A non-government entity
Humana Together in Health (PPO I-SNP)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for Humana Together in Health (PPO I-SNP). The information on this page is a summary only.
For a complete listing of all available benefits and cost information on Humana Together in Health (PPO I-SNP) in 2026, please refer to our full plan details page.
Humana Together in Health (PPO I-SNP) is a PPO I-SNP plan offered by Humana Inc. available for enrollment in 2025 to people living in Indiana. This plan received an overall rating of 3.5 out of 5 stars in 2026.
It's important to know that Humana Together in Health (PPO I-SNP) is a Medicare Advantage (MA) Plan with drug coverage. That means that this plan covers both medical services and prescription drugs.
Important:
Humana Together in Health (PPO I-SNP)is a Special Needs Type (SNP) plan. This means you can only enroll in this plan if you meet specific criteria. See our full plan details page for more information.
Key Plan Facts
Below are a few key facts and commonly-asked questions about Humana Together in Health (PPO I-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.
For Humana Together in Health (PPO I-SNP), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $38.40. This is the amount you must pay every month.
This plan does not come with a Part B Premium reduction. You must continue to pay your Part B premium.
Deductibles
This plan does not have a health deductible. Your insurance coverage on covered health services will start immediately.
This plan has a $615.00 drug deductible. You will need to pay this amount towards covered prescriptions before your insurance coverage for prescription medications kicks in.
Out-of-Pocket Maximums
This plan has a combined Maximum Out-Of-Pocket cost of $13900.00 (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 $13900.00 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:
Specialist Visits:
Emergency Room:
Urgent Care:
Sign up for Humana Together in Health (PPO I-SNP)
Need help deciding? Talk with one of our licensed insurance specialists 1-877-649-2073 / TTY 711. 8am-11pm EST. 7 days a week
Drug Coverage
The Humana Together in Health (PPO I-SNP) plan features an annual prescription drug deductible of $615. This deductible represents the amount you must pay out-of-pocket for your covered medications before the plan begins to pay its share. Knowing this upfront cost is essential for budgeting your yearly healthcare expenses under this Medicare Advantage plan. Specific drug coverage tier details, copayments, and coinsurance rates are currently not available for this plan. To fully understand your potential out-of-pocket costs, you will want to verify how your specific medications are classified on the plan's formulary.
Additional Benefits
Humana Together in Health (PPO I-SNP) provides comprehensive medical coverage with no copay and no coinsurance for primary care visits, home health services, and skilled nursing facility care for up to 100 days. For hospital care, inpatient stays require a $611 daily copay for the first four days and no copay thereafter, while most outpatient services, specialist visits, and diagnostic exams carry a 20% coinsurance and no copay. Emergency room visits are covered with a $115 copay, which is waived if you are admitted to the hospital within 24 hours. The plan also features valuable supplemental coverage, including preventive and comprehensive dental services up to $1,000 annually and eyewear up to a $300 annual limit with no copay and no coinsurance. Routine hearing exams, dialysis, and durable medical equipment are subject to a 20% coinsurance with no copay, while over-the-counter items and hearing aid fitting evaluations are covered with no copay and no coinsurance. Additionally, prescription hearing aids are covered with no copay or a copay up to $299 for up to two devices every three years.
Inpatient Hospital See details
Humana Together in Health (PPO I-SNP) covers inpatient acute hospital stays with no coinsurance, requiring a $611 daily copay for days 1 to 4 and no copay for days 5 and beyond. Inpatient psychiatric care is also covered with no coinsurance and a $1,872 copay per stay, though upgrades, non-Medicare-covered stays, and additional psychiatric days are not covered.
Outpatient Services See details
Outpatient services are covered by Humana Together in Health (PPO I-SNP) with no copays, though a 20% coinsurance applies to outpatient hospital, observation, ambulatory surgical center, and substance abuse services. Outpatient blood services are covered with no copay and no coinsurance, with prior authorization required for all of these outpatient benefits.
Partial Hospitalization See details
Humana Together in Health (PPO I-SNP) covers partial hospitalization services with no copay and a 20% coinsurance. Prior authorization is required to access this benefit.
Ambulance and Transportation Services See details
Humana Together in Health (PPO I-SNP) covers ground and air ambulance services with a 20% coinsurance and no copay, subject to prior authorization. Although some transportation services are covered, transportation to plan-approved or any health-related locations is not covered.
Emergency Services See details
Emergency services are covered by Humana Together in Health (PPO I-SNP) with a $115 copay and no coinsurance, with the copay waived if you are admitted to the hospital within 24 hours. Urgently needed services are covered with no copay and a 20% coinsurance up to $40 per visit, while worldwide emergency, urgent, and transportation services are available for a $115 copay and no coinsurance.
Primary Care See details
Humana Together in Health (PPO I-SNP) covers primary care, occupational therapy, and physical and speech therapy with no copay and no coinsurance, although for chiropractic services, some services are covered but routine chiropractic care and other chiropractic services are not. Specialist visits, mental health, psychiatry, podiatry, telehealth, and opioid treatment are covered with no copay and a 20% coinsurance.
