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Humana Dual Select H6622-027 (HMO-POS D-SNP)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for Humana Dual Select H6622-027 (HMO-POS 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 H6622-027 (HMO-POS D-SNP) in 2025, please refer to our full plan details page.
Humana Dual Select H6622-027 (HMO-POS D-SNP) is a HMO-POS D-SNP plan offered by Humana Inc. available for enrollment in 2025 to people living in Western North Carolina Area. This plan received an overall rating of 3.5 out of 5 stars in 2025.
It's important to know that Humana Dual Select H6622-027 (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.
Important:
Humana Dual Select H6622-027 (HMO-POS 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 H6622-027 (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.
For Humana Dual Select H6622-027 (HMO-POS D-SNP), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $51.20. This is the amount you must pay every month. Additionally, this plan comes with a Part B Premium reduction of $1.00. 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.
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 H6622-027 (HMO-POS D-SNP) plan has a $590 deductible for prescription drugs. After the deductible, you will pay the costs for drugs in each tier until your total drug costs reach $2000, at which point you enter the next coverage phase. If you qualify for the low-income subsidy, you will pay $51.20 per month for Part D.
Additional Benefits
The Humana Dual Select H6622-027 (HMO-POS D-SNP) plan provides coverage for a wide range of services. This plan includes coverage for inpatient hospital stays with a $399 copay, and outpatient services with a 20% coinsurance and copays ranging from $0 to $450. You'll also find coverage for emergency services, primary care, preventive services, hearing, vision, and dental services, often with no copay. Additional benefits of this plan include ambulance services with a $315 copay, and coverage for home health, skilled nursing, and home infusion services. The plan also covers acupuncture, over-the-counter items up to $1200 per year, and a meal benefit, all with no copay. However, some services like cardiac rehabilitation and private duty nursing are not covered.
Inpatient Hospital See details
Inpatient Hospital benefits include coverage for Inpatient Hospital-Acute and Inpatient Hospital Psychiatric services. For Inpatient Hospital-Acute, you will pay a $399 copay for days 1-6, and no copay for days 7-90, with additional days 91-999 having no copay; Non-Medicare-covered Stay and Upgrades are not covered. For Inpatient Hospital Psychiatric, you will pay a $399 copay for days 1-5, and no copay for days 6-90, and Additional Days and Non-Medicare-covered Stay are not covered.
Outpatient Services See details
Outpatient Services, including outpatient hospital services, observation services, ambulatory surgical center services, outpatient substance abuse services, and outpatient blood services, are covered. Outpatient Hospital Services have a 20% coinsurance and a copay between $0 and $450, while Observation Services have a $399 copay, and Ambulatory Surgical Center Services have no copay. Individual and Group Sessions for Outpatient Substance Abuse have a 20% coinsurance, and Outpatient Blood Services have no copay.
Partial Hospitalization See details
Partial Hospitalization is covered under this plan, but requires prior authorization. The copay for this benefit is $80.
Ambulance and Transportation Services See details
Ambulance and Transportation Services are covered, with prior authorization required for all ambulance services. Ground and Air Ambulance Services have a $315 copay, and there is no coinsurance. Transportation Services to any health-related location are not covered.
Emergency Services See details
Emergency Services, Urgently Needed Services, and Worldwide Emergency Services are covered under the Humana Dual Select H6622-027 (HMO-POS D-SNP) plan. Emergency Services has a copay of $110, Urgently Needed Services has a copay of $45, and Worldwide Emergency Coverage, Worldwide Urgent Coverage, and Worldwide Emergency Transportation each have a copay of $110.
Primary Care See details
Primary Care Physician Services are covered with no copay, while Chiropractic Services have a 20% coinsurance and require prior authorization. Physician Specialist Services have a $25 copay, and Mental Health Specialty Services have a 20% coinsurance. Podiatry Services have a $25 copay, and Other Health Care Professional services have a copay between $0 and $25. Additional Telehealth Benefits have a 20% coinsurance and a copay between $0 and $45, and Physical Therapy and Speech-Language Pathology Services have a 20% coinsurance.
