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Humana Essentials Plus Giveback H7617-017 (PPO)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for Humana Essentials Plus Giveback H7617-017 (PPO). The information on this page is a summary only.
For a complete listing of all available benefits and cost information on Humana Essentials Plus Giveback H7617-017 (PPO) in 2026, please refer to our full plan details page.
Humana Essentials Plus Giveback H7617-017 (PPO) is a PPO plan offered by Humana Inc. available for enrollment in 2026 to people living in Select Counties in Kansas City, MO-KS. This plan received an overall rating of 4.5 out of 5 stars in 2026.
It's important to know that Humana Essentials Plus Giveback H7617-017 (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 Humana Essentials Plus Giveback H7617-017 (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 Humana Essentials Plus Giveback H7617-017 (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 $78.00. You must continue to pay paying your reduced Part B Premium.
Deductibles
This plan has a $600.00 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:
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Drug Coverage
The Humana Essentials Plus Giveback H7617-017 (PPO) Medicare prescription drug coverage features an annual drug deductible of $615. For Tier 1 preferred generic drugs, there is no copay for a 1-month or 3-month supply filled at standard pharmacies or through preferred mail order. Tier 2 generic medications require a $10 copay for a 1-month supply at standard pharmacies, but you can obtain a 3-month supply with no copay when using preferred mail order. Tier 3 preferred brand drugs carry a $47 copay for a 1-month supply across standard pharmacies, preferred mail order, and standard mail order. For higher-tier medications, Tier 4 non-preferred drugs incur a 48% coinsurance, while Tier 5 specialty drugs require a 25% coinsurance. Understanding these specific copayments and coinsurance rates can help you accurately estimate your yearly out-of-pocket prescription costs with this Humana PPO plan.
Additional Benefits
The Humana Essentials Plus Giveback H7617-017 (PPO) plan offers robust core medical coverage, featuring no copays or coinsurance for primary care visits and preventive services. For inpatient hospital stays, members pay a $375 daily copay for the first seven days and no copay for subsequent days, while emergency room visits carry a $130 copay. Specialist visits, physical therapy, and mental health services are also accessible with a $30 copay and no coinsurance. This plan also includes valuable supplemental benefits, such as dental coverage up to $2,500 annually with no copays for most preventive and comprehensive services. Routine vision and hearing exams are available with no copays, alongside a $150 annual allowance for eyewear and copays ranging from $699 to $999 for prescription hearing aids. Additionally, home health services require no copay, while durable medical equipment carries a 20% coinsurance.
Inpatient Hospital See details
Humana Essentials Plus Giveback H7617-017 (PPO) covers inpatient acute hospital stays with no coinsurance, requiring a $375 daily copay for days 1 to 7 and no copay for subsequent and unlimited additional days. Inpatient psychiatric care is also covered with no coinsurance and a $334 daily copay for days 1 to 7, though upgrades, non-Medicare-covered stays, and additional psychiatric days are not covered.
Outpatient Services See details
Humana Essentials Plus Giveback H7617-017 (PPO) covers outpatient services with no coinsurance, featuring a $0 to $300 copay for outpatient hospital services and a $375 copay per stay for observation services. Ambulatory surgical center and blood services are covered with no copay and no coinsurance, while outpatient substance abuse sessions require a $30 to $35 copay with no coinsurance.
Partial Hospitalization See details
Partial hospitalization is covered by Humana Essentials Plus Giveback H7617-017 (PPO) with a $35.00 copay and no coinsurance, though prior authorization is required.
Ambulance and Transportation Services See details
Humana Essentials Plus Giveback H7617-017 (PPO) partially covers ambulance and transportation services, though transportation services to plan-approved or any health-related locations are not covered. Ground ambulance services require a $335 copay, air ambulance services require a 20% coinsurance, and prior authorization is required for all ambulance services.
Emergency Services See details
Humana Essentials Plus Giveback H7617-017 (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
Humana Essentials Plus Giveback H7617-017 (PPO) primary care benefits are partially covered, offering primary care physician visits with no copay and no coinsurance, though podiatry services are not covered. Specialist, physical therapy, and mental health services require a $30 copay and no coinsurance, while some chiropractic services are covered but routine and other chiropractic services are not. Telehealth services are also available with a $0 to $50 copay and no coinsurance.
