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 Tennessee. 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.
Below are a few key facts and commonly-asked questions about Humana Together in Health (PPO I-SNP).
The cost of a Medicare Advantage Plan is made up of four main parts.
For Humana Together in Health (PPO I-SNP), 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.
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.
Need help deciding? Talk with one of our licensed insurance specialists 1-877-649-2073 / TTY 711. 8am-11pm EST. 7 days a week
The Humana Together in Health (PPO I-SNP) prescription drug plan features an annual drug deductible of $615. For Tier 1 preferred generic drugs, you will pay an 18% coinsurance at standard pharmacies, but you can receive a three-month supply with no coinsurance when using preferred mail order. Tier 2 generic medications generally carry a 25% coinsurance, though you can also obtain a three-month supply with no coinsurance through preferred mail order. For higher-tier medications, including Tier 3 preferred brand, Tier 4 non-preferred, and Tier 5 specialty drugs, you will pay a 25% coinsurance at standard pharmacies and through mail order. Utilizing preferred mail-order services for your generic prescriptions provides the greatest opportunity to minimize your out-of-pocket drug costs under this plan. This clear cost structure helps you plan your healthcare expenses effectively.
The Humana Together in Health (PPO I-SNP) plan offers comprehensive medical coverage, featuring no copays or coinsurance for primary care visits, physical therapy, home health services, and skilled nursing facility care for up to 100 days. Inpatient hospital stays require a daily copay of $611 for the first four days and no copay thereafter, while emergency room visits carry a $115 copay that is waived upon admission. Most outpatient hospital services, specialist visits, and durable medical equipment do not require a copay but are subject to a 20% coinsurance. For everyday wellness, the plan provides preventive dental services and routine vision eyewear with no copays and no coinsurance up to specified annual limits. Routine hearing exams and Medicare-covered dental care require no copay but carry a 20% coinsurance, while over-the-counter hearing aids and other OTC items are fully covered with no copay or coinsurance. Diagnostic lab services and select preventive screenings are also fully covered with no copay and no coinsurance.
Humana Together in Health (PPO I-SNP) covers inpatient acute hospital stays with no coinsurance, requiring a $611 daily copay for days 1 through 4 and no copay for days 5 and beyond. Inpatient psychiatric stays are also covered with no coinsurance and a $1,872 copay per stay, though upgrades and non-Medicare-covered stays are not covered.
Humana Together in Health (PPO I-SNP) outpatient services are covered with no copay, though outpatient hospital, observation, ambulatory surgical center, and substance abuse services require a 20% coinsurance and prior authorization. Outpatient blood services are fully covered with no copay, no coinsurance, and no deductible.
Humana Together in Health (PPO I-SNP) covers partial hospitalization services with no copay and a 20% coinsurance. Prior authorization is required to receive this benefit.
Humana Together in Health (PPO I-SNP) covers Medicare-approved ground and air ambulance services with a 20% coinsurance, no copay, and required prior authorization. Transportation services to health-related locations are not covered under this plan.
Humana Together in Health (PPO I-SNP) covers emergency services with a $115 copay and no coinsurance, which is waived if you are admitted to the hospital within 24 hours. Urgently needed services require a 20% coinsurance (up to $40) and no copay, while worldwide emergency, urgent, and transportation services are covered with a $115 copay and no coinsurance.
Humana Together in Health (PPO I-SNP) offers primary care, occupational therapy, and physical or speech therapy with no copay and no coinsurance. Specialist visits, mental health, psychiatric, podiatry, and opioid treatment services also feature no copay but require a 20% coinsurance, while chiropractic services are not covered.
Humana Together in Health (PPO I-SNP) provides partially covered preventive services, featuring annual physical exams, kidney disease education, and select screenings with no copay and no coinsurance. Additional preventive benefits, including fitness programs, health education, and in-home safety assessments, are not covered.
Humana Together in Health (PPO I-SNP) hearing services are partially covered, featuring one annual routine hearing exam with a 20% coinsurance and no copay, and unlimited fittings with no copay. Prescription hearing aids are partially covered with no coinsurance and a copay of $0 to $599 for up to two devices every three years, excluding inner ear, outer ear, and over the ear types. Over-the-counter (OTC) hearing aids are covered with no copay and no coinsurance.
Humana Together in Health (PPO I-SNP) partially covers Vision Services with no deductibles, offering one routine eye exam per year with no copay and a 20% coinsurance up to a $75 annual limit. Covered eyewear, including contact lenses and eyeglasses (lenses and frames), features no copay and no coinsurance up to a combined $250 yearly limit. Other eye exam services, eyeglass lenses, eyeglass frames, and upgrades are not covered.
Humana Together in Health (PPO I-SNP) partially covers dental services with no copay and no coinsurance for preventive and comprehensive care up to a $1,000 annual limit, while Medicare-covered dental services require no copay and a 20% coinsurance. Fluoride treatments, maxillofacial prosthetics, implant services, and orthodontics are not covered.
Humana Together in Health (PPO I-SNP) covers home infusion bundled services with prior authorization, offering Medicare Part B insulin at a $35 copay and 0% to 20% coinsurance. Other covered Part B drugs, including chemotherapy and radiation, require a 0% to 20% coinsurance, with no copay for general Part B drugs.
Dialysis Services are covered by Humana Together in Health (PPO I-SNP) with no copay and a 20% coinsurance. Prior authorization is required to receive this benefit.
Medical equipment is covered by Humana Together in Health (PPO I-SNP) with no copay and a 20% coinsurance for durable medical equipment, prosthetics, and diabetic supplies. Prior authorization is required for these services, and diabetic supplies are limited to specified manufacturers.
Humana Together in Health (PPO I-SNP) covers diagnostic and radiological services, which require prior authorization and carry a 20% coinsurance. There is no copay for lab services, diagnostic tests, therapeutic radiology, and outpatient X-rays, but a copay does apply to diagnostic radiological services.
Humana Together in Health (PPO I-SNP) covers home health services with no copay and no coinsurance, though prior authorization is required.
Cardiac rehabilitation services are not covered under the Humana Together in Health (PPO I-SNP) plan, as individual services including cardiac rehabilitation, intensive cardiac rehabilitation, pulmonary rehabilitation, and supervised exercise therapy (SET) are not covered.
Humana Together in Health (PPO I-SNP) covers Skilled Nursing Facility (SNF) care for days 1 through 100 with no copay and no coinsurance, though prior authorization and a 3-day inpatient hospital stay are required. Additional days beyond the standard Medicare-covered limit are not covered.
Humana Together in Health (PPO I-SNP) partially covers other services, offering acupuncture with no copay and 20% coinsurance, and over-the-counter (OTC) items with no copay and no coinsurance. Meal benefits and other miscellaneous services are not covered.
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* 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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