Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for Humana USAA Honor Giveback (HMO). The information on this page is a summary only.
For a complete listing of all available benefits and cost information on Humana USAA Honor Giveback (HMO) in 2025, please refer to our full plan details page.
Humana USAA Honor Giveback (HMO) is a HMO plan offered by Humana Inc. available for enrollment in 2025 to people living in Southwest Virginia. This plan received an overall rating of 3.5 out of 5 stars in 2025.
It's important to know that Humana USAA Honor Giveback (HMO) is a Medicare Advantage (MA) Plan without drug coverage. That means that this plan covers medical services but doesn't cover prescription drugs. If you are looking for a plan with prescription drug coverage, please search for other MA and PDP plans offered in your area.
Below are a few key facts and commonly-asked questions about Humana USAA Honor Giveback (HMO).
The cost of a Medicare Advantage Plan is made up of four main parts.
For Humana USAA Honor Giveback (HMO), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $0.00. This is the amount you must pay every month. Additionally, this plan comes with a Part B Premium reduction of $100.00. You must continue to pay paying your reduced Part B Premium.
Deductibles
This plan does not have a health deductible. Your insurance coverage on covered health services will start immediately.
Drugs are not covered by this plan, so a prescription drug deductible is not applicable.
Out-of-Pocket Maximums
This plan has a Maximum Out-Of-Pocket cost of $3200.00 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.
Need help deciding? Talk with one of our licensed insurance specialists 1-877-649-2073 / TTY 711. 8am-11pm EST. 7 days a week
Prescription drugs are not covered by Humana USAA Honor Giveback (HMO).
The Humana USAA Honor Giveback (HMO) plan offers comprehensive coverage with varying cost-sharing. You'll find no copay for primary care, preventive services, outpatient blood services, and many lab services. The plan also covers outpatient services, emergency services, and home health services, with copays ranging from $0 to $315 depending on the specific service. The plan includes additional benefits like hearing, vision, and dental services, with copays and cost-sharing amounts that vary. Hearing exams have a $25 copay, and prescription hearing aids are partially covered. Vision coverage includes eye exams and eyewear, with a maximum benefit for eyewear. Dental services are also covered, up to a $2,000 annual maximum.
Inpatient Hospital benefits, including Inpatient Hospital-Acute and Inpatient Hospital Psychiatric, are covered. For Inpatient Hospital-Acute, you pay a $150 copay for days 1-5, and no copay for days 6-90; additional days (91-999) have no copay. Non-Medicare-covered stay and upgrades for Inpatient Hospital-Acute are not covered. For Inpatient Hospital Psychiatric, you pay a $150 copay for days 1-5, and no copay for days 6-90; additional days are not covered.
Outpatient Services, including all Outpatient Hospital Services, Observation Services, Ambulatory Surgical Center (ASC) Services, Outpatient Substance Abuse Services, and Outpatient Blood Services, are covered. Outpatient Hospital Services have a copay of $0 to $250, Observation Services have a copay of $150, Individual and Group Sessions for Outpatient Substance Abuse have a copay of $25, and Outpatient Blood Services have no copay.
Partial Hospitalization is covered by the Humana USAA Honor Giveback (HMO) plan, with a $25 copay. Prior authorization is required for this benefit.
Ambulance and Transportation Services are covered by the Humana USAA Honor Giveback (HMO) plan. Ground ambulance services have a $315 copay, while air ambulance services have a 20% coinsurance. Transportation services to any health-related location are not covered.
Emergency Services, Urgently Needed Services, and Worldwide Emergency Services are covered. Emergency Services have a $140 copay, and Urgently Needed Services have a $65 copay, while all Worldwide Emergency Services have a $140 copay.
The Humana USAA Honor Giveback (HMO) plan covers Primary Care Physician Services with no copay, Chiropractic Services with a $20 copay, Occupational Therapy Services with a $20 copay, Physician Specialist Services with a $25 copay, and Physical Therapy and Speech-Language Pathology Services with a $20 copay. The plan also covers Mental Health and Psychiatric Services with a $25 copay for individual and group sessions, and Additional Telehealth Benefits with a copay between $0 and $65. Podiatry Services are not covered.