Preventive Services See details
Humana Essentials Plus Giveback H7617-017 (PPO) provides coverage for annual physical exams, kidney disease education, and other preventive screenings with no copay and no coinsurance. Additional preventive services are only partially covered, featuring a memory fitness benefit with no copay, while sub-services such as health education, in-home safety assessments, and medical nutrition therapy are not covered.
Hearing Services See details
Humana Essentials Plus Giveback H7617-017 (PPO) covers hearing services with no deductible, offering Medicare-covered exams for a $30 copay and no coinsurance, alongside routine exams, fitting evaluations, and OTC hearing aids for no copay and no coinsurance. Prescription hearing aids are partially covered with no coinsurance and copays ranging from $699 to $999 for up to two devices per year, though inner ear, outer ear, and over the ear prescription hearing aids are not covered.
Vision Services See details
Humana Essentials Plus Giveback H7617-017 (PPO) partially covers vision services with no deductibles or coinsurance, though prior authorization is required. Eye exams feature a $0 to $30 copay (routine exams have no copay up to a $75 annual limit) and eyewear has no copay up to a $150 yearly limit for contacts or eyeglasses, but other eye exams, eyeglass lenses, eyeglass frames, and upgrades are not covered.
Dental Services See details
Dental services are partially covered by Humana Essentials Plus Giveback H7617-017 (PPO) up to an annual maximum of $2,500, though fluoride, implants, orthodontics, and maxillofacial prosthetics are not covered. Most covered preventive and comprehensive services feature no copay and no coinsurance, while Medicare-covered dental requires a $30 copay with no coinsurance, and prosthodontics require a 30% coinsurance with no copay.
Home Infusion bundled Services See details
Humana Essentials Plus Giveback H7617-017 (PPO) covers Home Infusion bundled Services with no copay and no coinsurance, though prior authorization is required. Covered Medicare Part B drugs, including chemotherapy, radiation, and insulin, carry a 0% to 20% coinsurance, with insulin specifically requiring a $35 copay.
Dialysis Services See details
Humana Essentials Plus Giveback H7617-017 (PPO) covers dialysis services with no copay and a 20% coinsurance. Prior authorization is required to receive these covered services.
Medical Equipment See details
Humana Essentials Plus Giveback H7617-017 (PPO) covers durable medical equipment and prosthetics with a 20% coinsurance and no copay, and medical supplies with a 15% coinsurance and no copay. Diabetic supplies are covered with a 10% to 20% coinsurance and no copay, while diabetic therapeutic shoes and inserts require a $10 copay.
Diagnostic and Radiological Services See details
Diagnostic and radiological services are covered by Humana Essentials Plus Giveback H7617-017 (PPO) with prior authorization required, featuring a 20% coinsurance and a $0 to $50 copay for diagnostic procedures. Lab services, outpatient X-rays, and diagnostic radiological services have no copay, and radiological services feature no coinsurance, except for therapeutic radiological services which require a copay starting at $30.
Home Health Services See details
Home Health Services are covered by the Humana Essentials Plus Giveback H7617-017 (PPO) plan with no copay and no coinsurance, although prior authorization is required.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are covered by Humana Essentials Plus Giveback H7617-017 (PPO) with no copay and no coinsurance, subject to prior authorization. While some services are covered, the plan does not cover cardiac rehabilitation, intensive cardiac rehabilitation, pulmonary rehabilitation, or supervised exercise therapy (SET) for symptomatic peripheral artery disease (PAD) services.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) services are covered by Humana Essentials Plus Giveback H7617-017 (PPO) with no coinsurance, requiring a $10 daily copay for days 1 to 20 and a $218 daily copay for days 21 to 100. Prior authorization is required, a prior three-day hospital stay is not necessary, and additional days beyond the standard 100 days are not covered.
Other Services See details
Other services covered by Humana Essentials Plus Giveback H7617-017 (PPO) include acupuncture with a $30 copay and no coinsurance, as well as over-the-counter items and chronic illness meal benefits with no copay and no coinsurance. Prior authorization is required for acupuncture and meal services, and acupuncture is limited to 20 treatments per year.
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