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HumanaChoice H7617-044 (PPO)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for HumanaChoice H7617-044 (PPO). The information on this page is a summary only.
For a complete listing of all available benefits and cost information on HumanaChoice H7617-044 (PPO) in 2026, please refer to our full plan details page.
HumanaChoice H7617-044 (PPO) is a PPO plan offered by Humana Inc. available for enrollment in 2026 to people living in Select Counties in Maryland. This plan received an overall rating of 4.5 out of 5 stars in 2026.
It's important to know that HumanaChoice H7617-044 (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 HumanaChoice H7617-044 (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 HumanaChoice H7617-044 (PPO), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $9.30. 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 has a $500.00 health deductible. This means, every calendar year, you pay this amount towards covered services before your insurance coverage kicks in.
This plan has a $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 $12900.00 (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 $12900.00 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 HumanaChoice H7617-044 (PPO) Medicare plan features an annual drug deductible of $615. For Tier 1 preferred generic drugs, members pay no copay for 1-month and 3-month supplies at standard pharmacies and mail-order services. Tier 2 generic drugs cost a $5 copay for a 1-month supply at standard pharmacies and preferred mail order, with preferred mail order offering no copay for a 3-month supply. Tier 3 preferred brand drugs require a $47 copay for a 1-month supply, with 3-month supplies costing $131 through preferred mail order and $141 through standard pharmacies. Tier 4 non-preferred drugs carry a 40% coinsurance for both 1-month and 3-month supplies. Tier 5 specialty drugs require a 25% coinsurance for a 1-month supply across standard pharmacies and mail-order options.
Additional Benefits
The HumanaChoice H7617-044 (PPO) plan offers comprehensive medical coverage with no copay and no coinsurance for primary care visits, preventive care, and home health services. For specialist visits, emergency room care, and urgent care, members pay predictable copays of $45, $115, and $40 respectively, with no coinsurance. Inpatient hospital stays require a $407 daily copay for the first 6 days, after which there is no copay. This plan also features essential supplemental benefits, including no copay for routine preventive dental services, routine hearing exams, and eyewear up to a $200 annual limit. Prescription hearing aids are covered with a copay ranging from $699 to $999 per device. For durable medical equipment and dialysis services, members will pay no copay but are responsible for coinsurance ranging from 10% to 20%.
Inpatient Hospital See details
HumanaChoice H7617-044 (PPO) covers inpatient acute hospital stays with no coinsurance, requiring a $407 daily copay for days 1 to 6 and no copay for days 7 and beyond, though upgrades and non-Medicare-covered stays are not covered. Inpatient psychiatric care is partially covered with no coinsurance and a $345 daily copay for days 1 to 6 and no copay for days 7 to 90, but additional psychiatric days and non-Medicare-covered stays are not covered.
Outpatient Services See details
HumanaChoice H7617-044 (PPO) covers outpatient services with no coinsurance, featuring a $0 to $975 copay for outpatient hospital services and a $407 copay per stay for observation services. Ambulatory surgical center and outpatient blood services have no copay and no coinsurance, while outpatient substance abuse individual and group sessions require a $35 copay.
Partial Hospitalization See details
HumanaChoice H7617-044 (PPO) covers partial hospitalization services with a $35.00 copay and no coinsurance. Prior authorization is required to receive this covered benefit.
Ambulance and Transportation Services See details
HumanaChoice H7617-044 (PPO) covers Medicare-covered ground and air ambulance services with a $335 copay and no coinsurance, though prior authorization is required. Additional transportation services to health-related or plan-approved locations are not covered under this plan.
Emergency Services See details
HumanaChoice H7617-044 (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 each require a $115 copay and no coinsurance.
Primary Care See details
HumanaChoice H7617-044 (PPO) covers primary care physician services with no copay and no coinsurance, while specialist visits require a $45 copay and no coinsurance. Therapy, mental health, and telehealth services feature copays ranging from $0 to $45 with no coinsurance, whereas chiropractic and podiatry services are not covered.
Preventive Services See details
HumanaChoice H7617-044 (PPO) preventive services are covered with no copays and no coinsurance, including annual physical exams, kidney disease education, and glaucoma screenings. Additional supplemental preventive benefits are partially covered, offering up to $500 annually for chemotherapy-related wigs with no copay or coinsurance, while services like fitness benefits, health education, and nutritional therapy are not covered.
Hearing Services See details
HumanaChoice H7617-044 (PPO) covers hearing services, including annual routine exams and fitting evaluations with no copay and no coinsurance, and Medicare-covered exams for a $45 copay and no coinsurance. Prescription hearing aids are partially covered with no coinsurance and a copay between $699 and $999 for up to two devices per year, though OTC hearing aids and inner ear, outer ear, or over the ear prescription models are not covered.
Vision Services See details
HumanaChoice H7617-044 (PPO) vision services are partially covered with no deductibles and no coinsurance, featuring a $0 to $45 copay for eye exams and no copay for eyewear. Covered benefits include one routine eye exam (up to $75 annually) and one pair of contact lenses or eyeglasses (up to $200 annually), while other eye exams, eyeglass lenses, eyeglass frames, and upgrades are not covered.
Dental Services See details
Dental services are partially covered by HumanaChoice H7617-044 (PPO), featuring a $45 copay and no coinsurance for Medicare-covered dental, and no copay or coinsurance for covered preventive and comprehensive services. While exams, cleanings, and restorative care are included, fluoride treatments, maxillofacial prosthetics, implants, and orthodontics are not covered.
Home Infusion bundled Services See details
Home infusion bundled services are covered by HumanaChoice H7617-044 (PPO) with no copay, though prior authorization is required. Under this benefit, Medicare Part B chemotherapy and other drugs have no copay and require between no coinsurance and 20% coinsurance, while insulin has a $35 copay and between no coinsurance and 20% coinsurance.
Dialysis Services See details
HumanaChoice H7617-044 (PPO) covers dialysis services with no copay and a 20% coinsurance. Prior authorization is required for these services.
Medical Equipment See details
HumanaChoice H7617-044 (PPO) covers durable medical equipment (DME) with a 17% coinsurance and no copay, and prosthetics and medical supplies with a 20% 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 and applicable coinsurance.
Diagnostic and Radiological Services See details
Diagnostic and Radiological Services are covered under HumanaChoice H7617-044 (PPO) with prior authorization required. Lab services and outpatient X-rays have no copay, diagnostic procedures and tests range from no copay up to a $95 copay with no coinsurance, and therapeutic radiological services require a minimum $45 copay and 20% coinsurance.
Home Health Services See details
HumanaChoice H7617-044 (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 HumanaChoice H7617-044 (PPO) with no coinsurance, though prior authorization is required. While some services are covered, standard cardiac, intensive cardiac, pulmonary, and supervised exercise therapy (SET) for peripheral artery disease (PAD) services are not covered in practice and require copays ranging from $15.00 to $30.00.
Skilled Nursing Facility (SNF) See details
HumanaChoice H7617-044 (PPO) covers Skilled Nursing Facility (SNF) services with no coinsurance, offering no copay for days 1 through 20 and a $218 daily copay for days 21 through 100. Prior authorization is required, a prior three-day inpatient hospital stay is not necessary for admission, and additional days beyond the Medicare-covered limit are not covered.
Other Services See details
HumanaChoice H7617-044 (PPO) partially covers other services, offering acupuncture for a $45 copay and no coinsurance for up to 20 treatments per year, and a chronic illness meal benefit with no copay and no coinsurance. Over-the-counter (OTC) items and other miscellaneous services are not covered.
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