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HumanaChoice SNP-DE H7617-037 (PPO D-SNP)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for HumanaChoice SNP-DE H7617-037 (PPO D-SNP). The information on this page is a summary only.
For a complete listing of all available benefits and cost information on HumanaChoice SNP-DE H7617-037 (PPO D-SNP) in 2026, please refer to our full plan details page.
HumanaChoice SNP-DE H7617-037 (PPO D-SNP) is a PPO D-SNP 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 HumanaChoice SNP-DE H7617-037 (PPO D-SNP) is a Medicare Advantage (MA) Plan with drug coverage. That means that this plan covers both medical services and prescription drugs.
Important:
HumanaChoice SNP-DE H7617-037 (PPO D-SNP)is a Special Needs Type (SNP) plan. This means you can only enroll in this plan if you meet specific criteria. See our full plan details page for more information.
Key Plan Facts
Below are a few key facts and commonly-asked questions about HumanaChoice SNP-DE H7617-037 (PPO D-SNP).
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 HumanaChoice SNP-DE H7617-037 (PPO D-SNP), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $41.50. This is the amount you must pay every month. Additionally, this plan comes with a Part B Premium reduction of $3.00. 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 $13900.00 (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 $13900.00 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:
Sign up for HumanaChoice SNP-DE H7617-037 (PPO D-SNP)
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Drug Coverage
The HumanaChoice SNP-DE H7617-037 (PPO D-SNP) Medicare plan features an annual drug deductible of $615. Beneficiaries enjoy no copay for Tier 1 preferred generic and Tier 2 generic drugs when filled as a one-month or three-month supply at standard pharmacies or through preferred mail order. Standard mail order options for these generic tiers require copays ranging from $10 to $60 depending on the tier and supply duration. For brand-name and specialty medications, the plan transitions to a coinsurance model. You will pay a 25% coinsurance for Tier 3 preferred brands, Tier 4 non-preferred drugs, and Tier 5 specialty drugs across standard pharmacies and mail order services. This 25% cost share applies to both one-month and three-month supplies for Tiers 3 and 4, as well as one-month supplies for Tier 5 specialty drugs.
Additional Benefits
The HumanaChoice SNP-DE H7617-037 (PPO D-SNP) plan offers comprehensive medical coverage with no copay for primary care, specialist visits, and outpatient services, although a 20% coinsurance typically applies. Inpatient hospital stays require a set copay of $2,230 for acute care and $2,080 for psychiatric care per stay, with no coinsurance. Essential preventive services, home health care, and skilled nursing care for up to 20 days are also available with no copay and no coinsurance. This plan also includes valuable supplemental benefits, featuring routine dental, vision, and hearing care with no copay and generous coverage limits. Members can access up to 24 free one-way transportation trips per year to plan-approved locations, alongside covered over-the-counter items and chronic illness meals at no cost. Emergency services are covered with a $115 copay, which is waived if you are admitted to the hospital.
Inpatient Hospital See details
Inpatient hospital care is covered by HumanaChoice SNP-DE H7617-037 (PPO D-SNP) with no coinsurance, requiring a $2,230 copay per stay for acute care and a $2,080 copay per stay for psychiatric care. Prior authorization is required, and certain sub-services such as upgrades, non-Medicare-covered stays, and additional psychiatric days are not covered.
Outpatient Services See details
HumanaChoice SNP-DE H7617-037 (PPO D-SNP) covers outpatient services, including outpatient hospital, ambulatory surgical center, outpatient substance abuse, and outpatient blood services, with no copay and a 20% coinsurance. Prior authorization is required for these services, and there is no deductible for outpatient blood services.
Partial Hospitalization See details
HumanaChoice SNP-DE H7617-037 (PPO D-SNP) covers partial hospitalization services with no copay and a 20% coinsurance. Prior authorization is required to receive coverage for this benefit.
Ambulance and Transportation Services See details
HumanaChoice SNP-DE H7617-037 (PPO D-SNP) covers ground ambulance services with a $335 copay and no coinsurance, and air ambulance services with a 20% coinsurance and no copay, both requiring prior authorization. Transportation services are partially covered with no copay and no coinsurance for up to 24 one-way trips per year to plan-approved locations, though transportation to any health-related location is not covered.
Emergency Services See details
HumanaChoice SNP-DE H7617-037 (PPO D-SNP) 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, and transportation services are available for a $115 copay and no coinsurance.
