HumanaChoice SNP-DE H7617-006 (PPO D-SNP)

HumanaChoice SNP-DE H7617-006 (PPO D-SNP) is a PPO D-SNP plan offered by Humana Inc. available for enrollment in 2026 to people living in Select Counties in Missouri. This plan received an overall rating of 4.5 out of 5 stars in 2026.

It's important to know that HumanaChoice SNP-DE H7617-006 (PPO 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 HumanaChoice SNP-DE H7617-006 (PPO 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 HumanaChoice SNP-DE H7617-006 (PPO D-SNP) prescription drug plan features an annual drug deductible of $615. For Tier 1 preferred generic and Tier 2 generic medications, members enjoy no copay for 1-month and 3-month supplies at standard pharmacies and through preferred mail order. Standard mail order delivery for these generic tiers requires a copayment, such as a $10 copay for Tier 1 or a $20 copay for Tier 2 for a 1-month supply. For Tier 3 preferred brand, Tier 4 non-preferred, and Tier 5 specialty drugs, the plan charges a consistent 25% coinsurance. This 25% coinsurance applies to both 1-month and 3-month supplies across standard pharmacies, preferred mail order, and standard mail order services. Understanding these copay and coinsurance details helps you accurately estimate your yearly out-of-pocket prescription costs.

Additional Benefits

The HumanaChoice SNP-DE H7617-006 (PPO D-SNP) plan offers comprehensive coverage for core medical services, though cost-sharing applies to several key benefits. Inpatient hospital stays require a $2,230 copay for acute care and a $2,080 copay for psychiatric care with no coinsurance, while outpatient hospital services and primary care visits generally feature no copay and a 20% coinsurance. Emergency room visits carry a $115 copay, which is waived if you are admitted, and urgently needed services require a 20% coinsurance up to $40. For supplemental care, the plan provides generous benefits with no copay and no coinsurance for preventive dental, routine vision eyewear up to a $550 annual limit, and select hearing aids. Additionally, members can access up to 100 one-way transportation trips per year and routine home health services with no copay and no coinsurance. Other services like durable medical equipment, diagnostic tests, and dialysis generally require a 20% coinsurance with no copay.