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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 2026, 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 2026.
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 $29.00. 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 H6622-027 (HMO-POS D-SNP) prescription drug plan has an annual drug deductible of $615. For Tier 1 preferred generic and Tier 2 generic drugs, you will pay no copay for a 1-month or 3-month supply at standard pharmacies and through preferred mail order. Standard mail order deliveries for these generic tiers require a copay, ranging from $10 to $30 for Tier 1 and $20 to $60 for Tier 2. For Tier 3 preferred brand, Tier 4 non-preferred, and Tier 5 specialty drugs, you will pay a 25% coinsurance across standard pharmacies, preferred mail order, and standard mail order options. This 25% coinsurance applies to both 1-month and 3-month supplies for Tiers 3 and 4, and to 1-month supplies for Tier 5 specialty medications. These cost-sharing tiers help you understand your out-of-pocket prescription expenses under this Humana Medicare Advantage plan.
Additional Benefits
The Humana Dual Select H6622-027 (HMO-POS D-SNP) plan offers comprehensive medical coverage with no copay for primary care visits, preventive services, and home health care. Specialist visits require a $25 copay, while emergency room services carry a $115 copay that is waived if you are admitted. For inpatient hospital stays, members pay a $399 copay for days 1 through 6 of acute care, with no copay for day 7 and beyond. This plan also features robust supplemental benefits, including no copay for routine eye exams and eyewear up to a $450 limit, alongside no copay for dental care up to a $2,500 annual maximum. Routine hearing exams and hearing aids are covered with no copay, while medical equipment and dialysis services require a 20% coinsurance. Members can also access over-the-counter items and chronic illness meals with no copay.
Inpatient Hospital See details
Humana Dual Select H6622-027 (HMO-POS D-SNP) covers inpatient hospital services with no coinsurance, requiring prior authorization for both acute and psychiatric stays. For acute stays, there is a $399 copay for days 1-6 and no copay for days 7 and beyond (with unlimited additional days), while psychiatric stays require a $399 copay for days 1-5 and no copay for days 6-90. Non-Medicare-covered stays, hospital upgrades, and additional psychiatric days are not covered.
Outpatient Services See details
Humana Dual Select H6622-027 (HMO-POS D-SNP) covers outpatient hospital services with no coinsurance and a copay ranging from $0 to $450, alongside a $399 copay per stay for observation services. Ambulatory surgical center and outpatient blood services are covered with no copay and no coinsurance, while outpatient substance abuse sessions require a $35 copay and no coinsurance.
Partial Hospitalization See details
Humana Dual Select H6622-027 (HMO-POS D-SNP) covers partial hospitalization services with a $35.00 copay and no coinsurance. Prior authorization is required to receive this benefit.
Ambulance and Transportation Services See details
Humana Dual Select H6622-027 (HMO-POS D-SNP) covers Medicare-approved ground and air ambulance services with a $335 copay and no coinsurance, subject to prior authorization. Although some transportation services are covered, transportation to plan-approved or any health-related locations is not covered.
Emergency Services See details
Emergency services are covered by Humana Dual Select H6622-027 (HMO-POS 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 H6622-027 (HMO-POS D-SNP) covers primary care physician services with no copay and no coinsurance, and specialist visits with a $25 copay and no coinsurance. Physical, occupational, and speech therapies require no copay and a 20% coinsurance, while mental health, psychiatric, and podiatry services have copays ranging from $25 to $35 with no coinsurance; chiropractic services are not covered.
Preventive Services See details
Preventive services are partially covered under the Humana Dual Select H6622-027 (HMO-POS D-SNP) plan, providing Medicare-covered preventive services, annual physical exams, kidney disease education, and a memory fitness benefit with no copay and no coinsurance. However, many additional preventive services are not covered, including health education, weight management, in-home safety assessments, personal emergency response systems, and nutritional therapy.
Hearing Services See details
Humana Dual Select H6622-027 (HMO-POS D-SNP) partially covers hearing services with no coinsurance across all benefits. Medicare-covered exams require a $25 copay and prior authorization, while routine exams, fitting evaluations, OTC hearing aids, and prescription hearing aids feature no copay. However, prescription hearing aids for the inner ear, outer ear, and over the ear are not covered.
Vision Services See details
Vision services are partially covered by Humana Dual Select H6622-027 (HMO-POS D-SNP), offering no coinsurance and no copay for one routine eye exam and one pair of contact lenses or eyeglasses (lenses and frames) per year, up to a $450 maximum limit. Other eye exam services, separate eyeglass lenses, separate eyeglass frames, and upgrades are not covered.
Dental Services See details
Humana Dual Select H6622-027 (HMO-POS D-SNP) offers partially covered dental services, featuring Medicare-covered dental with a $25 copay and no coinsurance, and other dental services with no copay and no coinsurance up to a $2,500 annual maximum. While many diagnostic, preventive, and restorative services are covered, 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, requiring a 0% to 20% coinsurance for chemotherapy, radiation, and other Part B drugs. Covered Part B insulin has a $35 copay and 0% to 20% coinsurance, while other Part B drugs feature no copay and 0% to 20% coinsurance.
Dialysis Services See details
Humana Dual Select H6622-027 (HMO-POS D-SNP) covers dialysis services with no copay and a 20% coinsurance. Prior authorization is required for this covered benefit.
Medical Equipment See details
Humana Dual Select H6622-027 (HMO-POS D-SNP) covers medical equipment, including durable medical equipment, prosthetics, medical supplies, and diabetic supplies, with a 20% coinsurance and no copay. Diabetic therapeutic shoes and inserts are also covered with no copay, and prior authorization is required for these services.
Diagnostic and Radiological Services See details
Diagnostic and radiological services are covered by Humana Dual Select H6622-027 (HMO-POS D-SNP) under prior authorization, featuring a 20% coinsurance for labs and diagnostic tests with copays ranging from no copay up to $40. Diagnostic radiology requires no copay or coinsurance, outpatient x-rays have no copay but require coinsurance, and therapeutic radiology carries a minimum 20% coinsurance and $25 copay.
Home Health Services See details
Humana Dual Select H6622-027 (HMO-POS D-SNP) covers home health services with no copay and no coinsurance. Prior authorization is required to receive this benefit.
Cardiac Rehabilitation Services See details
Humana Dual Select H6622-027 (HMO-POS D-SNP) requires prior authorization for Cardiac Rehabilitation Services, and while some services are covered, several key sub-services are not. Specifically, cardiac rehabilitation (20% coinsurance), intensive cardiac rehabilitation (20% coinsurance), pulmonary rehabilitation ($25 copay), and SET for PAD services ($20 copay) are not covered.
Skilled Nursing Facility (SNF) See details
Humana Dual Select H6622-027 (HMO-POS D-SNP) partially covers Skilled Nursing Facility (SNF) services with no coinsurance, as additional days beyond the Medicare-covered limit are not covered. Stays require prior authorization but no prior three-day inpatient hospital stay, featuring no copay for days 1 through 20 and a $218 daily copay for days 21 through 100.
Other Services See details
Humana Dual Select H6622-027 (HMO-POS D-SNP) partially covers other services, offering acupuncture for a $25 copay and no coinsurance, up to 20 treatments yearly. Over-the-counter items and chronic illness meals are covered with no copay and no coinsurance, though prior authorization is required for acupuncture and meals, and highly integrated SNP services are not covered.
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