Humana Dual Select H5525-046 (PPO D-SNP)

Humana Dual Select H5525-046 (PPO D-SNP) is a PPO D-SNP plan offered by Humana Benefit Plan of Illinois, Inc. available for the 2026 plan year to people living in Ohio. This plan received an overall rating of 3.5 out of 5 stars in 2026.

It's important to know that Humana Dual Select H5525-046 (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 Humana Dual Select H5525-046 (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 Humana Dual Select H5525-046 (PPO D-SNP) prescription drug plan features an annual drug deductible of $615. For Tier 1 preferred generics and Tier 2 generics, members enjoy no copay for both 1-month and 3-month supplies at standard pharmacies and through preferred mail order. However, standard mail order for these generic tiers requires a copay ranging from $10 to $20 for a 1-month supply and $30 to $60 for a 3-month supply. For higher-tier medications, including Tier 3 preferred brands, Tier 4 non-preferred drugs, and Tier 5 specialty drugs, the plan charges a consistent 25% coinsurance. This 25% coinsurance applies to standard pharmacies, preferred mail order, and standard mail order options. Specialty tier drugs are limited to a 1-month supply, while Tier 3 and Tier 4 drugs maintain the 25% coinsurance for both 1-month and 3-month supplies.

Additional Benefits

The Humana Dual Select H5525-046 (PPO D-SNP) offers comprehensive medical coverage, featuring preventive services, home health visits, and select dental and hearing benefits with no copay and no coinsurance. For routine medical care, primary and specialist visits require no copay but carry a 20% coinsurance, while inpatient hospital stays require a copay of $2,230 for acute care with no coinsurance. Emergency room visits have a $115 copay, and urgent care services require a 20% coinsurance with no copay. Specialized services like durable medical equipment, dialysis, and diagnostic tests generally require a 20% coinsurance and no copay. 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. Additionally, the plan provides valuable extra benefits including up to 24 one-way transportation trips per year, over-the-counter items, and chronic illness meals all with no copay and no coinsurance.

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.