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Humana Dual Select H5619-093 (HMO D-SNP)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for Humana Dual Select H5619-093 (HMO D-SNP). The information on this page is a summary only.
For a complete listing of all available benefits and cost information on Humana Dual Select H5619-093 (HMO D-SNP) in 2026, please refer to our full plan details page.
Humana Dual Select H5619-093 (HMO D-SNP) is a HMO D-SNP plan offered by Humana Inc. available for enrollment in 2025 to people living in Alabama. This plan received an overall rating of 3 out of 5 stars in 2026.
It's important to know that Humana Dual Select H5619-093 (HMO D-SNP) is a Medicare Advantage (MA) Plan with drug coverage. That means that this plan covers both medical services and prescription drugs.
Important:
Humana Dual Select H5619-093 (HMO D-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 Dual Select H5619-093 (HMO 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.
For Humana Dual Select H5619-093 (HMO D-SNP), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $4.00. 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 $615.00 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 Maximum Out-Of-Pocket cost of $9250.00 for out-of-network services. You will pay copays, coinsurance, and deductibles toward this amount. Once your total out-of-pocket costs reach $0.00 for in-network covered services, the plan will pay 100% of in-network covered costs for the rest of the year.
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 Dual Select H5619-093 (HMO D-SNP) offers an Enhanced Alternative drug benefit with an annual prescription drug deductible of $615.00. After meeting this deductible, Tier 1 preferred generic drugs have no copay at standard pharmacies or through preferred mail order, while standard mail delivery has 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 during the initial coverage phase. If you qualify for the Low-Income Subsidy, also known as Extra Help, your cost-sharing may be reduced to $4.00. Additionally, once your yearly out-of-pocket drug costs reach $2,100.00, you will enter the catastrophic coverage phase and pay nothing for Medicare Part D covered drugs.
Additional Benefits
The Humana Dual Select H5619-093 (HMO D-SNP) offers robust coverage for essential medical services with no copay for primary care visits, home health services, and routine preventive care. For specialist visits, copays range from $15 to $50, while emergency room visits require a $115 copay which is waived if you are admitted to the hospital. Inpatient hospital stays require a copay of $650 for the first three days of acute care, after which there is no copay for up to 999 days. This plan also features valuable supplemental benefits, including up to 36 one-way transportation trips per year, no copay for routine vision and hearing exams, and up to $1,000 in annual dental coverage with no copay. Most medical equipment, dialysis services, and select drugs require a 20% coinsurance with no copay. Additionally, skilled nursing facility stays feature no copay for the first 20 days, followed by a $218 daily copay for days 21 through 100.
Inpatient Hospital See details
Humana Dual Select H5619-093 (HMO D-SNP) partially covers inpatient hospital services with no coinsurance, requiring a $650 copay for days 1-3 of acute stays (no copay for days 4-999) and a $615 copay for days 1-3 of psychiatric stays (no copay for days 4-90). Non-Medicare-covered stays, hospital upgrades, and additional psychiatric days are not covered.
Outpatient Services See details
Humana Dual Select H5619-093 (HMO D-SNP) covers outpatient services with no coinsurance, featuring no copay for ambulatory surgical center and blood services, and a $35 copay for outpatient substance abuse sessions. Outpatient hospital services have a copay ranging from $0 to $550, while observation services require a $650 copay per stay.
Partial Hospitalization See details
Partial hospitalization benefits are covered by Humana Dual Select H5619-093 (HMO D-SNP) with a $35 copay and no coinsurance. Prior authorization is required for this service.
Ambulance and Transportation Services See details
Ambulance and transportation services are partially covered by Humana Dual Select H5619-093 (HMO D-SNP), as transportation to any health-related location is not covered. Ground ambulance services require a $335 copay and no coinsurance, air ambulance requires a 20% coinsurance and no copay, and plan-approved transportation offers up to 36 annual one-way trips with no copay and no coinsurance.
Emergency Services See details
Emergency services are covered under Humana Dual Select H5619-093 (HMO D-SNP) with a $115 copay and no coinsurance, with the copay waived if you are admitted to the hospital within 24 hours. Urgently needed services require a $40 copay and no coinsurance, while worldwide emergency, urgent, and transportation services are covered with a $115 copay and no coinsurance.
