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Humana USAA Honor Giveback (PPO)

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 ID, MT, OR, UT, WA, WY. 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.

Overview IconKey Plan Facts

Below are a few key facts and commonly-asked questions about Humana USAA Honor Giveback (PPO).

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 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 $100.00. You must continue to pay paying your reduced Part B Premium.

Deductibles

This plan has a $100.00 health deductible. This means, every calendar year, you pay this amount towards covered services before your insurance coverage kicks in.

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 $13300.00 (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 $13300.00 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:

Regular visits to your primary care doctor are covered and will have a copay of $0.00 and coinsurance of 0% (no coinsurance).

Specialist Visits:

Visits to specialists are covered and will have a copay of $50.00 and coinsurance of 0% (no coinsurance). Specialist visits may require a referral from your primary care doctor or prior authorization.

Emergency Room:

Trips to the Emergency Room are covered, and will have a copay of $110.00 and coinsurance of 0% (no coinsurance). Coverage may vary for in-network and out-of-network hospitals.

Urgent Care:

Trips to Urgent Care arecovered and will have a copay of $45.00 and coinsurance of 0% (no coinsurance). Coverage may vary for in-network and out-of-network hospitals.

Sign up for Humana USAA Honor Giveback (PPO)

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Drug Coverage IconDrug Coverage

Prescription drugs are not covered by Humana USAA Honor Giveback (PPO).

Additional Benefits IconAdditional Benefits

The Humana USAA Honor Giveback (PPO) plan offers comprehensive coverage with varying costs depending on the service. Inpatient hospital stays have a copay, but outpatient services, including primary care and many preventive services, often have no copay. Vision and dental services are also included, with specific copays for exams and hearing aids, and a $1,500 annual maximum for dental. This plan covers ambulance services, emergency services, and home health services with copays or coinsurance, while also offering coverage for dialysis, medical equipment, and diagnostic services. The plan also provides additional benefits like acupuncture and a meal benefit. Certain services, such as partial hospitalization, skilled nursing facility, and home infusion, require prior authorization.

Inpatient Hospital See details

Inpatient Hospital coverage includes acute and psychiatric care with a copay of $525 for days 1-4, and no copay for days 5-90, for acute care, and a copay of $509 for days 1-4, and no copay for days 5-90, for psychiatric care. Additional days for inpatient hospital-acute are covered with no copay, while non-Medicare-covered stays and upgrades for inpatient hospital-acute are not covered, along with additional days and non-Medicare-covered stays for inpatient hospital psychiatric.

Outpatient Services See details

Outpatient Services include coverage for Outpatient Hospital Services with a $0-$495 copay and 20% coinsurance, Observation Services with a $525 copay, Ambulatory Surgical Center (ASC) Services with no copay, Outpatient Substance Abuse Services with a 20% coinsurance and a $35 copay, and Outpatient Blood Services with no copay. Individual and Group Sessions for Outpatient Substance Abuse have a 20% coinsurance, and a copay of $35.

Partial Hospitalization See details

Partial hospitalization is covered by the Humana USAA Honor Giveback (PPO) plan, but requires prior authorization. You will have a copay of $80 for this service.

Ambulance and Transportation Services See details

Ambulance and Transportation Services are covered, including ground and air ambulance services, but transportation services to health-related locations are not covered. Ground ambulance services have a $315 copay, while air ambulance services have a $1250 copay; there is no coinsurance for either service.

Emergency Services See details

Emergency Services, Urgently Needed Services, and Worldwide Emergency Services are covered by the Humana USAA Honor Giveback (PPO) plan. Emergency Services and Worldwide Emergency Coverage have a $110 copay, while Urgently Needed Services has a $45 copay, and all have no coinsurance. Worldwide Urgent Coverage and Worldwide Emergency Transportation also have a $110 copay, with no coinsurance.

Primary Care See details

The Humana USAA Honor Giveback (PPO) plan covers primary care physician services with no copay, chiropractic services with a $15 copay, occupational therapy services with a $25 copay, physician specialist services with a $50 copay, mental health specialty services with no copay for individual and group sessions, physical therapy and speech-language pathology services with a $25 copay, and additional telehealth benefits with a copay between $0 and $50. Opioid treatment program services have a 20% coinsurance and a $35 copay.

Preventive Services See details

The Humana USAA Honor Giveback (PPO) plan covers preventive services, including an annual physical exam with no copay. Additional preventive services, like glaucoma screening, diabetes self-management training, and others, are covered with no copay. Health education, in-home safety assessments, and other services are not covered.

Hearing Services See details

The Humana USAA Honor Giveback (PPO) plan covers hearing exams with a $50 copay, routine hearing exams with no copay, and fitting/evaluation for hearing aids with no copay. Prescription hearing aids (all types) are covered with a copay between $699 and $999. Prescription hearing aids for the inner ear, outer ear, and over the ear are not covered, and OTC hearing aids are not covered.

Vision Services See details

Vision Services include eye exams with a copay between $0 and $50, and eyewear with no copay. Eyeglasses (lenses and frames) and contact lenses are covered with no copay, but eyeglass lenses, eyeglass frames, and upgrades are not covered.

Dental Services See details

Dental Services are covered, with a $1,500 annual maximum benefit. Medicare Dental Services have a $50 copay, and other services such as oral exams, dental x-rays, other diagnostic dental services, prophylaxis (cleaning), other preventive dental services, restorative services, adjunctive general services, endodontics, periodontics, prosthodontics (removable and fixed), and oral and maxillofacial surgery have no copay. Fluoride treatment, maxillofacial prosthetics, implant services, and orthodontics are not covered.

Home Infusion bundled Services See details

Home Infusion bundled Services are covered, but require prior authorization. For Medicare Part B Insulin Drugs, there is a $35 copay, and a coinsurance between 0% and 20%. For Medicare Part B Chemotherapy/Radiation Drugs and Other Medicare Part B Drugs, there is a coinsurance between 0% and 20%.

Dialysis Services See details

Dialysis Services are covered by the Humana USAA Honor Giveback (PPO) plan, but require prior authorization. You will pay 20% coinsurance for this service.

Medical Equipment See details

Medical Equipment coverage includes Durable Medical Equipment (DME) with 18% coinsurance and prior authorization, Prosthetics/Medical Supplies with 18% coinsurance, and Diabetic Equipment with a coinsurance for Medicare-covered Diabetic Therapeutic Shoes or Inserts and a copay for Medicare-covered Diabetes Supplies and Diabetic Therapeutic Shoes or Inserts. Durable Medical Equipment for use outside the home is not covered.

Diagnostic and Radiological Services See details

Diagnostic and Radiological Services, including all diagnostic services, are covered with a copay for Medicare-covered diagnostic procedures/tests and lab services, and a copay for Medicare-covered diagnostic and therapeutic radiological services. Lab Services have no copay, and Outpatient X-Ray Services have no copay. Therapeutic Radiological Services have a coinsurance of at least 20%.

Home Health Services See details

Home Health Services are covered by 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 See details

Cardiac Rehabilitation Services are not covered under the Humana USAA Honor Giveback (PPO) plan. Prior authorization is required for these services.

Skilled Nursing Facility (SNF) See details

Skilled Nursing Facility (SNF) services are covered by the Humana USAA Honor Giveback (PPO) plan, but require prior authorization. For days 1-20, there is no copay, for days 21-85 there is a $214 copay, and for days 86-100, there is no copay.

Other Services See details

Other Services includes acupuncture and a meal benefit. Acupuncture has a $50 copay and is limited to 20 treatments per year, and the meal benefit has no copay.

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