The Humana USAA Honor Giveback (HMO) plan covers preventive services, including an annual physical exam with no copay. Other preventive services, such as glaucoma screenings, diabetes self-management training, barium enemas, digital rectal exams, and EKGs following a Welcome Visit, are covered with no copay.
Hearing exams are covered with a $25 copay, and routine hearing exams have no copay. Prescription hearing aids are partially covered, with copays ranging from $399 to $699, and OTC hearing aids are covered up to $50 every three months.
Vision Services include coverage for eye exams with a copay between $0 and $25, and for eyewear including contact lenses and eyeglasses (lenses and frames) with no copay and a combined maximum benefit of $150 per year. Eyeglass lenses, eyeglass frames, and upgrades are not covered.
Dental Services are covered, including oral exams, dental x-rays, other diagnostic dental services, prophylaxis (cleaning), other preventive dental services, restorative services, adjunctive general services, endodontics, periodontics, and prosthodontics fixed, and oral and maxillofacial surgery, with a maximum benefit of $2,000 per year. Fluoride treatment, prosthodontics removable, maxillofacial prosthetics, implant services, and orthodontics are not covered.
Home Infusion bundled Services are covered, including Medicare Part B Insulin Drugs, Medicare Part B Chemotherapy/Radiation Drugs, and Other Medicare Part B Drugs. You will pay a $35 copay for Medicare Part B Insulin Drugs, and coinsurance between 0% and 20% for all services.
Dialysis Services are covered by the Humana USAA Honor Giveback (HMO) plan, but require prior authorization. There is a 20% coinsurance for this benefit.
The Humana USAA Honor Giveback (HMO) plan covers medical equipment, including durable medical equipment, prosthetics, medical supplies, and diabetic equipment. Durable Medical Equipment has a 20% coinsurance and requires authorization, while Durable Medical Equipment for use outside the home is not covered. Prosthetic devices have a 20% coinsurance, and medical supplies have a 20% coinsurance. Diabetic Supplies have a 10-20% coinsurance and no copay, while Diabetic Therapeutic Shoes/Inserts have a $10 copay.
Diagnostic and Radiological Services are covered under the Humana USAA Honor Giveback (HMO) plan. Diagnostic Procedures/Tests have a copay between $0 and $65, while Lab Services have no copay. Diagnostic Radiological Services have a copay of at most $300, Therapeutic Radiological Services have a copay of at most $25, and Outpatient X-Ray Services have no copay.
Home Health Services are covered under the Humana USAA Honor Giveback (HMO) 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 are not covered by the Humana USAA Honor Giveback (HMO) plan. Prior authorization is required for this benefit.
Skilled Nursing Facility (SNF) services are covered by the Humana USAA Honor Giveback (HMO) plan, but require prior authorization. For days 1-20, there is a $20 copay, and for days 21-100, there is a $214 copay. Additional days beyond Medicare-covered SNF and non-Medicare-covered SNF stays are not covered.
Other Services include acupuncture with a $25 copay, Over-the-Counter (OTC) Items with a maximum benefit of $50 every three months, and a meal benefit with no copay. Additional services such as Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) Services, Private Duty Nursing Services, and others are not covered.
SMID: MULTIPLAN_HCIHNMEDADVRX25_HCI_M
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Part B premium reduction is not available with all plans. Availability varies by carrier and location. Actual Part B premium reduction could be lower. Deductibles, copays and coinsurance may apply.
* Benefit(s) mentioned may be part of a special supplemental program for chronically ill members with one of the following conditions: Diabetes mellitus, Cardiovascular disorders, Chronic and disabling mental health conditions, Chronic lung disorders, Chronic heart failure. This is not a complete list of qualifying conditions. Having a qualifying condition alone does not mean you will receive the benefit(s). Other requirements may apply.
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