Preventive Services See details
Preventive Services include annual physical exams with no copay, and additional preventive services including Fitness Benefit, Glaucoma Screening, Diabetes Self-Management Training, Barium Enemas, Digital Rectal Exams, and EKG following Welcome Visit with no copay. Health Education, In-Home Safety Assessment, Personal Emergency Response System (PERS), Medical Nutrition Therapy (MNT), Post discharge In-Home Medication Reconciliation, Re-admission Prevention, Wigs for Hair Loss Related to Chemotherapy, Weight Management Programs, Alternative Therapies, Therapeutic Massage, Adult Day Health Services, Nutritional/Dietary Benefit, Home-Based Palliative Care, In-Home Support Services, Support for Caregivers of Enrollees, Additional Sessions of Smoking and Tobacco Cessation Counseling, Enhanced Disease Management, Telemonitoring Services, Remote Access Technologies (including Web/Phone-based technologies and Nursing Hotline), Home and Bathroom Safety Devices and Modifications, and Counseling Services are not covered.
Hearing Services See details
Hearing exams are covered with a $25 copay, and routine hearing exams and fitting/evaluation for hearing aids are covered with no copay. Prescription hearing aids are partially covered, but the sub-services Prescription Hearing Aids - Inner Ear, Outer Ear, and Over the Ear are not covered, and OTC hearing aids are not covered.
Vision Services See details
The Humana Dual Select H6622-027 (HMO-POS D-SNP) plan covers vision services including routine eye exams with no copay, and eyewear with a combined maximum plan benefit coverage amount of $450.00 per year, also with no copay. Eyeglass lenses, eyeglass frames, and upgrades are not covered.
Dental Services See details
The Humana Dual Select H6622-027 (HMO-POS D-SNP) plan covers dental services, including oral exams, dental X-rays, other diagnostic dental services, prophylaxis (cleaning), other preventive dental services, restorative services, adjunctive general services, endodontics, periodontics, prosthodontics (removable and fixed), and oral and maxillofacial surgery with no copay. Other dental services have a $2,500 maximum per year. Fluoride treatment, 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 H6622-027 (HMO-POS D-SNP), with prior authorization required. For Medicare Part B Insulin Drugs, there is a $35 copay and a coinsurance between 0% and 20%. Other Medicare Part B Drugs have no copay, and a coinsurance between 0% and 20%.
Dialysis Services See details
Dialysis Services are covered under the Humana Dual Select H6622-027 (HMO-POS D-SNP) plan, but require prior authorization. The coinsurance for Dialysis Services is 20%.
Medical Equipment See details
Medical Equipment is covered, including Durable Medical Equipment (DME) with 20% coinsurance, Prosthetics/Medical Supplies with 20% coinsurance, and Diabetic Equipment with 20% coinsurance for Medicare-covered Diabetic Therapeutic Shoes or Inserts and Medicare-covered Diabetes Supplies. The plan does not cover Durable Medical Equipment for use outside the home, and has no copay for Diabetic Supplies and Diabetic Therapeutic Shoes/Inserts.
Diagnostic and Radiological Services See details
The Humana Dual Select H6622-027 (HMO-POS D-SNP) plan covers Diagnostic and Radiological Services, including Diagnostic Procedures/Tests with a maximum 20% coinsurance and a maximum $45 copay, and Lab Services with a maximum 20% coinsurance and no copay. Diagnostic Radiological Services have a maximum $325 copay, while Therapeutic Radiological Services have a maximum 20% coinsurance and a maximum $25 copay. Outpatient X-Ray Services have no copay.
Home Health Services See details
Home Health Services are covered by the Humana Dual Select H6622-027 (HMO-POS D-SNP) plan with no copay and no coinsurance. Additional Hours of Care and Personal Care Services are not covered.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are not covered by the Humana Dual Select H6622-027 (HMO-POS D-SNP) plan. Though the plan covers some cardiac and pulmonary rehabilitation services, all of the sub-services are not covered.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) services are covered by Humana Dual Select H6622-027 (HMO-POS D-SNP), with a $0 copay for days 1-20, and a $214 copay for days 21-100. Additional days beyond Medicare-covered and non-Medicare-covered stays for SNF are not covered.
Other Services See details
The Humana Dual Select H6622-027 (HMO-POS D-SNP) plan covers acupuncture with a $25 copay and over-the-counter (OTC) items with a maximum benefit coverage amount of $1200 per year. The plan also covers a meal benefit with no copay. Several other services are not covered, including Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) Services, Private Duty Nursing Services, and Case Management (Long Term Care).
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