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 Select counties in Ohio. 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 $23.40. 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:
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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 covered medications before the plan begins to pay its share. Specific details regarding drug tier copayments and coinsurance are currently unavailable for this plan. To understand your exact out-of-pocket costs for specific prescriptions under this Medicare plan, you should verify coverage details directly with the plan provider.
Additional Benefits
The Humana Together in Health (PPO I-SNP) plan offers comprehensive medical coverage with no copay and no coinsurance for primary care visits, physical therapy, home health services, and skilled nursing facility stays up to 100 days. For inpatient hospital stays, members pay a daily copay of $611 for the first four days and no copay for subsequent days. Outpatient services, specialist visits, and diagnostic tests generally feature no copay but require a 20% coinsurance. This plan also includes key supplemental benefits, such as preventive and comprehensive dental care with no copay or coinsurance up to a $1,000 annual limit. Routine vision and hearing exams are covered with no copay and a 20% coinsurance, alongside allowances for eyewear and hearing aids. Additionally, emergency room visits require a $115 copay, which is waived if you are admitted to the hospital within 24 hours.
Inpatient Hospital See details
Humana Together in Health (PPO I-SNP) covers inpatient hospital services with no coinsurance, requiring a $611 copay per day for days 1 to 4 (and no copay for days 5 and beyond) for acute stays, and a $1,872 copay per stay for psychiatric care. This benefit is partially covered because non-Medicare-covered stays, upgrades, and additional psychiatric days are not covered, and prior authorization is required.
Outpatient Services See details
Outpatient services under Humana Together in Health (PPO I-SNP) feature no copays, though a 20% coinsurance and prior authorization apply to outpatient hospital, ambulatory surgical center, and outpatient substance abuse services. Outpatient blood services are covered with no copay, no coinsurance, and no deductible.
Partial Hospitalization See details
Humana Together in Health (PPO I-SNP) covers partial hospitalization with no copay and a 20% coinsurance. Prior authorization is required for 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, though prior authorization is required. Routine transportation services to health-related locations are not covered.
Emergency Services See details
Humana Together in Health (PPO I-SNP) covers emergency services with a $115 copay and no coinsurance, with the copay waived if you are admitted to the hospital within 24 hours. Urgently needed services require a 20% coinsurance (up to $40 per visit) and no copay, while worldwide emergency, urgent, and transportation services are covered with a $115 copay and no coinsurance.
Primary Care See details
Humana Together in Health (PPO I-SNP) covers primary care, occupational therapy, physical therapy, and speech-language pathology services with no copay and no coinsurance. Specialist visits, mental health, psychiatric, podiatry, opioid treatment, and telehealth services require no copay and 20% coinsurance, while some chiropractic services are covered but routine and other chiropractic services are not.
Preventive Services See details
Humana Together in Health (PPO I-SNP) covers preventive services with no copay and no coinsurance, including annual physical exams, kidney disease education, glaucoma screenings, diabetes self-management training, digital rectal exams, and EKGs. This benefit is partially covered because additional services, such as fitness benefits, health education, in-home safety assessments, and personal emergency response systems, are not covered.
Hearing Services See details
Hearing services are partially covered by Humana Together in Health (PPO I-SNP), offering one annual routine exam with a 20% coinsurance and no copay, plus unlimited fittings and over-the-counter (OTC) hearing aids with no copay or coinsurance. Prescription hearing aids are partially covered with no coinsurance and copays ranging from $0 to $599 for up to two devices every three years, excluding inner ear, outer ear, and over the ear models.
Vision Services See details
Humana Together in Health (PPO I-SNP) provides partially covered vision services, including one annual routine eye exam with no copay and 20% coinsurance up to a $40 yearly limit, though other eye exam services are not covered. Covered eyewear features no copay and no coinsurance up to a $300 annual maximum for one annual pair of contact lenses or eyeglasses, but separate 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) with a $1,000 annual maximum, offering covered preventive and comprehensive services with no copay and no coinsurance, while Medicare-covered dental services require a 20% coinsurance and no copay. 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, offering Part B insulin for a $35 copay and 0% to 20% coinsurance. Other Part B drugs carry no copay and a 0% to 20% coinsurance, while chemotherapy and radiation drugs require a 0% to 20% coinsurance and a copayment.
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, although prior authorization is required.
Medical Equipment See details
Medical equipment is covered by Humana Together in Health (PPO I-SNP) with no copay and a 20% coinsurance for durable medical equipment, prosthetics, medical supplies, and diabetic services. 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, which generally require prior authorization and a 20% coinsurance. Diagnostic tests, lab services, therapeutic radiology, and outpatient X-rays are covered with no copay, while diagnostic radiological services require a copayment.
Home Health Services See details
Home health services are covered under the Humana Together in Health (PPO I-SNP) plan with no copay and no coinsurance, though prior authorization is required.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are not covered under the Humana Together in Health (PPO I-SNP) plan, as all primary sub-services, including cardiac, intensive cardiac, pulmonary, and supervised exercise therapy, are listed as not covered.
Skilled Nursing Facility (SNF) See details
Humana Together in Health (PPO I-SNP) covers Skilled Nursing Facility (SNF) services for days 1 through 100 with no copay and no coinsurance. Prior authorization and a three-day inpatient hospital stay are required before admission, and days beyond the standard Medicare-covered limit are not covered.
Other Services See details
Humana Together in Health (PPO I-SNP) provides partial coverage for other services, offering acupuncture with no copay and 20% coinsurance (up to 20 treatments yearly) and over-the-counter (OTC) items with no copay and no coinsurance. Meal benefits are not covered.
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