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Humana Value Choice H7617-030 (PPO)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for Humana Value Choice H7617-030 (PPO). The information on this page is a summary only.
For a complete listing of all available benefits and cost information on Humana Value Choice H7617-030 (PPO) in 2026, please refer to our full plan details page.
Humana Value Choice H7617-030 (PPO) is a PPO plan offered by Humana Inc. available for enrollment in 2026 to people living in Select Counties in MT. This plan received an overall rating of 4.5 out of 5 stars in 2026.
It's important to know that Humana Value Choice H7617-030 (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 Value Choice H7617-030 (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 Value Choice H7617-030 (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.
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 $400.00 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 $8500.00 (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 $8500.00 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 Value Choice H7617-030 (PPO) prescription drug plan features an annual drug deductible of $400. For Tier 1 preferred generic drugs, there is no copay for a 1-month or 3-month supply at standard pharmacies and through preferred mail order. Tier 2 generic drugs cost a $5 copay for a 1-month supply at standard pharmacies, with no copay required for a 3-month supply filled through preferred mail order. Tier 3 preferred brand drugs generally carry a $47 copay for a 1-month supply across standard pharmacies and mail order options. Tier 4 non-preferred drugs require a 50% coinsurance, while Tier 5 specialty drugs carry a 28% coinsurance for a 1-month supply. These structured copayments and coinsurance rates help you easily project your out-of-pocket prescription costs under this Humana PPO plan.
Additional Benefits
The Humana Value Choice H7617-030 (PPO) plan offers robust medical coverage with no copay for primary care doctor visits, preventive services, routine eye exams, and routine hearing exams. For specialized care, members pay a $40 copay for specialists and a $30 copay for physical or occupational therapy, while inpatient hospital stays require a daily copay of $425 for the first five days. Emergency care is accessible with a $115 copay, which is waived if you are admitted within 24 hours, and urgent care visits require a $50 copay. Additionally, this plan features a comprehensive dental benefit with no copay or coinsurance for covered services up to a $3,000 annual limit, alongside a $250 allowance for eyeglasses or contacts. Prescription hearing aids are covered with copays ranging from $699 to $999, and home health services are provided with no copay. Durable medical equipment carries a 14% coinsurance, while dialysis services and Medicare Part B drugs require up to a 20% coinsurance.
Inpatient Hospital See details
Humana Value Choice H7617-030 (PPO) covers inpatient hospital services with no coinsurance, requiring a $425 daily copay for days 1 through 5 of acute care and a $416 daily copay for days 1 through 5 of psychiatric care, with no copay for later days. This benefit is partially covered, as upgrades, non-Medicare-covered stays, and additional psychiatric care days are not covered.
Outpatient Services See details
Humana Value Choice H7617-030 (PPO) covers outpatient services with no coinsurance, featuring outpatient hospital copays from $0 to $495 and observation services at a $425 copay per stay. Ambulatory surgical center and outpatient blood services are covered with no copay and no coinsurance, while outpatient substance abuse sessions carry a copay of $0 to $35.
Partial Hospitalization See details
Humana Value Choice H7617-030 (PPO) covers partial hospitalization services with a $35 copay and no coinsurance. Prior authorization is required to access this benefit.
Ambulance and Transportation Services See details
Humana Value Choice H7617-030 (PPO) covers ground ambulance services with a $335 copay and air ambulance services with a $1,250 copay, both with no coinsurance, while transportation services to health-related locations are not covered.
Emergency Services See details
Humana Value Choice H7617-030 (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 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 Value Choice H7617-030 (PPO) offers primary care physician visits and mental health sessions with no copay and no coinsurance, while specialist visits require a $40 copay and no coinsurance. Physical and occupational therapy require a $30 copay and no coinsurance, but podiatry is not covered, and while some chiropractic services are covered, routine and other chiropractic services are not.
Preventive Services See details
Humana Value Choice H7617-030 (PPO) covers preventive services, such as annual physical exams, kidney disease education, and diabetes self-management training, with no copay and no coinsurance. Additional preventive services are partially covered, providing a memory fitness benefit with no copay and no coinsurance, while sub-services like health education, in-home safety assessments, personal emergency response systems, and medical nutrition therapy are not covered.
Hearing Services See details
Humana Value Choice H7617-030 (PPO) provides hearing services with no deductible, featuring no copay and no coinsurance for routine hearing exams and fitting evaluations, alongside a $40 copay and no coinsurance for Medicare-covered exams. Prescription hearing aids are partially covered with a copay of $699 to $999 and no coinsurance for up to two devices per year, though OTC, inner ear, outer ear, and over the ear hearing aids are not covered.
Vision Services See details
Humana Value Choice H7617-030 (PPO) partially covers vision services with no coinsurance, featuring no copay for one routine yearly eye exam and no copay for one annual pair of contact lenses or complete eyeglasses up to a $250 limit. Other eye exams, individual eyeglass lenses, individual eyeglass frames, and upgrades are not covered.
Dental Services See details
Humana Value Choice H7617-030 (PPO) dental services are partially covered, requiring a $40 copay and no coinsurance for Medicare-covered dental, and no copay or coinsurance for other covered dental services up to a $3,000 yearly limit. While most preventive and comprehensive dental services are covered, fluoride treatment, maxillofacial prosthetics, implant services, and orthodontics are not covered.
Home Infusion bundled Services See details
Humana Value Choice H7617-030 (PPO) covers home infusion bundled services with no copay, although prior authorization and step therapy are required. Associated Medicare Part B drugs, including chemotherapy, radiation, and insulin, carry a coinsurance ranging from no coinsurance up to 20%, with insulin specifically capped at a $35 copay.
Dialysis Services See details
Humana Value Choice H7617-030 (PPO) covers Dialysis Services with no copay and a 20% coinsurance, although prior authorization is required.
Medical Equipment See details
Medical equipment is covered under the Humana Value Choice H7617-030 (PPO) plan, with durable medical equipment, prosthetic devices, and medical supplies requiring a 14% coinsurance and no copay. Diabetic supplies are covered with a 10% to 20% coinsurance and no copay, while diabetic therapeutic shoes or inserts require a $10 copay.
Diagnostic and Radiological Services See details
Humana Value Choice H7617-030 (PPO) covers diagnostic and radiological services with prior authorization, offering lab services and outpatient X-rays with no copay and no coinsurance. Diagnostic procedures and tests carry a copay of $0 to $95 with no coinsurance, while diagnostic radiological services have a $0 minimum copay and therapeutic radiological services require 20% coinsurance.
Home Health Services See details
Humana Value Choice H7617-030 (PPO) covers home health services with no copay and no coinsurance, though prior authorization is required.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are not covered under the Humana Value Choice H7617-030 (PPO) plan, as none of the individual cardiac, pulmonary, or supervised exercise therapy sub-services are covered in practice.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) care is covered by the Humana Value Choice H7617-030 (PPO) plan with no coinsurance, requiring no copay for days 1 through 20 and days 71 through 100, but carrying a $218 daily copay for days 21 through 70. Prior authorization is required, no prior three-day hospital stay is necessary, and additional days beyond the standard 100 days are not covered.
Other Services See details
Humana Value Choice H7617-030 (PPO) partially covers other services, offering acupuncture for a $40.00 copay and no coinsurance up to 20 treatments per year, and a chronic illness meal benefit with no copay and no coinsurance. Over-the-counter (OTC) items are not covered, and prior authorization is required for the covered benefits.
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