A non-government entity
HumanaChoice Giveback H7617-015 (PPO)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for HumanaChoice Giveback H7617-015 (PPO). The information on this page is a summary only.
For a complete listing of all available benefits and cost information on HumanaChoice Giveback H7617-015 (PPO) in 2026, please refer to our full plan details page.
HumanaChoice Giveback H7617-015 (PPO) is a PPO plan offered by Humana Inc. available for enrollment in 2026 to people living in Select Counties in Kansas. This plan received an overall rating of 4.5 out of 5 stars in 2026.
It's important to know that HumanaChoice Giveback H7617-015 (PPO) 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 Giveback H7617-015 (PPO).
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 HumanaChoice Giveback H7617-015 (PPO), 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 $71.00. You must continue to pay paying your reduced Part B Premium.
Deductibles
This plan has a $500.00 health deductible. This means, every calendar year, you pay this amount towards covered services before your insurance coverage kicks in.
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 combined Maximum Out-Of-Pocket cost of $10100.00 (in-network or out-of-network combined). You will pay copays, coinsurance, and deductibles toward this amount. Once your total out-of-pocket costs reach $10100.00 for covered services, the plan will pay 100% of covered costs for the rest of the year.
The plan may have separate out-pocket-maximums for in-network and out-of-network services. See our full plan details page for more information.
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:
Sign up for HumanaChoice Giveback H7617-015 (PPO)
Need help deciding? Talk with one of our licensed insurance specialists 1-877-649-2073 / TTY 711. 8am-11pm EST. 7 days a week
Drug Coverage
The HumanaChoice Giveback H7617-015 (PPO) plan features an annual drug deductible of $615. For Tier 1 preferred generic drugs, you will pay no copay for a 1-month or 3-month supply at standard pharmacies and through preferred mail order. Tier 2 generic drugs are also highly affordable, featuring no copay for a 3-month supply through preferred mail order and a low $10 copay for a 1-month supply at standard pharmacies. Tier 3 preferred brand drugs require a $47 copay for a 1-month supply across standard pharmacies and mail order services. For higher-tier medications, the plan charges a 50% coinsurance for Tier 4 non-preferred drugs and a 25% coinsurance for Tier 5 specialty drugs.
Additional Benefits
The HumanaChoice Giveback H7617-015 (PPO) plan offers comprehensive medical coverage featuring no copay for primary care visits and a $45 copay for specialist visits. Inpatient hospital stays require a $450 daily copay for the first five days and no copay for days six through 90, while emergency room visits carry a $130 copay that is waived if you are admitted. Outpatient services generally feature no coinsurance, with copays ranging from no copay for ambulatory surgical centers to up to $300 for outpatient hospital services. For supplemental care, the plan provides robust dental benefits up to a $5,000 annual limit with no copay for preventive services, alongside no copay for routine vision and hearing exams. Home health services are fully covered with no copay or coinsurance, while durable medical equipment and dialysis services require a 20% coinsurance. Additionally, members benefit from no copay on over-the-counter items and chronic illness meals.
Inpatient Hospital See details
HumanaChoice Giveback H7617-015 (PPO) covers inpatient acute and psychiatric hospital stays with no coinsurance, requiring a $450 daily copay for days 1 to 5 and no copay for days 6 to 90 per stay. This benefit is partially covered, as additional days beyond day 90 are covered with no copay for acute care but not psychiatric care, and upgrades and non-Medicare-covered stays are not covered.
Outpatient Services See details
HumanaChoice Giveback H7617-015 (PPO) covers outpatient services with no coinsurance, offering no copay for ambulatory surgical center and blood services. Outpatient hospital services require a $0 to $300 copay, observation services have a $450 copay per stay, and outpatient substance abuse sessions carry a $30 to $35 copay, with prior authorization required for most services.
Partial Hospitalization See details
HumanaChoice Giveback H7617-015 (PPO) covers partial hospitalization services with a $35.00 copay and no coinsurance. Prior authorization is required to receive these covered services.
Ambulance and Transportation Services See details
Ambulance and transportation services are partially covered by HumanaChoice Giveback H7617-015 (PPO), with ground ambulance services requiring a $335 copay and no coinsurance, and air ambulance services requiring 20% coinsurance and no copay. Prior authorization is required for ambulance services, while plan-approved and health-related transportation services are not covered.
Emergency Services See details
HumanaChoice Giveback H7617-015 (PPO) covers emergency services with a $130 copay and no coinsurance, which is waived if you are admitted to the hospital within 24 hours. Urgently needed services require a $50 copay and no coinsurance, while worldwide emergency, urgent, and transportation services are covered with a $130 copay and no coinsurance.
Primary Care See details
HumanaChoice Giveback H7617-015 (PPO) covers primary care physician visits with no copay and no coinsurance, while specialists, physical therapy, and occupational therapy require a $45 copay and no coinsurance. Mental health and psychiatric services have a $30 copay with no coinsurance, telehealth ranges from a $0 to $50 copay with no coinsurance, and podiatry and routine chiropractic services are not covered.
Preventive Services See details
HumanaChoice Giveback H7617-015 (PPO) preventive services are partially covered with no copay and no coinsurance for annual physicals, kidney disease education, glaucoma screenings, and a memory fitness benefit. However, several supplemental options are not covered, including health education, in-home safety assessments, medical nutrition therapy, weight management programs, and caregiver support.
