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Humana Full Access H7617-029 (PPO)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for Humana Full Access H7617-029 (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 H7617-029 (PPO) in 2026, please refer to our full plan details page.
Humana Full Access H7617-029 (PPO) is a PPO plan offered by Humana Inc. available for enrollment in 2026 to people living in Austin area. This plan received an overall rating of 4.5 out of 5 stars in 2026.
It's important to know that Humana Full Access H7617-029 (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 H7617-029 (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 H7617-029 (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 $1.00. You must continue to pay paying your reduced Part B Premium.
Deductibles
This plan has a $300.00 health deductible. This means, every calendar year, you pay this amount towards covered services before your insurance coverage kicks in.
This plan has a $420.00 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 $11700.00 (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 $11700.00 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 H7617-029 (PPO) plan features an annual prescription drug deductible of $420. 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 budget-friendly, costing a $9 copay for a 1-month supply at standard pharmacies or no copay for a 3-month supply through preferred mail order. Tier 3 preferred brand-name drugs require a $47 copay for a 1-month supply across standard pharmacies and mail order services. Higher-tier medications require coinsurance, with Tier 4 non-preferred drugs carrying a 44% coinsurance and Tier 5 specialty drugs requiring a 28% coinsurance. Understanding these copays and coinsurance rates helps you maximize your benefits under this Humana Medicare Advantage plan.
Additional Benefits
The Humana Full Access H7617-029 (PPO) plan offers strong coverage with no copays for primary care visits, preventive services, home health, and the first 20 days of skilled nursing facility stays. For specialist visits, patients can expect a $40 copay, while inpatient hospital stays require a daily copay of $350 for the first six days of acute care. Emergency services are covered with a $115 copay, which is waived upon hospital admission, and urgent care carries a $40 copay. Additional benefits include routine dental, vision, and hearing services, which feature no copays for basic preventive care, routine exams, and over-the-counter hearing aids. Prescription hearing aids require a copay between $199 and $499, and Medicare-covered dental services have a $40 copay. Durable medical equipment and dialysis services are covered with coinsurance rates of 15% and 20% respectively, with no copays required.
Inpatient Hospital See details
Humana Full Access H7617-029 (PPO) partially covers inpatient hospital services with no coinsurance, requiring a daily copay of $350 for days 1 through 6 of acute stays and $335 for days 1 through 6 of psychiatric stays, with no copay for subsequent days. Prior authorization is required, and upgrades, non-Medicare-covered stays, and additional psychiatric days are not covered.
Outpatient Services See details
Humana Full Access H7617-029 (PPO) covers outpatient services with no coinsurance, featuring a $0 to $330 copay for outpatient hospital visits, a $350 copay per stay for observation services, and no copay for ambulatory surgical center and blood services. Outpatient substance abuse services are also covered with no coinsurance and a $30 to $35 copay per session, with prior authorization required for most of these services.
Partial Hospitalization See details
Partial hospitalization is covered under the Humana Full Access H7617-029 (PPO) plan with a $35.00 copay and no coinsurance. Prior authorization is required for these services.
Ambulance and Transportation Services See details
Humana Full Access H7617-029 (PPO) covers ground ambulance services with a $335 copay and no coinsurance, while air ambulance services require a 20% coinsurance and no copay. Prior authorization is required for ambulance services, and additional transportation services are not covered.
Emergency Services See details
Humana Full Access H7617-029 (PPO) covers emergency services with a $115 copay and no coinsurance, which is waived if you are admitted to the hospital within 24 hours. Urgently needed services are covered with a $40 copay and no coinsurance, while worldwide emergency, urgent care, and emergency transportation are available with a $115 copay and no coinsurance.
Primary Care See details
Humana Full Access H7617-029 (PPO) covers primary care physician services with no copay and no coinsurance, and specialist visits with a $40 copay and no coinsurance. Chiropractic services are partially covered with a $15 copay and no coinsurance, excluding routine and other chiropractic services, while podiatry is not covered.
