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Humana Full Access H7617-025 (PPO)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for Humana Full Access H7617-025 (PPO). The information on this page is a summary only.
For a complete listing of all available benefits and cost information on Humana Full Access H7617-025 (PPO) in 2026, please refer to our full plan details page.
Humana Full Access H7617-025 (PPO) is a PPO plan offered by Humana Inc. available for enrollment in 2026 to people living in Select Counties in UT. This plan received an overall rating of 4.5 out of 5 stars in 2026.
It's important to know that Humana Full Access H7617-025 (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 Full Access H7617-025 (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 Full Access H7617-025 (PPO), 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 combined Maximum Out-Of-Pocket cost of $5500.00 (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 $5500.00 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 Full Access H7617-025 (PPO) Medicare prescription drug plan features an annual drug deductible of $615. For Tier 1 preferred generic drugs, members enjoy no copay when using standard pharmacies or preferred mail order services. Tier 2 generic medications cost as little as a $5 copay for a 1-month supply, with no copay for a 3-month supply when ordered through preferred mail order. Tier 3 preferred brand drugs require a $47 copay for a 1-month supply at standard pharmacies and mail order options. Higher-tier prescriptions, such as Tier 4 non-preferred drugs, carry a 50% coinsurance, while Tier 5 specialty medications require a 25% coinsurance. Utilizing preferred mail order and standard pharmacies can help you minimize out-of-pocket costs with this Humana PPO plan.
Additional Benefits
The Humana Full Access H7617-025 (PPO) plan offers robust medical coverage with affordable out-of-pocket costs, featuring no copays and no coinsurance for primary care visits, preventive care, and home health services. Specialist visits require a low $10 copay, while emergency care has a $115 copay that is waived upon hospital admission. For inpatient hospital stays, members pay a $395 daily copay for days one through five and no copay for days six through ninety, with no coinsurance required. This plan also includes strong supplemental benefits, such as routine dental care with no copay up to a $2,000 annual limit, alongside routine vision and hearing exams with no copay. While many diagnostic procedures and outpatient services feature no coinsurance, durable medical equipment requires a 15% coinsurance and dialysis services carry a 20% coinsurance. With no deductibles for key services and a focus on low copayments, this plan is designed to keep healthcare highly accessible and budget-friendly.
Inpatient Hospital See details
Humana Full Access H7617-025 (PPO) inpatient hospital benefits are partially covered with no coinsurance, requiring a $395 copay per day for days 1 through 5 and no copay for days 6 through 90 for both acute and psychiatric stays. Non-Medicare-covered stays, hospital upgrades, and additional psychiatric days beyond 90 days are not covered.
Outpatient Services See details
Humana Full Access H7617-025 (PPO) covers outpatient services with no coinsurance, featuring no copay for ambulatory surgical center and outpatient blood services. Outpatient hospital and observation services require copays ranging from no copay up to $395, while outpatient substance abuse sessions have a copay of up to $35, with prior authorization required for these benefits.
Partial Hospitalization See details
Partial hospitalization services are covered by Humana Full Access H7617-025 (PPO) with a $35.00 copay and no coinsurance. Prior authorization is required for this covered benefit.
Ambulance and Transportation Services See details
Humana Full Access H7617-025 (PPO) covers ground ambulance services with a $335 copay and air ambulance services with a $1,250 copay, both with no coinsurance, while other transportation services to health-related locations are not covered.
Emergency Services See details
Humana Full Access H7617-025 (PPO) covers emergency services with a $115 copay and no coinsurance, and this copay 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 $115 copay and no coinsurance.
Primary Care See details
Humana Full Access H7617-025 (PPO) features primary care, mental health, and psychiatric services with no copay and no coinsurance, while specialist visits cost a $10 copay with no coinsurance. Physical, occupational, and speech therapies require a $25 copay and no coinsurance, but chiropractic and podiatry services are not covered under this plan.
Preventive Services See details
Humana Full Access H7617-025 (PPO) covers preventive services, including annual physical exams, kidney disease education, and glaucoma screenings, with no copay and no coinsurance. Additional preventive benefits are only partially covered, providing a fitness benefit with no copay and no coinsurance, while excluding services such as health education, weight management, and in-home safety assessments.
Hearing Services See details
Hearing services are partially covered under the Humana Full Access H7617-025 (PPO) plan, featuring a $10 copay and no coinsurance for Medicare-covered exams, and routine exams and fitting evaluations with no copay and no coinsurance. Up to two prescription hearing aids are covered per year with copays ranging from $699 to $999 and no coinsurance, but OTC, inner ear, outer ear, and over-the-ear hearing aids are not covered.
Vision Services See details
Humana Full Access H7617-025 (PPO) features partially covered vision services with no deductible, no coinsurance, no copay to a $10 copay for eye exams, and no copay for eyewear. While routine eye exams, contact lenses, and eyeglasses (lenses and frames) are covered, other eye exam services, separate eyeglass lenses, separate eyeglass frames, and upgrades are not covered.
Dental Services See details
Humana Full Access H7617-025 (PPO) partially covers dental services with up to a $2,000 annual maximum benefit for both in-network and out-of-network care. Most covered dental services require no copay and no coinsurance, while Medicare-covered dental services have a $10 copay and no coinsurance; however, fluoride treatments, maxillofacial prosthetics, implant services, and orthodontics are not covered.
Home Infusion bundled Services See details
Humana Full Access H7617-025 (PPO) covers home infusion bundled services with no copay, though prior authorization is required. Medicare Part B chemotherapy, insulin, and other drugs are covered with coinsurance ranging from no coinsurance to 20%, with insulin also requiring a $35 copay.
Dialysis Services See details
Dialysis Services are covered by Humana Full Access H7617-025 (PPO) with no copay and a 20% coinsurance. Prior authorization is required to receive these covered services.
Medical Equipment See details
Humana Full Access H7617-025 (PPO) covers durable medical equipment (DME), prosthetics, and medical supplies with a 15% coinsurance and no copay, subject to prior authorization. Diabetic supplies are covered with a 10% to 20% coinsurance and no copay, while diabetic therapeutic shoes and inserts require a $10 copay and no coinsurance.
Diagnostic and Radiological Services See details
Diagnostic and radiological services are covered under the Humana Full Access H7617-025 (PPO) plan, with prior authorization required. Diagnostic procedures and lab services have no coinsurance, with copays ranging from $0 to $50, while radiological services require a minimum 20% coinsurance for therapeutic services, a minimum $0 copay for diagnostic services, and no copay for outpatient X-rays.
Home Health Services See details
Humana Full Access H7617-025 (PPO) covers home health services with no copay and no coinsurance, although prior authorization is required.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are covered under the Humana Full Access H7617-025 (PPO) plan with no coinsurance, but while some services are covered, standard cardiac, intensive cardiac, pulmonary, and supervised exercise therapy (SET) for symptomatic peripheral artery disease (PAD) services are not covered and require a $10 copay.
Skilled Nursing Facility (SNF) See details
Humana Full Access H7617-025 (PPO) covers Skilled Nursing Facility (SNF) services with no coinsurance, requiring prior authorization but no prior three-day inpatient hospital stay. There is no copay for days 1 to 20 and days 51 to 100, while days 21 to 50 require a $218 daily copay; additional days beyond the Medicare-covered 100-day limit are not covered.
Other Services See details
Other services under the Humana Full Access H7617-025 (PPO) are partially covered, offering acupuncture with a $10 copay and no coinsurance for up to 20 treatments per year, alongside a chronic illness meal benefit with no copay and no coinsurance. Prior authorization is required for these covered services, while Over-the-Counter (OTC) items are not covered.
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