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Humana Together in Health Select (PPO I-SNP)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for Humana Together in Health Select (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 Select (PPO I-SNP) in 2026, please refer to our full plan details page.
Humana Together in Health Select (PPO I-SNP) is a PPO I-SNP plan offered by Humana Inc. available for enrollment in 2026 to people living in OH, KY, TN, IA. 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 Select (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 Select (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 Select (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 Select (PPO I-SNP), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $138.00. 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 $300.00 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 $9800.00 (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 $9800.00 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:
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Drug Coverage
The Humana Together in Health Select (PPO I-SNP) plan features an annual prescription drug deductible of $300. For Tier 1 preferred generic drugs, you will pay a $2 copay for a 1-month supply at standard pharmacies, while a 3-month supply through preferred mail order has no copay. Tier 2 generic drugs cost $4 for a 1-month supply at standard pharmacies, but also offer a 3-month supply with no copay through preferred mail order. For Tier 3 preferred brand drugs, you will pay a $47 copay for a 1-month supply, or up to $141 for a 3-month supply. Higher-tier medications require coinsurance rather than flat copays, with Tier 4 non-preferred drugs costing 25% coinsurance and Tier 5 specialty drugs carrying a 29% coinsurance.
Additional Benefits
The Humana Together in Health Select (PPO I-SNP) plan offers comprehensive medical coverage featuring no copay and no coinsurance for primary care visits, preventive services, home health care, and skilled nursing facility stays up to 100 days. For inpatient hospital stays, members pay no coinsurance but are responsible for a $687 copay for the first four days of acute stays. Most outpatient care, specialist visits, diagnostic tests, and dialysis services require no copay but are subject to a 20% coinsurance. Emergency care is covered with a $130 copay that is waived upon hospital admission, while urgent care services carry a 20% coinsurance and no copay. This plan also provides valuable supplemental benefits, including dental, vision, and hearing coverage, with many preventive dental services and vision hardware options featuring no copay and no coinsurance up to specified annual limits. Additionally, members can access covered over-the-counter items with no copay and no coinsurance to support their daily health needs.
Inpatient Hospital See details
Inpatient hospital services are partially covered by Humana Together in Health Select (PPO I-SNP) with no coinsurance, requiring a $687 copay for days 1 through 4 of acute stays (with no copay for days 5 and beyond) and a $1,872 copay per psychiatric stay. Prior authorization is required, and upgrades, non-Medicare-covered stays, and additional psychiatric days are not covered.
Outpatient Services See details
Humana Together in Health Select (PPO I-SNP) covers outpatient services with no copays, though a 20% coinsurance and prior authorization apply to outpatient hospital, observation, ambulatory surgical center, and outpatient substance abuse services. Outpatient blood services are covered with no copay, no coinsurance, and no deductible.
Partial Hospitalization See details
Humana Together in Health Select (PPO I-SNP) covers partial hospitalization services with no copay and a 20% coinsurance. Prior authorization is required to receive coverage for this benefit.
Ambulance and Transportation Services See details
Humana Together in Health Select (PPO I-SNP) covers Medicare-approved ground and air ambulance services with a 20% coinsurance and no copay, though prior authorization is required. Transportation services are not covered in practice, as trips to plan-approved or any health-related locations are excluded.
Emergency Services See details
Humana Together in Health Select (PPO I-SNP) covers emergency services with a $130 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 $50 per visit) and no copay, while worldwide emergency, urgent, and transportation services are covered with a $130 copay and no coinsurance.
Primary Care See details
Humana Together in Health Select (PPO I-SNP) covers 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 have no copay and a 20% coinsurance, while chiropractic services are not covered.
Preventive Services See details
Humana Together in Health Select (PPO I-SNP) covers preventive services, including annual physical exams, kidney disease education, and glaucoma screenings, with no copay and no coinsurance. While some services are covered, additional preventive benefits like fitness programs, health education, personal emergency response systems, and nutritional services are not covered.
Hearing Services See details
Humana Together in Health Select (PPO I-SNP) covers hearing services, including routine annual exams with no copay and 20% coinsurance, and unlimited fitting evaluations with no copay. Prescription hearing aids are partially covered with no coinsurance and copays ranging from no copay up to $599 for up to two devices every three years, though inner ear, outer ear, and over-the-ear models are not covered. Over-the-counter hearing aids are also covered with no copay and no coinsurance.
Vision Services See details
Humana Together in Health Select (PPO I-SNP) partially covers vision services, offering routine eye exams with no copay and 20% coinsurance up to a $75 annual limit, alongside contact lenses and eyeglasses with no copay and no coinsurance up to a $250 annual limit. Other eye exams, separate eyeglass lenses, eyeglass frames, and upgrades are not covered.
Dental Services See details
Dental services are partially covered by Humana Together in Health Select (PPO I-SNP), with Medicare-covered dental services requiring no copay and a 20% coinsurance. Other covered preventive and comprehensive dental services have no copay and no coinsurance up to a $1,000 annual maximum, though fluoride treatment, maxillofacial prosthetics, implant services, and orthodontics are not covered.
Home Infusion bundled Services See details
Humana Together in Health Select (PPO I-SNP) covers home infusion bundled services with prior authorization, requiring a 0% to 20% coinsurance for chemotherapy, radiation, and other Part B drugs. Covered Part B insulin drugs have a $35 copay and a 0% to 20% coinsurance, while other Part B drugs require no copay.
Dialysis Services See details
Dialysis Services are covered under the Humana Together in Health Select (PPO I-SNP) with no copay and a 20% coinsurance, although prior authorization is required.
Medical Equipment See details
Medical equipment is covered by Humana Together in Health Select (PPO I-SNP) with no copay and 20% coinsurance for durable medical equipment, prosthetics, medical supplies, and diabetic services. Prior authorization is required for these benefits, and diabetic supplies are limited to specified manufacturers.
Diagnostic and Radiological Services See details
Diagnostic and radiological services are covered by Humana Together in Health Select (PPO I-SNP), with prior authorization required for all services. Members pay a 20% coinsurance and no copay for lab services, diagnostic tests, outpatient X-rays, and therapeutic radiology, while diagnostic radiological services require a 20% coinsurance and a copay.
Home Health Services See details
Home Health Services are covered under the Humana Together in Health Select (PPO I-SNP) plan with no copay and no coinsurance, though prior authorization is required.
Cardiac Rehabilitation Services See details
Cardiac rehabilitation services are covered by Humana Together in Health Select (PPO I-SNP) with prior authorization, meaning some services are covered but cardiac rehabilitation, intensive cardiac rehabilitation, pulmonary rehabilitation, and supervised exercise therapy (SET) are not covered. When services are received, cardiac and intensive cardiac rehabilitation require a 20% coinsurance with no copay, while pulmonary rehabilitation requires a $15 copay with no coinsurance and SET requires a $20 copay with no coinsurance.
Skilled Nursing Facility (SNF) See details
Humana Together in Health Select (PPO I-SNP) covers Skilled Nursing Facility (SNF) services 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.
Other Services See details
Humana Together in Health Select (PPO I-SNP) partially covers other services, offering acupuncture with no copay and a 20% coinsurance for up to 20 treatments per year, and over-the-counter (OTC) items with no copay and no coinsurance. Meal benefits are not covered under this plan.
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