Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for HumanaChoice Giveback H7617-041 (PPO). The information on this page is a summary only.
For a complete listing of all available benefits and cost information on HumanaChoice Giveback H7617-041 (PPO) in 2026, please refer to our full plan details page.
HumanaChoice Giveback H7617-041 (PPO) is a PPO plan offered by Humana Inc. available for enrollment in 2026 to people living in El Paso and Rio Grande Valley Metro. This plan received an overall rating of 4.5 out of 5 stars in 2026.
It's important to know that HumanaChoice Giveback H7617-041 (PPO) is a Medicare Advantage (MA) Plan with drug coverage. That means that this plan covers both medical services and prescription drugs.
Below are a few key facts and commonly-asked questions about HumanaChoice Giveback H7617-041 (PPO).
The cost of a Medicare Advantage Plan is made up of four main parts.
For HumanaChoice Giveback H7617-041 (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 $120.00. 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 no drug deductible. Your prescription medication coverage will start immediately.
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.
Need help deciding? Talk with one of our licensed insurance specialists 1-877-649-2073 / TTY 711. 8am-11pm EST. 7 days a week
The HumanaChoice Giveback H7617-041 (PPO) Medicare plan features a $0 drug deductible, meaning your prescription drug coverage starts on day one with no upfront deductible costs. For Tier 1 preferred generic and Tier 2 generic medications, you will pay no copay for a 1-month or 3-month supply when filling prescriptions at standard pharmacies or through preferred mail order. If you utilize standard mail order, Tier 1 drugs require a $10 copay and Tier 2 drugs require a $20 copay for a 1-month supply. Tier 3 preferred brand drugs cost a $30 copay for a 1-month supply at standard pharmacies and preferred mail order, rising to a $47 copay via standard mail order. Tier 4 non-preferred drugs require a 34% coinsurance across all standard pharmacy and mail order options for both 1-month and 3-month supplies. Specialty drugs under Tier 5 carry a 33% coinsurance for a 1-month supply, regardless of whether you use standard pharmacies, preferred mail order, or standard mail order.
The HumanaChoice Giveback H7617-041 (PPO) plan offers comprehensive coverage for essential medical services with manageable out-of-pocket costs, including no copay for primary care physician visits and a $35 copay for specialists. For inpatient hospital stays, members pay a $325 daily copay for the first six days and no copay for days 7 through 90, while preventive services and home health care are available with no copay or coinsurance. Emergency care is covered with a $115 copay, which is waived if you are admitted to the hospital within 24 hours. This plan also features valuable supplemental benefits, including routine hearing and vision exams with no copay, alongside dental coverage up to a $3,000 annual limit with no copay for preventive and comprehensive care. Diagnostic lab services and select outpatient services carry no copay, while specialty items like durable medical equipment require a 17% coinsurance and Medicare Part B drugs carry a 0% to 20% coinsurance. Overall, this plan minimizes costs for routine wellness while providing clear copay and coinsurance structures for specialized medical needs.
HumanaChoice Giveback H7617-041 (PPO) partially covers inpatient hospital services with no coinsurance, requiring a $325 daily copay for days 1 to 6 and no copay for days 7 to 90 per stay. Unlimited additional days for acute care are covered with no copay, but psychiatric additional days, upgrades, and non-Medicare-covered stays are not covered.
HumanaChoice Giveback H7617-041 (PPO) covers outpatient services with no coinsurance, including no copays for ambulatory surgical center and blood services. Outpatient hospital services carry a copay of $0 to $350, observation services require a $325 copay per stay, and substance abuse sessions cost $30 to $35 per session, with prior authorization required for most services.
HumanaChoice Giveback H7617-041 (PPO) covers partial hospitalization services with a $35.00 copay and no coinsurance. Prior authorization is required to receive coverage for this benefit.
HumanaChoice Giveback H7617-041 (PPO) covers ambulance services with prior authorization, requiring a $335 copay and no coinsurance for ground ambulance, and a 20% coinsurance with no copay for air ambulance. Transportation services are not covered, including transportation to plan-approved or any other health-related locations.
