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 New Mexico. 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 $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 $570.00 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:
Sign up for Humana Together in Health (PPO I-SNP)
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Drug Coverage
The Humana Together in Health (PPO I-SNP) prescription drug plan has an annual drug deductible of $570. For Tier 1 preferred generic drugs, there is no copay for 1-month and 3-month supplies at standard pharmacies and through preferred mail order. Tier 2 generic drugs are also budget-friendly, requiring just a $1 copay for a 1-month supply at standard pharmacies and preferred mail order, and no copay for a 3-month supply via preferred mail order. For brand-name and specialty medications, your costs are based on coinsurance rather than flat copays. Tier 3 preferred brands and Tier 4 non-preferred drugs both require a 25% coinsurance for 1-month and 3-month supplies across standard pharmacies and mail order options. Tier 5 specialty drugs require a 26% coinsurance for a 1-month supply at all standard pharmacies and mail order services.
Additional Benefits
The Humana Together in Health (PPO I-SNP) plan offers robust coverage for essential medical services, often with no copays for primary care, physical therapy, and home health services. For inpatient hospital stays, members pay a $611 daily copay for the first four days and no copay thereafter, while outpatient hospital services and specialist visits generally feature no copay and a 20% coinsurance. Emergency care is available with a $115 copay, which is waived if you are admitted to the hospital within 24 hours. This plan also includes key supplemental benefits, providing preventive and comprehensive dental care up to a $1,000 annual limit and routine eyewear up to a $250 limit with no copay and no coinsurance. Routine hearing exams and vision exams are covered with no copay and a 20% coinsurance, while skilled nursing facility stays feature no copay and no coinsurance for up to 100 days. Members also benefit from covered over-the-counter items with no copay and no coinsurance.
Inpatient Hospital See details
Humana Together in Health (PPO I-SNP) partially covers inpatient hospital services with no coinsurance, as upgrades and non-Medicare-covered stays are not covered. Medicare-covered acute stays require a $611 daily copay for days 1 through 4 and no copay for days 5 and beyond, while psychiatric stays require a $1,872 copay per stay.
Outpatient Services See details
Humana Together in Health (PPO I-SNP) covers outpatient services with no copays, though a 20% coinsurance applies to outpatient hospital, observation, ambulatory surgical center, and outpatient substance abuse services. Outpatient blood services are covered with no copay and no coinsurance.
Partial Hospitalization See details
Humana Together in Health (PPO I-SNP) covers partial hospitalization services with no copay and a 20% coinsurance. Prior authorization is required for these services.
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, subject to prior authorization. Transportation services to health-related locations are not covered under this plan.
Emergency Services See details
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 are covered with a 20% coinsurance (up to $40) and no copay, while worldwide emergency, urgent, and transportation services require a $115 copay and no coinsurance.
Primary Care See details
Humana Together in Health (PPO I-SNP) covers primary care, occupational therapy, and physical or speech therapy with no copay and no coinsurance, while chiropractic services are not covered. Specialist visits, mental health specialty services, podiatry, telehealth, and opioid treatment are covered with no copay and 20% coinsurance.
Preventive Services See details
Humana Together in Health (PPO I-SNP) partially covers preventive services with no copay and no coinsurance for covered benefits like annual physical exams, kidney disease education, glaucoma screenings, diabetes self-management training, digital rectal exams, and EKGs. However, additional services are not covered under this plan, including health education, in-home safety assessments, personal emergency response systems, medical nutrition therapy, post-discharge medication reconciliation, readmission prevention, wigs, weight management, alternative therapies, therapeutic massage, adult day health, nutritional/dietary benefits, home-based palliative care, in-home support, caregiver support, smoking cessation counseling, fitness benefits, disease management, telemonitoring, remote access technologies, safety modifications, and counseling services.
Hearing Services See details
Humana Together in Health (PPO I-SNP) covers routine hearing exams with a 20% coinsurance and no copay, and fitting evaluations with no copay or coinsurance. Prescription hearing aids are partially covered, excluding inner ear, outer ear, and over-the-ear types, costing between no copay and a $599 copay with no coinsurance, while over-the-counter (OTC) hearing aids feature no copay or coinsurance.
Vision Services See details
Vision services are partially covered by Humana Together in Health (PPO I-SNP) with no deductibles, offering one annual routine eye exam with no copay and 20% coinsurance up to a $75 limit, though other eye exam services are not covered. Covered eyewear includes one annual pair of contact lenses or eyeglasses (lenses and frames) with no copay and no coinsurance up to a $250 combined limit, but individual eyeglass lenses, frames, and upgrades are not covered.
Dental Services See details
Humana Together in Health (PPO I-SNP) partially covers dental services, providing covered preventive and comprehensive care with no copay and no coinsurance up to a $1,000 annual limit, while Medicare-covered dental services have no copay and a 20% coinsurance. Fluoride treatments, 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, requiring prior authorization and step therapy. Covered Medicare Part B insulin drugs require a $35 copay and no coinsurance to 20% coinsurance, other Part B drugs feature no copay and no coinsurance to 20% coinsurance, and chemotherapy drugs carry no coinsurance to 20% coinsurance with applicable copayments.
Dialysis Services See details
Humana Together in Health (PPO I-SNP) covers Dialysis Services with no copay and a 20% coinsurance. Prior authorization is required for these covered services.
Medical Equipment See details
Humana Together in Health (PPO I-SNP) covers medical equipment, including durable medical equipment, prosthetics, and diabetic supplies, with no copay and a 20% coinsurance. Prior authorization is required for these services, and diabetic equipment is limited to specified manufacturers.
Diagnostic and Radiological Services See details
Diagnostic and radiological services are covered under the Humana Together in Health (PPO I-SNP) plan, requiring prior authorization for all services. Diagnostic tests, lab services, and outpatient X-rays have no copay and 20% coinsurance, while diagnostic and therapeutic radiological services require 20% coinsurance, with copays also applying to diagnostic radiological services.
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, although 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, including cardiac, intensive cardiac, pulmonary, and supervised exercise therapy (SET) services.
Skilled Nursing Facility (SNF) See details
Humana Together in Health (PPO I-SNP) covers Skilled Nursing Facility (SNF) services for Medicare-covered days 1 through 100 with no copay and no coinsurance. Prior authorization and a prior three-day inpatient hospital stay are required, and additional 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, featuring acupuncture with no copay and a 20% coinsurance for up to 20 treatments per year (prior authorization required) and over-the-counter (OTC) items with no copay and no coinsurance. Meal benefits and other miscellaneous services are not covered under this plan.
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1-877-649-2073 / TTY 711. 8am-11pm EST. 7 days a week
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