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Humana Value Choice H7617-032 (PPO)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for Humana Value Choice H7617-032 (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 H7617-032 (PPO) in 2026, please refer to our full plan details page.
Humana Value Choice H7617-032 (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 Value Choice H7617-032 (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 H7617-032 (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 H7617-032 (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 $2.00. You must continue to pay paying your reduced 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 $8950.00 (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 $8950.00 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 H7617-032 (PPO) prescription drug plan has an annual drug deductible of $615. 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 as little as a $5 copay for a 1-month supply, with no copay required for a 3-month supply when using preferred mail order. Tier 3 preferred brand drugs have a $47 copay for a 1-month supply across standard pharmacies and mail-order options. For higher-tier prescriptions, Tier 4 non-preferred drugs require a 50% coinsurance, and Tier 5 specialty drugs carry a 25% coinsurance for a 1-month supply.
Additional Benefits
The Humana Value Choice H7617-032 (PPO) plan offers comprehensive medical coverage with affordable out-of-pocket costs, featuring no copay and no coinsurance for primary care, mental health, and preventive services. If you need specialist care, visits require a low $10 copay, while inpatient hospital stays cost a $395 copay for the first five days and no copay for days six through ninety. Emergency room visits have a $115 copay, which is waived if you are admitted to the hospital, and urgent care services require a $50 copay. For everyday health needs, the plan includes dental care up to a $3,500 annual limit with no copay for most covered services, vision exams with up to a $10 copay, and routine hearing exams with no copay. Diagnostic lab work, home health care, and home infusion services are also available with no copay. Other services like durable medical equipment require a 15% coinsurance with no copay, while Medicare Part B drugs carry up to a 20% coinsurance.
Inpatient Hospital See details
Humana Value Choice H7617-032 (PPO) inpatient hospital benefits are partially covered with no coinsurance, requiring a $395 copay for days 1 through 5 and no copay for days 6 through 90. Upgrades, non-Medicare-covered stays, and additional psychiatric days are not covered.
Outpatient Services See details
Humana Value Choice H7617-032 (PPO) covers outpatient services with no coinsurance, featuring a copay of $0 to $395 for outpatient hospital services and a copay of $0 to $35 for outpatient substance abuse sessions. Ambulatory surgical center and outpatient blood services are covered with no copay and no coinsurance, though prior authorization is required for these outpatient benefits.
Partial Hospitalization See details
Partial hospitalization services are covered by the Humana Value Choice H7617-032 (PPO) plan for a $35.00 copay and no coinsurance. Prior authorization is required for this benefit.
Ambulance and Transportation Services See details
Ambulance and transportation services are covered by Humana Value Choice H7617-032 (PPO), offering ground ambulance services for a $335 copay and air ambulance services for a $1,250 copay with no coinsurance. Although some transportation services are covered, transportation to plan-approved or any health-related locations is not covered.
Emergency Services See details
Humana Value Choice H7617-032 (PPO) covers emergency services with a $115 copay and no coinsurance, with the copay waived if you are admitted to the hospital within 24 hours. Urgently needed services have 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 H7617-032 (PPO) covers primary care, mental health, and psychiatric services with no copay and no coinsurance, while specialist visits require a $10 copay and no coinsurance. Physical and occupational therapy have a $25 copay with no coinsurance, podiatry is not covered, and some chiropractic services are covered with a $15 copay and no coinsurance, though routine and other chiropractic services are not covered.
Preventive Services See details
Humana Value Choice H7617-032 (PPO) covers preventive services, including annual physical exams, kidney disease education, and select screenings, with no copay and no coinsurance. Additional preventive benefits are partially covered, offering a memory fitness benefit with no copay and no coinsurance, while sub-services such as health education, in-home safety assessments, medical nutrition therapy, and weight management programs are not covered.
Hearing Services See details
Humana Value Choice H7617-032 (PPO) provides hearing services with no coinsurance, offering a $10 copay for Medicare-covered exams, no copay for routine annual exams and OTC hearing aids, and copays from $699 to $999 for up to two prescription hearing aids per year. This benefit is partially covered as prescription hearing aids for the inner ear, outer ear, and over the ear are not covered.
Vision Services See details
Vision services are partially covered by Humana Value Choice H7617-032 (PPO) with no coinsurance or deductibles, featuring eye exams with a $0 to $10 copay up to a $75 annual limit. Covered eyewear, including one annual pair of contacts or eyeglasses, has no copay up to a $150 yearly limit, while standalone lenses, frames, upgrades, and other eye exams are not covered.
Dental Services See details
Dental services are partially covered by Humana Value Choice H7617-032 (PPO) up to a $3,500 annual limit, with a $10 copay and no coinsurance for Medicare-covered dental and no copay and no coinsurance for other covered services. Fluoride treatments, maxillofacial prosthetics, implant services, and orthodontics are not covered.
Home Infusion bundled Services See details
Home infusion bundled services are covered by the Humana Value Choice H7617-032 (PPO) with no copay, though prior authorization and step therapy may apply. Covered Medicare Part B drugs, including chemotherapy and radiation, have no copay and a coinsurance of no coinsurance to 20%, while Part B insulin is available for a $35 copay and no coinsurance to 20% coinsurance.
Dialysis Services See details
Dialysis Services are covered under the Humana Value Choice H7617-032 (PPO) plan with no copay and a 20% coinsurance, though prior authorization is required.
Medical Equipment See details
Humana Value Choice H7617-032 (PPO) covers durable medical equipment, prosthetics, 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 Value Choice H7617-032 (PPO) with prior authorization required. Diagnostic services feature no coinsurance, offering lab services with no copay and diagnostic procedures with a copay of up to $50. Diagnostic radiological services and outpatient X-rays require no copay, while therapeutic radiological services require a minimum 20% coinsurance and X-ray services also incur coinsurance.
Home Health Services See details
Home health services are covered by the Humana Value Choice H7617-032 (PPO) plan with no copay and no coinsurance, although prior authorization is required.
Cardiac Rehabilitation Services See details
Humana Value Choice H7617-032 (PPO) covers Cardiac Rehabilitation Services with no coinsurance and prior authorization, though only some services are covered in practice. Standard cardiac, intensive cardiac, pulmonary, and SET for PAD rehabilitation services are not covered and require a $10 copay.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) services are covered by Humana Value Choice H7617-032 (PPO) with no coinsurance, featuring no copay for days 1 to 20 and 66 to 100, and a $218 daily copay for days 21 to 65. Prior authorization is required, a 3-day inpatient hospital stay is not required prior to admission, and additional days beyond the standard Medicare-covered limit are not covered.
Other Services See details
Humana Value Choice H7617-032 (PPO) partially covers other services, offering acupuncture with a $10 copay and no coinsurance, as well as over-the-counter items and chronic illness meal benefits with no copay and no coinsurance. Other additional services under this category are not covered by the plan.
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