Preventive Services See details
Humana Together in Health (PPO I-SNP) preventive services are partially covered with no copay and no coinsurance for annual physicals, kidney disease education, glaucoma screenings, diabetes training, digital rectal exams, and post-welcome visit EKGs. However, additional services such as fitness benefits, health education, weight management, nutrition therapy, and in-home safety assessments are not covered.
Hearing Services See details
Hearing services are covered by Humana Together in Health (PPO I-SNP) with no deductible, featuring routine hearing exams with a 20% coinsurance and no copay, and fitting evaluations and OTC hearing aids with no copays or coinsurance. Prescription hearing aids are partially covered—excluding inner ear, outer ear, and over the ear models—with no coinsurance and copays ranging from $0 to $299 for up to two devices every three years.
Vision Services See details
Vision services are partially covered by Humana Together in Health (PPO I-SNP), offering one routine eye exam yearly with no copay and a 20% coinsurance up to a $40 limit, though other eye exams are not covered. Covered eyewear has no copay and no coinsurance up to a $300 annual limit for one pair of contact lenses or eyeglasses (lenses and frames), while individual eyeglass lenses, eyeglass frames, and upgrades are not covered.
Dental Services See details
Dental services are partially covered by Humana Together in Health (PPO I-SNP), offering Medicare-covered dental with no copay and a 20% coinsurance, and other covered preventive and comprehensive services with no copay and no coinsurance up to a $1,000 annual limit. Fluoride treatment, maxillofacial prosthetics, implant services, and orthodontics are not covered.
Home Infusion bundled Services See details
Humana Together in Health (PPO I-SNP) covers home infusion bundled services with prior authorization, including Part B insulin for a $35 copay and 0% to 20% coinsurance. Covered chemotherapy, radiation, and other Part B drugs carry a 0% to 20% coinsurance, with other Part B drugs requiring no copay.
Dialysis Services See details
Dialysis Services are covered under the Humana Together in Health (PPO I-SNP) plan with no copay and a 20% coinsurance. Prior authorization is required to receive these covered services.
Medical Equipment See details
Humana Together in Health (PPO I-SNP) covers durable medical equipment, prosthetics, medical supplies, and diabetic services with no copays and a 20% coinsurance. Prior authorization is required for these benefits, and diabetic supplies are limited to specified manufacturers.
Diagnostic and Radiological Services See details
Humana Together in Health (PPO I-SNP) covers diagnostic and radiological services, with most services—including lab work, diagnostic tests, therapeutic radiology, and outpatient X-rays—requiring a 20% coinsurance and no copay. Diagnostic radiological services require both a copay and a 20% coinsurance, and prior authorization is required for all of these services.
Home Health Services See details
Home health services are covered by Humana Together in Health (PPO I-SNP) with no copay and no coinsurance, although prior authorization is required.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services under the Humana Together in Health (PPO I-SNP) require prior authorization, and while some services are covered, key sub-services like cardiac, intensive cardiac, pulmonary, and supervised exercise therapy (SET) for PAD are not covered in practice. For these services, cardiac and intensive cardiac rehabilitation require a 20% coinsurance with no copay, while pulmonary rehabilitation and SET for PAD require copays of $15 and $20, respectively, with no coinsurance.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) care is covered by Humana Together in Health (PPO I-SNP) with no copay and no coinsurance for days 1 through 100, requiring prior authorization and a prior three-day inpatient hospital stay. Additional days beyond the standard Medicare-covered limit are not covered.
Other Services See details
Humana Together in Health (PPO I-SNP) partially covers other services, offering acupuncture with no copay and 20% coinsurance for up to 20 treatments per year, and over-the-counter (OTC) items with no copay and no coinsurance. Meal benefits and other miscellaneous services are not covered under this plan.
Get Personalized Help from a licensed insurance agent
1-877-649-2073 / TTY 711. 8am-11pm EST. 7 days a week
*/SMID: MULTIPLAN_HCIHNMEDADVRX25_HCI_M
MedicareAdvantageRX.com is owned and operated by Dog Media Solutions LLC.
This is a promotional communication.
Every year, Medicare evaluates plans based on a 5-star rating system.
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.
Enrollment in Medicare/Medicare Advantage may be limited to certain times of the year unless you qualify for a Special Enrollment Period
We do not offer every plan available in your area. Currently, we represent 18 organizations, which offer 52,101 products in your area. Please contact Medicare.gov, 1-800-MEDICARE, or your local State Health Insurance Program (SHIP) to get information on all of your options.
We represent Medicare Advantage HMO, PPO and PFFS organizations and stand-alone PDP prescription drug plans that are contracted with Medicare. Enrollment depends on the plan's contract renewal.
Not all plans offer all of these benefits. Benefits may vary by carrier and location. Limitations and exclusions may apply.
Please contact Medicare.gov ,1-800-MEDICARE , or your local State Health Insurance Program (SHIP) to get information on all of your options.
Medicare has neither approved nor endorsed any information on this site.
Speak with a licensed insurance agent: 1-877-649-2073 / TTY 711 | 8am - 11pm ET | 7 days a week
© 2023 Dog Media Solutions LLC. All rights reserved