HumanaChoice Giveback H7617-041 (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, and transportation services are available with a $115 copay and no coinsurance.
HumanaChoice Giveback H7617-041 (PPO) primary care benefits are partially covered, as podiatry services and other non-routine chiropractic services are not covered. Covered services feature no coinsurance, with no copay for primary care physician visits, a $35 copay for specialists, a $25 copay for physical, occupational, and speech therapies, and a $15 copay for routine chiropractic care.
HumanaChoice Giveback H7617-041 (PPO) covers preventive services, including annual physical exams, kidney disease education, and select screenings, with no copay and no coinsurance. Additional preventive services are partially covered, offering a memory fitness benefit with no copay and no coinsurance, while sub-services such as health education, weight management, and in-home safety assessments are not covered.
HumanaChoice Giveback H7617-041 (PPO) covers Medicare-covered hearing exams with a $35 copay and no coinsurance, while routine exams, fitting evaluations, and OTC hearing aids have no copay and no coinsurance. Prescription hearing aids are partially covered with a copay of $699 to $999 and no coinsurance for up to two devices per year, excluding inner ear, outer ear, and over-the-ear prescription hearing aids which are not covered.
Vision Services are partially covered by HumanaChoice Giveback H7617-041 (PPO), offering one routine eye exam and eyewear such as contact lenses or eyeglasses per year with no copay, no coinsurance, and no deductible. Other eye exam services, eyeglass lenses, eyeglass frames, and upgrades are not covered.
HumanaChoice Giveback H7617-041 (PPO) provides partially covered dental services up to a $3,000 annual maximum limit for both in-network and out-of-network care. Covered Medicare dental services require a $35 copay and no coinsurance, while other covered preventive and comprehensive services have no copay and no coinsurance. Fluoride treatments, removable prosthodontics, maxillofacial prosthetics, implant services, and orthodontics are not covered.
Home infusion bundled services are covered by HumanaChoice Giveback H7617-041 (PPO) with no copay, though prior authorization is required. Covered Medicare Part B drugs, including chemotherapy, radiation, and insulin, carry a 0% to 20% coinsurance, with insulin also requiring a $35 copay.
HumanaChoice Giveback H7617-041 (PPO) covers dialysis services with no copay and a 20% coinsurance. Prior authorization is required for these services.
Medical equipment is covered under the HumanaChoice Giveback H7617-041 (PPO) plan, with durable medical equipment (DME) requiring a 17% coinsurance and no copay. Prosthetics and medical supplies are covered with a 20% coinsurance and no copay, while diabetic supplies require a 10% to 20% coinsurance with no copay, and diabetic therapeutic shoes or inserts carry a $10 copay and coinsurance.
HumanaChoice Giveback H7617-041 (PPO) covers diagnostic and radiological services, with prior authorization required for both. Diagnostic services feature no coinsurance, offering no copay for lab services and a $0 to $175 copay for procedures, while radiological services range from no copay for X-rays to a minimum $35 copay and 20% coinsurance for therapeutic radiation.
Home Health Services are covered under the HumanaChoice Giveback H7617-041 (PPO) plan with no copay and no coinsurance, although prior authorization is required.
Cardiac Rehabilitation Services are not covered under the HumanaChoice Giveback H7617-041 (PPO) plan, as none of the sub-services, including intensive cardiac, pulmonary, and SET for PAD rehabilitation, are covered in practice.
HumanaChoice Giveback H7617-041 (PPO) covers Skilled Nursing Facility (SNF) services with no coinsurance, requiring prior authorization but no prior three-day hospital stay. There is no copay for days 1 through 20, and a $218 daily copay for days 21 through 100, with no coverage provided for additional days.
HumanaChoice Giveback H7617-041 (PPO) offers other covered services including acupuncture with a $35 copay and no coinsurance, as well as over-the-counter items and meal benefits with no copay and no coinsurance. Prior authorization is required for acupuncture (limited to 20 treatments per year) and meal benefits, while dual eligible SNPs and other miscellaneous services are not covered.
SMID: MULTIPLAN_HCIHNMEDADVRX25_HCI_M
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