Humana Dual Select H5619-126 (HMO-POS D-SNP)

Humana Dual Select H5619-126 (HMO-POS D-SNP) is a HMO-POS D-SNP plan offered by Humana Inc. available for enrollment in 2025 to people living in West Virginia. This plan received an overall rating of 3 out of 5 stars in 2026.

It's important to know that Humana Dual Select H5619-126 (HMO-POS 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 H5619-126 (HMO-POS 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 H5619-126 (HMO-POS D-SNP) prescription drug plan features an annual drug deductible of $615. For Tier 1 preferred generic and Tier 2 generic medications, you will pay no copay for a 1-month or 3-month supply at standard pharmacies or through preferred mail order. However, standard mail order for these tiers requires a copay, ranging from $10 to $30 for Tier 1 and $20 to $60 for Tier 2 depending on the supply duration. For Tier 3 preferred brand, Tier 4 non-preferred, and Tier 5 specialty drugs, the plan charges a 25% coinsurance instead of a flat copayment. This 25% coinsurance applies across standard pharmacies, preferred mail order, and standard mail order options. While this coinsurance covers both 1-month and 3-month supplies for Tiers 3 and 4, Tier 5 specialty drugs are limited to a 1-month supply.

Additional Benefits

The Humana Dual Select H5619-126 (HMO-POS D-SNP) plan offers comprehensive medical coverage with no copay or coinsurance for primary care visits, preventive services, and home health care. For specialist visits, there is a $30 copay, while inpatient hospital stays require a $350 copay for the first five days and no copay for days six through ninety. Outpatient services range from no copay to a $350 copay with up to 20% coinsurance, and emergency room visits carry a $115 copay which is waived if you are admitted. This plan also features robust supplemental benefits, including no copay and no coinsurance for routine dental services up to a $2,500 annual limit, as well as a yearly $550 allowance for eyewear with no copay. Routine hearing exams and over-the-counter items are covered with no copay, while skilled nursing facility stays require no copay for the first 20 days followed by a $218 daily copay up to day 100. Additionally, diagnostic labs and chronic illness meals are provided with no copay, helping to keep out-of-pocket healthcare costs predictable.