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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 2025, 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 3.5 out of 5 stars in 2025.
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 $33.20. 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 $590.00 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 $9350.00 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) plan has a $590 deductible for prescription drugs. After the deductible is met, you will pay the costs for your drugs in each tier until your total drug costs reach $2000. This plan's premium may be reduced if you qualify for the low-income subsidy (LIS). If you qualify for LIS, you will pay $33.20 for Part D. Once your yearly out-of-pocket drug costs reach $2000, you pay nothing for Medicare Part D covered drugs.
Additional Benefits
The Humana Dual Select H5619-093 (HMO D-SNP) plan offers a range of benefits with varying costs. This plan features no copays for primary care visits, routine eye exams, and eyewear, as well as many preventive services, home health services, and dental services. You can also expect a $650 copay for days 1-3 of inpatient hospital stays, and coverage for emergency services, outpatient services, and other services with various copays and coinsurance amounts.
Inpatient Hospital See details
Inpatient Hospital coverage includes acute and psychiatric care. For Inpatient Hospital-Acute, you pay a $650 copay for days 1-3, and no copay for days 4-90, with additional days 91-999 having no copay. Inpatient Hospital Psychiatric has a $615 copay for days 1-3, and no copay for days 4-90. Non-Medicare-covered stays and upgrades for Inpatient Hospital-Acute are not covered, and additional days and non-Medicare-covered stays for Inpatient Hospital Psychiatric are not covered.
Outpatient Services See details
Outpatient services, including outpatient hospital services, are covered. Outpatient hospital services have a coinsurance of 20% and a copay between $45 and $550, while observation services have a copay of $650. Ambulatory surgical center services have a copay of $400 with a minimum and maximum coinsurance of 20%. Outpatient substance abuse services, including individual and group sessions, have a copay between $45 and $50. Outpatient blood services are covered with no copay.
Partial Hospitalization See details
Partial Hospitalization is covered under the Humana Dual Select H5619-093 (HMO D-SNP) plan, but requires prior authorization. You will pay a $45 copay for this benefit.
Ambulance and Transportation Services See details
The Humana Dual Select H5619-093 (HMO D-SNP) plan covers ambulance and transportation services, with prior authorization required. Ground ambulance services have a $315 copay, while air ambulance services have 20% coinsurance. Transportation services to a plan-approved health-related location are covered with no copay, and up to 36 one-way trips per year via taxi, bus/subway, or medical transport.
Emergency Services See details
Emergency Services, Urgently Needed Services, and Worldwide Emergency Services are covered by the Humana Dual Select H5619-093 (HMO D-SNP) plan. Emergency Services have a $110 copay, and Urgently Needed Services have a $45 copay, while Worldwide Emergency Coverage, Worldwide Urgent Coverage, and Worldwide Emergency Transportation each have a $110 copay. All services have no coinsurance.
Primary Care See details
The Humana Dual Select H5619-093 (HMO D-SNP) plan covers primary care physician services with no copay, chiropractic services with 20% coinsurance, occupational therapy services with a $20 copay, physician specialist services with a $50 copay, mental health specialty services with a $45 copay for individual and group sessions, podiatry services with a $50 copay, other health care professional services with a copay between $0 and $50, psychiatric services with a $45 copay for individual and group sessions, physical therapy and speech-language pathology services with a $20 copay, additional telehealth benefits with a copay between $0 and $50, and opioid treatment program services with a $45-$50 copay.
Preventive Services See details
The Humana Dual Select H5619-093 (HMO D-SNP) plan covers preventive services with no copay for services like annual physical exams, glaucoma screenings, diabetes self-management training, barium enemas, digital rectal exams, and EKGs following a Welcome Visit. Additional preventive services, including wigs for hair loss related to chemotherapy and additional sessions of smoking and tobacco cessation counseling, are covered with a $0 copay. Some other preventive services such as health education, in-home safety assessments, and others are not covered.
Hearing Services See details
Hearing exams have a $50 copay, while routine hearing exams have no copay, with a limit of one exam per year. Fitting/evaluation for hearing aids has no copay. Prescription hearing aids are partially covered, but inner ear, outer ear, and over the ear hearing aids are not covered. OTC hearing aids are not covered.
Vision Services See details
The Humana Dual Select H5619-093 (HMO D-SNP) plan covers vision services, including routine eye exams with no copay, and eyewear, including contact lenses and eyeglasses with no copay, up to a combined maximum of $250 per year. Eyeglass lenses, eyeglass frames, and upgrades are not covered.
Dental Services See details
Dental services include coverage for oral exams, dental x-rays, other diagnostic services, prophylaxis, other preventive services, restorative services, adjunctive general services, endodontics, periodontics, prosthodontics (removable and fixed), and oral and maxillofacial surgery with no copay; however, fluoride treatment, maxillofacial prosthetics, implant services, and orthodontics are not covered. This plan has a $1,000 annual maximum for other dental services.
Home Infusion bundled Services See details
Home Infusion bundled Services are covered under the Humana Dual Select H5619-093 (HMO D-SNP) plan. Insulin has a $35 copay, with a coinsurance between 0-20%, while Medicare Part B Chemotherapy/Radiation Drugs and Other Medicare Part B Drugs have a coinsurance between 0-20%, with no copay.
Dialysis Services See details
Dialysis Services are covered by the Humana Dual Select H5619-093 (HMO D-SNP) plan, but prior authorization is required. The coinsurance for these services is between 20% and 20%.
Medical Equipment See details
Medical Equipment benefits include Durable Medical Equipment (DME) with 20% coinsurance and no copay, Prosthetics/Medical Supplies with coinsurance for Medicare-covered items, and Diabetic Equipment with coinsurance for Medicare-covered therapeutic shoes or inserts and copays for Medicare-covered items. Diabetic Supplies have 20% coinsurance and no copay, and Diabetic Therapeutic Shoes/Inserts have no copay. Durable Medical Equipment for use outside the home is not covered.
Diagnostic and Radiological Services See details
Diagnostic and Radiological Services are covered, including all diagnostic services, diagnostic procedures/tests, lab services, and radiological services. Diagnostic Procedures/Tests have a copay between $0 and $50, while Lab Services have no copay. Diagnostic Radiological Services have a coinsurance of at most 20% and a copay of at most $720, and Therapeutic Radiological Services have a coinsurance of at most 20% and a copay of at most $50. Outpatient X-Ray Services have no copay.
Home Health Services See details
Home Health Services are covered by the Humana Dual Select H5619-093 (HMO D-SNP) plan with no copay and no coinsurance, but additional hours of care and personal care services are not covered. Authorization is required for this benefit.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are not covered by the Humana Dual Select H5619-093 (HMO D-SNP) plan. Prior authorization is required for these services.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) services are covered under the Humana Dual Select H5619-093 (HMO D-SNP) plan. There is no copay for days 1-20, and a $214 copay per day for days 21-100. Additional days beyond Medicare-covered and non-Medicare-covered stays for SNF are not covered.
Other Services See details
Other services covered by Humana Dual Select H5619-093 (HMO D-SNP) include acupuncture with a $50 copay, up to 20 treatments per year, and over-the-counter items with a maximum benefit of $1200 per year. This plan also covers a meal benefit with no copay, but other services such as Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) Services, private duty nursing, and others are not covered.
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