Hearing Services See details
HumanaChoice Giveback H7617-015 (PPO) covers Medicare-covered hearing exams for a $45 copay and no coinsurance, while routine exams, fitting evaluations, and OTC hearing aids are offered with no copay and no coinsurance. Prescription hearing aids are partially covered with no coinsurance and copays ranging from $199 to $799 for up to two devices per year, though inner ear, outer ear, and over the ear models are not covered.
Vision Services See details
Vision services are partially covered by HumanaChoice Giveback H7617-015 (PPO) with no deductibles, featuring no coinsurance and copays ranging from $0 to $45 for eye exams, and no copay or coinsurance for select eyewear. Annual benefits include one routine eye exam and one pair of eyeglasses or contact lenses, while other eye exam services, eyeglass lenses, eyeglass frames, and upgrades are not covered.
Dental Services See details
HumanaChoice Giveback H7617-015 (PPO) dental services are partially covered up to a $5,000 annual limit, featuring no copay and no coinsurance for preventive and most comprehensive services, while prosthodontics require a 30% coinsurance and no copay, and Medicare-covered dental has a $45 copay and no coinsurance. Fluoride treatments, implants, orthodontics, and maxillofacial prosthetics are not covered.
Home Infusion bundled Services See details
HumanaChoice Giveback H7617-015 (PPO) covers home infusion bundled services with no copay, though prior authorization and step therapy are required. Under this plan, Medicare Part B chemotherapy, radiation, and other drugs require no coinsurance to 20% coinsurance, while Medicare Part B insulin drugs require a $35 copay and no coinsurance to 20% coinsurance.
Dialysis Services See details
Dialysis services are covered under the HumanaChoice Giveback H7617-015 (PPO) plan with no copay and a 20% coinsurance. Prior authorization is required to receive these covered services.
Medical Equipment See details
HumanaChoice Giveback H7617-015 (PPO) covers durable medical equipment and prosthetic devices with a 20% coinsurance and no copay, while medical supplies require a 15% coinsurance and no copay. Diabetic supplies feature a 10% to 20% coinsurance and no copay, and diabetic therapeutic shoes or inserts require a $10 copay and applicable coinsurance.
Diagnostic and Radiological Services See details
HumanaChoice Giveback H7617-015 (PPO) covers diagnostic procedures and tests with a 20% coinsurance and a $0 to $50 copay, while lab services, diagnostic radiology, and outpatient X-rays feature no copay. Radiological services require no coinsurance, with therapeutic radiological services carrying a $30 copay.
Home Health Services See details
Home health services are covered by the HumanaChoice Giveback H7617-015 (PPO) plan with no copay and no coinsurance, although prior authorization is required.
Cardiac Rehabilitation Services See details
HumanaChoice Giveback H7617-015 (PPO) covers some cardiac rehabilitation services with no copay and no coinsurance, though prior authorization is required. Standard cardiac rehabilitation, intensive cardiac rehabilitation, pulmonary rehabilitation, and supervised exercise therapy (SET) for symptomatic peripheral artery disease (PAD) services are not covered.
Skilled Nursing Facility (SNF) See details
HumanaChoice Giveback H7617-015 (PPO) covers Skilled Nursing Facility (SNF) services with no coinsurance, requiring a $10 daily copay for days 1 through 20 and a $218 daily copay for days 21 through 100. Prior authorization is required, and while a prior three-day inpatient hospital stay is not necessary, additional days beyond the standard 100-day Medicare-covered limit are not covered.
Other Services See details
Other services are partially covered by HumanaChoice Giveback H7617-015 (PPO), which excludes some optional supplemental services but covers acupuncture, over-the-counter (OTC) items, and meals. Acupuncture requires prior authorization and has a $45 copay and no coinsurance for up to 20 yearly treatments, while OTC items and chronic illness meals are provided with no copay and no coinsurance.
Get Personalized Help from a licensed insurance agent
1-877-649-2073 / TTY 711. 8am-11pm EST. 7 days a week
*/SMID: MULTIPLAN_HCIHNMEDADVRX25_HCI_M
MedicareAdvantageRX.com is owned and operated by Dog Media Solutions LLC.
This is a promotional communication.
Every year, Medicare evaluates plans based on a 5-star rating system.
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.
Enrollment in Medicare/Medicare Advantage may be limited to certain times of the year unless you qualify for a Special Enrollment Period
We do not offer every plan available in your area. Currently, we represent 18 organizations, which offer 52,101 products in your area. Please contact Medicare.gov, 1-800-MEDICARE, or your local State Health Insurance Program (SHIP) to get information on all of your options.
We represent Medicare Advantage HMO, PPO and PFFS organizations and stand-alone PDP prescription drug plans that are contracted with Medicare. Enrollment depends on the plan's contract renewal.
Not all plans offer all of these benefits. Benefits may vary by carrier and location. Limitations and exclusions may apply.
Please contact Medicare.gov ,1-800-MEDICARE , or your local State Health Insurance Program (SHIP) to get information on all of your options.
Medicare has neither approved nor endorsed any information on this site.
Speak with a licensed insurance agent: 1-877-649-2073 / TTY 711 | 8am - 11pm ET | 7 days a week
© 2023 Dog Media Solutions LLC. All rights reserved