Primary Care See details
HumanaChoice SNP-DE H7617-037 (PPO D-SNP) covers primary care, specialist, therapy, mental health, psychiatry, and opioid treatment services with no copay and 20% coinsurance. Telehealth benefits are available with a $0 to $40 copay and 20% coinsurance, while chiropractic and podiatry services are not covered.
Preventive Services See details
Preventive services are covered by HumanaChoice SNP-DE H7617-037 (PPO D-SNP) with no copay and no coinsurance for annual physical exams, kidney disease education, glaucoma screenings, and select fitness benefits. However, this benefit is only partially covered, as supplemental services such as health education, in-home safety assessments, nutritional benefits, and personal emergency response systems are not covered.
Hearing Services See details
HumanaChoice SNP-DE H7617-037 (PPO D-SNP) covers hearing services with no deductible, including one annual routine hearing exam with a 20% coinsurance and no copay, and unlimited fitting evaluations with no copay or coinsurance. Prescription hearing aids (limited to two every three years) and OTC hearing aids are covered with no copay or coinsurance, though inner ear, outer ear, and over-the-ear prescription models are not covered.
Vision Services See details
HumanaChoice SNP-DE H7617-037 (PPO D-SNP) partially covers vision services, providing one routine eye exam per year with no copay and a 20% coinsurance up to a $75 annual limit. Covered eyewear includes one pair of contact lenses or eyeglasses (lenses and frames) per year with no copay and no coinsurance up to a $200 annual limit, though other eye exams, individual eyeglass lenses, individual frames, and upgrades are not covered.
Dental Services See details
HumanaChoice SNP-DE H7617-037 (PPO D-SNP) dental services are partially covered, featuring medicare-covered dental with no copay and 20% coinsurance, and other dental services with no copay and no coinsurance up to a $2,000 annual limit. Most preventive and comprehensive services are covered with no copay and no coinsurance, though fluoride treatments, maxillofacial prosthetics, implant services, and orthodontics are not covered.
Home Infusion bundled Services See details
HumanaChoice SNP-DE H7617-037 (PPO D-SNP) covers Home Infusion bundled Services, which require prior authorization and step therapy. Covered Part B drugs, including insulin, chemotherapy, and radiation, have a coinsurance ranging from no coinsurance to 20%; insulin requires a $35 copay with no plan-level deductible, other Part B drugs require no copay, and chemotherapy/radiation drugs require a copay.
Dialysis Services See details
HumanaChoice SNP-DE H7617-037 (PPO D-SNP) covers Dialysis Services with no copay and a 20% coinsurance. Prior authorization is required for these services.
Medical Equipment See details
Medical equipment is covered by HumanaChoice SNP-DE H7617-037 (PPO D-SNP), including durable medical equipment, prosthetics, medical supplies, and diabetic supplies. These covered items require a 20% coinsurance and no copay, with prior authorization required for most services.
Diagnostic and Radiological Services See details
HumanaChoice SNP-DE H7617-037 (PPO D-SNP) covers diagnostic and radiological services with a 20% coinsurance, subject to prior authorization. Outpatient lab services have no copay, diagnostic tests range from no copay up to $40, outpatient X-rays require a $40 copay, and diagnostic radiological services carry a copay of at least $200.
Home Health Services See details
HumanaChoice SNP-DE H7617-037 (PPO D-SNP) 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 HumanaChoice SNP-DE H7617-037 (PPO D-SNP) with no copay and a 20% coinsurance, though only some services are covered in practice. Standard cardiac, intensive cardiac, pulmonary, and SET for PAD rehabilitation services are not covered under this plan.
Skilled Nursing Facility (SNF) See details
HumanaChoice SNP-DE H7617-037 (PPO D-SNP) covers Skilled Nursing Facility (SNF) services with no coinsurance, requiring prior authorization but no prior three-day hospital stay. Patients pay no copay for days 1 through 20 and days 86 through 100, a $218 daily copay for days 21 through 85, and additional days beyond the Medicare-covered limit are not covered.
Other Services See details
HumanaChoice SNP-DE H7617-037 (PPO D-SNP) covers acupuncture with no copay and 20% coinsurance for up to 20 treatments per year, requiring prior authorization. Over-the-counter items and chronic illness meal benefits are also covered with no copay and no coinsurance, though prior authorization is required for meals and other miscellaneous services are not covered.
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