and other dental services with a $1,000 maximum benefit per year. Oral exams, dental x-rays, other diagnostic dental services, prophylaxis (cleaning), other preventive dental services, restorative services, endodontics, periodontics, prosthodontics, removable, prosthodontics, fixed, and oral and maxillofacial surgery are covered with no copay, and coinsurance ranging from 30% to 40% for some services. Fluoride treatment, maxillofacial prosthetics, implant services, and orthodontics are not covered.
Home Infusion bundled Services are covered, including Medicare Part B Insulin Drugs with a $35 copay and between 0% and 20% coinsurance, and Medicare Part B Chemotherapy/Radiation Drugs and Other Medicare Part B Drugs with between 0% and 20% coinsurance. Prior authorization is required.
Dialysis Services are covered by the Humana USAA Honor Giveback (PPO) plan, but require prior authorization. The coinsurance for this service is 20%.
The Humana USAA Honor Giveback (PPO) plan covers medical equipment, including durable medical equipment with 15% coinsurance and prosthetics/medical supplies with 15% coinsurance. Diabetic supplies have a 10% coinsurance and no copay, while diabetic therapeutic shoes/inserts have a $10 copay.
Diagnostic and Radiological Services are covered by the Humana USAA Honor Giveback (PPO) plan, with Diagnostic Procedures/Tests having a copay between $0 and $100, and Lab Services having no copay. Outpatient X-Ray Services have no copay, while Diagnostic Radiological Services have a copay between $40 and $325, and Therapeutic Radiological Services have a copay of at most $40 and a coinsurance of at most 20%.
Home Health Services are covered under 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 under the Humana USAA Honor Giveback (PPO) plan. For days 1-20, there is a $10 copay, and for days 21-100, there is a $214 copay; additional days beyond Medicare-covered SNF and non-Medicare-covered SNF stays are not covered.
The Humana USAA Honor Giveback (PPO) plan covers acupuncture with a $35 copay and requires prior authorization, but is limited to 20 treatments per year. Over-the-counter items are covered with a maximum benefit coverage amount of $10.00 per month. The plan also covers meal benefits with no copay and requires prior authorization. Other services such as Dual Eligible SNPs, Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) Services, and others are not covered.
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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