HumanaChoice SNP-DE H5216-469 (PPO D-SNP)

HumanaChoice SNP-DE H5216-469 (PPO D-SNP) is a PPO D-SNP plan offered by Humana Insurance Company available for the 2026 plan year to people living in Select Counties in Oklahoma. This plan received an overall rating of 3.5 out of 5 stars in 2026.

It's important to know that HumanaChoice SNP-DE H5216-469 (PPO D-SNP) is a Medicare Advantage (MA) Plan with drug coverage. That means that this plan covers both medical services and prescription drugs.

Key Plan Facts

Below are a few key facts and commonly-asked questions about HumanaChoice SNP-DE H5216-469 (PPO D-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.

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:

Drug Coverage

The HumanaChoice SNP-DE H5216-469 (PPO D-SNP) prescription drug plan has an annual drug deductible of $615. Under this plan, you will pay no copay for Tier 1 preferred generic and Tier 2 generic drugs when filled at a standard pharmacy or through preferred mail order. If you choose standard mail order for these generics, you will pay a copay ranging from $10 to $30 for Tier 1 and $20 to $60 for Tier 2. For Tier 3 preferred brand, Tier 4 non-preferred, and Tier 5 specialty drugs, the plan requires a 25% coinsurance. This 25% coinsurance rate is the same whether you use a standard pharmacy, preferred mail order, or standard mail order. Knowing these details helps you plan for your medication costs under this Humana choice plan.

Additional Benefits

The HumanaChoice SNP-DE H5216-469 (PPO D-SNP) offers comprehensive medical coverage, balancing fixed copays with coinsurance for key services. Inpatient hospital stays require a copay of $2,230 for acute care and $2,080 for psychiatric care, both with no coinsurance. For outpatient services, primary care, and specialist visits, members will pay no copay and a 20% coinsurance. Supplemental benefits like home health care, preventive services, and most dental care up to a $2,500 annual limit are covered with no copay and no coinsurance. Routine hearing and vision exams also feature no copay and a 20% coinsurance, alongside a $450 annual eyewear allowance with no copay or coinsurance. Skilled nursing facility stays are covered with no copay for the first 20 days, followed by a $218 daily copay for days 21 through 100.

Plan Providers

Medicare Advantage and Part D plans and benefits offered by the following carriers: Aetna Medicare, Anthem Blue Cross and Blue Shield, Aspire Health Plan, Dean Health Plan, Devoted Health, Florida Blue Medicare, Freedom Health, Health Care Service Corporation, HealthSpring^SM, HealthSun, Healthy Blue, Humana, Molina Healthcare, Mutual of Omaha, Medica Central Health Plan, Optimum HealthCare, Premera Blue Cross, SCAN Health Plan, Simply, UnitedHealthcare(R), Wellcare, WellPoint.