HumanaChoice SNP-DE H5216-470 (PPO D-SNP)

HumanaChoice SNP-DE H5216-470 (PPO D-SNP) is a PPO D-SNP plan offered by Humana Inc. available for enrollment in 2026 to people living in Select Counties in Arkansas. This plan received an overall rating of 3.5 out of 5 stars in 2026.

It's important to know that HumanaChoice SNP-DE H5216-470 (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 H5216-470 (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 H5216-470 (PPO D-SNP) offers an Enhanced Alternative drug benefit with an annual prescription drug deductible of $615.00. During the initial coverage phase, Tier 1 preferred generic drugs have no copay at standard pharmacies or through preferred mail delivery, while standard mail delivery requires a $20.00 copay. For Tier 2 standard generics, Tier 3 preferred brands, and Tier 4 non-preferred drugs, you will pay a 25% coinsurance. If you qualify for the Low-Income Subsidy, your Part D cost is reduced to $8.90. Once your yearly out-of-pocket drug costs reach $2,100.00, you enter the catastrophic coverage phase and will pay nothing for covered Part D prescriptions.

Additional Benefits

The HumanaChoice SNP-DE H5216-470 (PPO D-SNP) plan offers comprehensive coverage where many routine services, such as preventive care, home health visits, and select dental and hearing benefits, feature no copay or coinsurance. For inpatient hospital stays, members pay a set copay of $2,230 for acute care and $2,080 for psychiatric care per stay with no coinsurance. Outpatient services, primary care, dialysis, and medical equipment generally require a 20% coinsurance and no copay, while emergency room visits carry a $115 copay. Additionally, the plan provides valuable extra benefits including up to 60 one-way transportation trips, meal benefits, and over-the-counter items with no copay or coinsurance. Skilled nursing facility stays are also covered with no copay or coinsurance for the first 20 days, followed by a $218 daily copay for days 21 through 100. However, certain services like cardiac rehabilitation, routine chiropractic care, and specific dental and vision upgrades are not covered by this plan.