Preventive Services See details
Humana Full Access H7617-029 (PPO) preventive services are covered with no copays and no coinsurance, including annual physical exams, kidney disease education, and glaucoma screenings. Additional preventive benefits are only partially covered, offering a memory fitness benefit but excluding services such as health education, weight management, and in-home safety assessments.
Hearing Services See details
Humana Full Access H7617-029 (PPO) covers hearing services, featuring routine exams and fitting evaluations with no copay and no coinsurance, and Medicare-covered exams for a $40 copay and no coinsurance. Prescription hearing aids are partially covered with a copay between $199 and $499 and no coinsurance—excluding inner ear, outer ear, and over the ear types—while over-the-counter hearing aids are covered with no copay and no coinsurance.
Vision Services See details
Vision services are partially covered by Humana Full Access H7617-029 (PPO) with no deductible, no coinsurance, and prior authorization required. Routine eye exams and eyewear, such as contact lenses and complete eyeglasses, are covered with no copay up to annual limits of $40 and $300 respectively, though other eye exams, separate lenses, frames, and upgrades are not covered.
Dental Services See details
Humana Full Access H7617-029 (PPO) dental services are partially covered, featuring a $40 copay and no coinsurance for Medicare-covered dental, and no copay or coinsurance for other covered services up to a $1,500 annual maximum. While preventive care like cleanings and exams are covered, fluoride, implants, orthodontics, maxillofacial prosthetics, and removable prosthodontics are not covered.
Home Infusion bundled Services See details
Home Infusion bundled Services are covered by Humana Full Access H7617-029 (PPO) with no copay, though prior authorization is required. Associated Medicare Part B chemotherapy, radiation, and other drugs feature no coinsurance to 20% coinsurance, while Part B insulin drugs require a $35 copay and no coinsurance to 20% coinsurance.
Dialysis Services See details
Dialysis Services are covered by the Humana Full Access H7617-029 (PPO) plan with no copay and a 20% coinsurance, and prior authorization is required.
Medical Equipment See details
Humana Full Access H7617-029 (PPO) covers durable medical equipment (DME) with a 15% coinsurance and no copay. Prosthetics and medical supplies are covered with a 10% to 13% coinsurance and no copay, while diabetic supplies carry a 10% to 20% coinsurance and no copay. Diabetic therapeutic shoes and inserts are also covered with a $10 copay, though prior authorization is required for most of these benefits.
Diagnostic and Radiological Services See details
Humana Full Access H7617-029 (PPO) covers diagnostic services with no coinsurance, offering lab services with no copay and diagnostic tests with copays ranging from no copay up to $175. Covered radiological services include outpatient X-rays with no copay, diagnostic radiology with a minimum of no copay, and therapeutic radiology with a minimum 20% coinsurance and a $40 copay.
Home Health Services See details
Humana Full Access H7617-029 (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 by Humana Full Access H7617-029 (PPO) with no coinsurance, though prior authorization is required. While some services are covered, standard cardiac, intensive cardiac, pulmonary, and SET for PAD rehabilitation services are not covered in practice, carrying copayments between $15 and $20.
Skilled Nursing Facility (SNF) See details
Humana Full Access H7617-029 (PPO) provides partially covered Skilled Nursing Facility (SNF) services with no coinsurance, requiring prior authorization but no prior three-day hospital stay. Covered days feature no copay for days 1 to 20 and a $218 daily copay for days 21 to 100, while additional days beyond the Medicare-covered limit are not covered.
Other Services See details
Humana Full Access H7617-029 (PPO) covers acupuncture with a $40 copay and no coinsurance for up to 20 treatments per year, while over-the-counter items and meal benefits are covered with no copay and no coinsurance. Prior authorization is required for acupuncture and meals, and other miscellaneous services under this benefit category are not covered.
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