Primary Care See details
Humana Dual Select H5619-093 (HMO D-SNP) covers primary care physician visits with no copay and no coinsurance. Specialist visits, therapy services, and mental health care are also covered with copayments ranging from $15 to $50 per visit and no coinsurance.
Preventive Services See details
Humana Dual Select H5619-093 (HMO D-SNP) covers preventive services, including annual physical exams and kidney disease education, with no copay and no coinsurance. However, this benefit is only partially covered, as sub-services such as Health Education, In-Home Safety Assessments, PERS, Medical Nutrition Therapy, post-discharge medication reconciliation, readmission prevention, Weight Management Programs, Alternative Therapies, Therapeutic Massage, Adult Day Health Services, Nutritional/Dietary Benefits, Home-Based Palliative Care, caregiver support, Enhanced Disease Management, Telemonitoring Services, Remote Access Technologies, Home and Bathroom Safety Devices, and Counseling Services are not covered.
Hearing Services See details
Humana Dual Select H5619-093 (HMO D-SNP) covers hearing services with no deductibles or coinsurance, featuring copays ranging from no copay for routine exams and OTC hearing aids up to $50 for certain exams. Prescription hearing aids are partially covered with no copay for general types, but inner ear, outer ear, and over the ear models are not covered.
Vision Services See details
Vision Services are partially covered by Humana Dual Select H5619-093 (HMO D-SNP), featuring no copay and no coinsurance for routine eye exams and select eyewear up to a $250 annual limit. Standalone eyeglass lenses, eyeglass frames, and upgrades are not covered, and non-routine eye exams may require a copay of up to $50 with no coinsurance.
Dental Services See details
Humana Dual Select H5619-093 (HMO D-SNP) covers Medicare-covered dental services with a $50 copay and no coinsurance. Other preventive and comprehensive dental benefits are partially covered up to $1,000 annually with no copay or coinsurance, though fluoride treatments, maxillofacial prosthetics, implant services, and orthodontics are not covered.
Home Infusion bundled Services See details
Home Infusion bundled Services are covered by Humana Dual Select H5619-093 (HMO D-SNP) with prior authorization required. Covered Part B insulin drugs require a $35 copay and 0% to 20% coinsurance, other Part B drugs have no copay and 0% to 20% coinsurance, and chemotherapy or radiation drugs require 0% to 20% coinsurance.
Dialysis Services See details
Dialysis services are covered by Humana Dual Select H5619-093 (HMO D-SNP) with no copay and a 20% coinsurance. Prior authorization is required for these services.
Medical Equipment See details
Humana Dual Select H5619-093 (HMO D-SNP) covers medical equipment, including durable medical equipment (DME), prosthetics, medical supplies, and diabetic services. These benefits require a 20% coinsurance and no copay, and prior authorization is required.
Diagnostic and Radiological Services See details
Diagnostic and radiological services are covered by Humana Dual Select H5619-093 (HMO D-SNP) with prior authorization required. Lab services and outpatient X-rays have no copay and no coinsurance, while other services range from a $0 to $50 copay with no coinsurance for diagnostic tests, up to a $780 copay with no coinsurance for diagnostic radiology, and a $50 copay with 20% coinsurance for therapeutic radiology.
Home Health Services See details
Home Health Services are covered by Humana Dual Select H5619-093 (HMO D-SNP) with no copay and no coinsurance. Prior authorization is required to receive these services.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are not covered under the Humana Dual Select H5619-093 (HMO D-SNP) plan, as all associated sub-services—including cardiac, intensive cardiac, pulmonary, and SET for PAD rehabilitation—are listed as not covered.
Skilled Nursing Facility (SNF) See details
Humana Dual Select H5619-093 (HMO D-SNP) provides partially covered Skilled Nursing Facility (SNF) benefits with prior authorization, requiring no copay for days 1 to 20, a $218 daily copay for days 21 to 100, and no coinsurance. Additional days beyond the standard Medicare-covered limit are not covered under this plan.
Other Services See details
Other Services are partially covered by Humana Dual Select H5619-093 (HMO D-SNP), offering acupuncture for a $50 copay and no coinsurance, alongside over-the-counter items and meal benefits for no copay and no coinsurance. Dual Eligible SNPs with Highly Integrated Services are not covered under this plan.
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