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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 AZ, CO, NM. 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 $75.00. 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 $8500.00 (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 $8500.00 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 $20.00 and coinsurance of 0% (no coinsurance).

Specialist Visits:

Visits to specialists are covered and will have a copay of $45.00 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 $125.00 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 $55.00 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 a range of benefits. Inpatient hospital stays have a copay, but many outpatient services, including preventive services, have no copay. The plan also includes coverage for hearing, vision, and dental services with varying copays, along with coverage for ambulance, emergency, and primary care services. Additionally, it provides coverage for home health, skilled nursing, and other services like acupuncture and over-the-counter items.

Inpatient Hospital See details

Inpatient Hospital services are covered, including Inpatient Hospital-Acute and Inpatient Hospital Psychiatric, with a copay of $340 for days 1-6, and no copay for days 7-90. Additional days for Inpatient Hospital-Acute are covered with no copay, while Non-Medicare-covered Stay and Upgrades for Inpatient Hospital-Acute are not covered; Additional Days and Non-Medicare-covered Stay for Inpatient Hospital Psychiatric are also not covered.

Outpatient Services See details

Outpatient services, including outpatient hospital services, observation services, ambulatory surgical center services, outpatient substance abuse services, and outpatient blood services, are covered. Outpatient Hospital Services have a copay between $0 and $340, Observation Services have a $340 copay, Ambulatory Surgical Center Services have no copay, and Outpatient Blood Services have no copay. Individual and Group Sessions for Outpatient Substance Abuse have a copay of $45.

Partial Hospitalization See details

Partial Hospitalization is covered by the Humana USAA Honor Giveback (PPO) plan, but requires prior authorization. You will have a $100 copay for this service.

Ambulance and Transportation Services See details

Ambulance and Transportation Services are covered by the Humana USAA Honor Giveback (PPO) plan. Ground ambulance services have a $315 copay, and air ambulance services have a $630 copay, with no coinsurance for either. Transportation Services to any health-related location are not covered.

Emergency Services See details

Emergency Services, Urgently Needed Services, and Worldwide Emergency Services are covered. Emergency Services have a $125 copay, Urgently Needed Services have a $55 copay, and Worldwide Emergency Coverage, Worldwide Urgent Coverage, and Worldwide Emergency Transportation each have a $125 copay.

Primary Care See details

Under the Humana USAA Honor Giveback (PPO) plan, primary care physician services and chiropractic services have a $20 copay, while occupational therapy services have a $35 copay. Physician specialist services have a $45 copay, and mental health specialty services and podiatry services have a $45 copay. Individual and group sessions for psychiatric services also have a $45 copay, and physical therapy and speech-language pathology services have a $35 copay. Additional telehealth benefits have a copay that ranges from $0 to $55, and opioid treatment program services have a $45 copay.

Preventive Services See details

Preventive Services include Medicare-covered zero-dollar preventive services, annual physical exams with no copay, and additional preventive services. Additional preventive services do not have a copay, while services such as health education, in-home safety assessments, and more are not covered.

Hearing Services See details

Hearing Services includes coverage for hearing exams with a $45 copay, routine hearing exams with no copay, and fitting/evaluation for hearing aids with no copay. Prescription hearing aids are partially covered, while OTC hearing aids are covered up to a maximum of $25 every three months.

Vision Services See details

Vision Services includes coverage for eye exams with a copay between $0 and $45, and eyewear with no copay. Routine eye exams and contact lenses have no copay, while eyeglasses (lenses and frames) have no copay. Eyeglass lenses, eyeglass frames, and upgrades are not covered.

Dental Services See details

Dental Services includes coverage for Medicare Dental Services with a $45 copay, and other dental services with a $1,500 maximum benefit per year. 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 are covered with 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, with prior authorization required. Medicare Part B Insulin Drugs have a $35 copay and a coinsurance between 0% and 20%. Medicare Part B Chemotherapy/Radiation Drugs and Other Medicare Part B Drugs have 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 these services.

Medical Equipment See details

Medical Equipment is covered, including Durable Medical Equipment (DME), Prosthetics/Medical Supplies, and Diabetic Equipment. DME has an 18% coinsurance and requires prior authorization, while Prosthetic Devices and Medical Supplies have an 18% coinsurance and Diabetic Supplies have a 10-20% coinsurance with no copay, and Diabetic Therapeutic Shoes/Inserts have no copay.

Diagnostic and Radiological Services See details

The Humana USAA Honor Giveback (PPO) plan covers diagnostic and radiological services. Diagnostic Procedures/Tests have a copay between $0 and $55, while Lab Services have no copay. Diagnostic Radiological Services have a maximum copay of $300, and Therapeutic Radiological Services have a maximum copay of $50 and at most 20% coinsurance. Outpatient X-Ray Services have a $20 copay.

Home Health Services See details

Home Health Services are covered by the Humana USAA Honor Giveback (PPO) plan with no copay and no coinsurance; however, additional hours of care and personal care services are not covered.

Cardiac Rehabilitation Services See details

Cardiac Rehabilitation Services are not covered by the Humana USAA Honor Giveback (PPO) plan. Note that prior authorization is required for these services.

Skilled Nursing Facility (SNF) See details

Skilled Nursing Facility (SNF) services are covered under the Humana USAA Honor Giveback (PPO) plan, with a copay of $10 for days 1-20 and $214 for days 21-100. Additional days beyond Medicare-covered and non-Medicare-covered stays for SNF are not covered.

Other Services See details

The Humana USAA Honor Giveback (PPO) plan covers acupuncture with a $45 copay per visit, but it is limited to 20 treatments per year and requires prior authorization. This plan also offers over-the-counter (OTC) items with a maximum benefit of $25 every three months, and it includes nicotine replacement therapy and Naloxone coverage. The plan does not cover meal benefits or several other services like Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) Services, Private Duty Nursing Services, Case Management (Long Term Care), and others.

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