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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 Kentucky. 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 $150.00. You must continue to pay paying your reduced Part B Premium.

Deductibles

This plan does not have a health deductible. Your insurance coverage on covered health services will start immediately.

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 $14000.00 (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 $14000.00 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 $25.00 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 $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, including inpatient hospital stays with a $500 copay for the first few days and no copay thereafter, along with outpatient services that range from no copay to $595. The plan also covers emergency services with a $110 copay and offers no copay for many preventive services, such as an annual physical exam. Additional benefits include coverage for hearing and vision services, with varying copays for exams and no copay for some eyewear. Dental services are also included, with no copay for many preventive and diagnostic services, but some restorative and other services may have copays or are not covered. The plan also includes services like ambulance, home health, and home infusion with associated copays or coinsurance.

Inpatient Hospital See details

Inpatient Hospital benefits include acute and psychiatric care, with a $500 copay for days 1-4 of acute care and days 1-3 of psychiatric care, and no copay for days 5-90 of acute care and days 4-90 of psychiatric care. Additional days for inpatient hospital acute are covered with no copay, while non-Medicare-covered stays and upgrades for inpatient hospital acute and psychiatric are not covered.

Outpatient Services See details

Outpatient Services include coverage for all outpatient hospital services, with a copay of $0 to $595, and observation services with a $500 copay. Ambulatory Surgical Center (ASC) Services have no copay, and Outpatient Substance Abuse Services have a copay between $45 and $95 for individual and group sessions. Outpatient Blood Services are also covered with no copay.

Partial Hospitalization See details

Partial Hospitalization is covered by the Humana USAA Honor Giveback (PPO) plan, with a $55 copay. Prior authorization is required.

Ambulance and Transportation Services See details

Ambulance and Transportation Services are covered under the Humana USAA Honor Giveback (PPO) plan. Both ground and air ambulance services have a copay of $315, with no coinsurance, while transportation services to any health-related location are not covered.

Emergency Services See details

Emergency Services are covered, with a $110 copay and no coinsurance, and the copay is waived if you are admitted to the hospital within 24 hours. Urgently Needed Services are covered with a $45 copay and no coinsurance. Worldwide Emergency Services, including Worldwide Emergency Coverage, Worldwide Urgent Coverage, and Worldwide Emergency Transportation are covered with a $110 copay and no coinsurance.

Primary Care See details

The Humana USAA Honor Giveback (PPO) plan covers primary care physician services with a $25 copay, chiropractic services with a $15 copay, and occupational therapy services with a $35 copay. The plan also covers physician specialist services with a $45 copay, mental health specialty services with a $45 copay, and physical therapy and speech-language pathology services with a $35 copay. Other services include podiatry services, which are not covered, and additional telehealth benefits with a copay between $0 and $45.

Preventive Services See details

The Humana USAA Honor Giveback (PPO) plan covers preventive services, including an annual physical exam with no copay. Kidney Disease Education Services, Glaucoma Screening, Diabetes Self-Management Training, Barium Enemas, Digital Rectal Exams, and EKG following a Welcome Visit also have no copay. However, Health Education, In-Home Safety Assessment, Personal Emergency Response System (PERS), Medical Nutrition Therapy (MNT), and other services are not covered.

Hearing Services See details

Hearing Services include coverage for hearing exams, routine hearing exams, fitting/evaluation for hearing aids, and prescription hearing aids. Hearing exams have a $45 copay, and routine hearing exams and fitting/evaluation for hearing aids have no copay. Prescription hearing aids have a copay between $699 and $999, depending on the type of hearing aid.

Vision Services See details

The Humana USAA Honor Giveback (PPO) plan covers vision services, including eye exams with a copay of $0-$45 and eyewear with no copay. Contact lenses and eyeglasses (lenses and frames) are covered with no copay. Eyeglass lenses, eyeglass frames, and upgrades are not covered.

Dental Services See details

The Humana USAA Honor Giveback (PPO) plan offers dental services, including oral exams with no copay for up to 3 visits per year, and dental x-rays with no copay for up to 3 x-rays. Other diagnostic dental services have no copay for 1 visit every three years, prophylaxis (cleaning) has no copay for 2 visits per year, and other preventive dental services have no copay for up to 4 visits per year. Restorative services have a $25 copay for up to 2 visits per year, and adjunctive general services have no copay. However, fluoride treatment, endodontics, periodontics, prosthodontics, maxillofacial prosthetics, implant services, prosthodontics (fixed), oral and maxillofacial surgery, and orthodontics are not covered. There is a maximum plan benefit of $1,000 per year for both in-network and out-of-network services.

Home Infusion bundled Services See details

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

Dialysis Services See details

Dialysis Services are covered under the Humana USAA Honor Giveback (PPO) plan. This benefit requires prior authorization and has a coinsurance of 20%.

Medical Equipment See details

Medical Equipment is covered, including Durable Medical Equipment (DME) with a 16% coinsurance and Prosthetics/Medical Supplies with a 20% coinsurance. Diabetic Equipment has a coinsurance and copay, and Diabetic Supplies have a 10-20% coinsurance with no copay, while Diabetic Therapeutic Shoes/Inserts have a $10 copay.

Diagnostic and Radiological Services See details

The Humana USAA Honor Giveback (PPO) plan covers diagnostic and radiological services, including diagnostic procedures/tests with a copay between $0 and $55, and lab services with no copay. Radiological services have a copay of at most $720 for diagnostic services, a copay of $45 and 20% coinsurance for therapeutic services, and a $25 copay for outpatient X-ray services.

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 by the Humana USAA Honor Giveback (PPO) plan. Prior authorization is required for this benefit.

Skilled Nursing Facility (SNF) See details

Skilled Nursing Facility (SNF) services are covered by the Humana USAA Honor Giveback (PPO) plan. There is no copay for days 1-20, and the copay is $214 per day for days 21-100.

Other Services See details

Other Services include acupuncture, which has a $45 copay, and a meal benefit with no copay. Over-the-counter items, Dual Eligible SNPs with Highly Integrated Services, Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) Services, Private Duty Nursing Services, Case Management (Long Term Care), Institution for Mental Disease Services for Individuals 65 or Older, Services in an Intermediate Care Facility for Individuals with Intellectual Disabilities, Case Management, Tobacco Cessation Counseling for Pregnant Women, Freestanding Birth Center Services, Respiratory Care Services, Family Planning Services, Nursing Home Services, Home and Community Based Services, Personal Care Services, and Self-Directed Personal Assistance Services are not covered.

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