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Humana Full Access Giveback H7617-058 (PPO)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for Humana Full Access Giveback H7617-058 (PPO). The information on this page is a summary only.
For a complete listing of all available benefits and cost information on Humana Full Access Giveback H7617-058 (PPO) in 2026, please refer to our full plan details page.
Humana Full Access Giveback H7617-058 (PPO) is a PPO plan offered by Humana Inc. available for enrollment in 2026 to people living in Michigan. This plan received an overall rating of 4.5 out of 5 stars in 2026.
It's important to know that Humana Full Access Giveback H7617-058 (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 Full Access Giveback H7617-058 (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 Full Access Giveback H7617-058 (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 $102.00. You must continue to pay paying your reduced 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 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.
Common Services:
Doctor Visits:
Specialist Visits:
Emergency Room:
Urgent Care:
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Drug Coverage
The Humana Full Access Giveback H7617-058 (PPO) plan features a $0 prescription drug deductible, meaning your coverage begins immediately with no upfront costs. For Tier 1 preferred generic and Tier 2 generic medications, you will pay no copay for a 1-month or 3-month supply at standard pharmacies and through preferred mail order. However, choosing standard mail order for these tiers results in a 1-month copay of $10 for Tier 1 and $20 for Tier 2. Tier 3 preferred brand drugs cost a $30 copay for a 1-month supply at standard pharmacies and preferred mail order, rising to $47 through standard mail order. Higher-tier medications require coinsurance, with Tier 4 non-preferred drugs carrying a 35% coinsurance across all pharmacy and mail order options. Tier 5 specialty drugs are subject to a 33% coinsurance for a 1-month supply at standard pharmacies, preferred mail order, and standard mail order.
Additional Benefits
The Humana Full Access Giveback H7617-058 (PPO) plan provides comprehensive medical coverage, featuring no copays for primary care visits, preventive services, and routine home health care. For inpatient hospital stays, members pay a $400 daily copay for the first five days of acute care, after which there is no copay, and all stays feature no coinsurance. Emergency care is accessible with a $115 copay, which is waived if you are admitted within 24 hours, while specialist visits require a $50 copay. Additional health benefits include routine vision, hearing, and dental services with no copays, including a dental coverage limit of up to $2,000 annually. Durable medical equipment and dialysis services require no copays but carry coinsurance rates up to 20%. The plan also covers over-the-counter items and chronic illness meals at no cost to the member.
Inpatient Hospital See details
Humana Full Access Giveback H7617-058 (PPO) covers inpatient acute and psychiatric hospital stays with no coinsurance, requiring prior authorization. Acute stays require a $400 daily copay for days 1 through 5 (no copay for days 6 and beyond), while psychiatric stays require a $400 daily copay for days 1 through 4 (no copay for days 5 through 90); upgrades, non-Medicare-covered stays, and additional psychiatric days are not covered.
Outpatient Services See details
Outpatient services are covered by Humana Full Access Giveback H7617-058 (PPO) with no coinsurance, though prior authorization is required for most services. Patients will pay a copay of $0 to $400 for outpatient hospital services, $400 per stay for observation services, and $35 for substance abuse sessions, while ambulatory surgical center and blood services have no copays.
Partial Hospitalization See details
Partial hospitalization is covered by the Humana Full Access Giveback H7617-058 (PPO) plan with a $35.00 copay and no coinsurance. Prior authorization is required to access these services.
Ambulance and Transportation Services See details
Humana Full Access Giveback H7617-058 (PPO) covers Medicare-approved ground and air ambulance services with a $305 copay per service and no coinsurance, subject to prior authorization. Routine transportation services to health-related locations are not covered under this plan.
Emergency Services See details
Humana Full Access Giveback H7617-058 (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 $40 copay and no coinsurance, and worldwide emergency, urgent, and transportation services are covered with a $115 copay and no coinsurance.
Primary Care See details
Humana Full Access Giveback H7617-058 (PPO) features primary care physician services with no copay and no coinsurance, and specialist visits with a $50 copay and no coinsurance. Covered physical, occupational, and mental health therapies require copays between $20 and $35 with no coinsurance, while chiropractic and podiatry services are not covered.
Preventive Services See details
Preventive services are covered by Humana Full Access Giveback H7617-058 (PPO) with no copays and no coinsurance for annual physical exams, kidney disease education, and diabetes self-management. Additional benefits are partially covered, offering a memory fitness benefit and chemotherapy wigs up to $500 annually with no copays or coinsurance, while sub-services like health education, weight management, and nutritional therapy are not covered.
Hearing Services See details
Humana Full Access Giveback H7617-058 (PPO) covers routine hearing exams, fitting evaluations, and OTC hearing aids with no copay and no coinsurance, while Medicare-covered exams require a $50 copay and no coinsurance. Prescription hearing aids are partially covered with copays ranging from $399 to $999 and no coinsurance, though inner ear, outer ear, and over-the-ear prescription hearing aids are not covered.
Vision Services See details
Humana Full Access Giveback H7617-058 (PPO) partially covers vision services with no copay and no coinsurance for annual routine eye exams and eyewear, including contact lenses and eyeglasses (lenses and frames). Other eye exam services, individual eyeglass lenses, individual eyeglass frames, and upgrades are not covered.
Dental Services See details
Dental services are partially covered by the Humana Full Access Giveback H7617-058 (PPO) up to a $2,000 annual maximum, featuring a $50 copay and no coinsurance for Medicare-covered dental and no copay or coinsurance for other covered services. While exams, cleanings, and select preventive care are covered, this plan does not cover fluoride treatments, endodontics, prosthodontics, implants, maxillofacial prosthetics, oral and maxillofacial surgery, or orthodontics.
Home Infusion bundled Services See details
Humana Full Access Giveback H7617-058 (PPO) covers home infusion bundled services with no copay, though prior authorization is required. Associated Medicare Part B drugs, including chemotherapy and radiation, require no coinsurance to 20% coinsurance, while Part B insulin is covered with a $35 copay and no coinsurance to 20% coinsurance.
Dialysis Services See details
Dialysis Services are covered by Humana Full Access Giveback H7617-058 (PPO) with no copay and a 20% coinsurance, and prior authorization is required.
Medical Equipment See details
Humana Full Access Giveback H7617-058 (PPO) covers medical equipment, including durable medical equipment (DME) with a 13% 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 and inserts require a $10 copay.
Diagnostic and Radiological Services See details
Humana Full Access Giveback H7617-058 (PPO) covers diagnostic and radiological services with prior authorization, and only the maximum copay applies if you receive multiple services at the same location on the same day. Lab services, outpatient X-rays, and diagnostic radiology feature no copay, while diagnostic procedures and therapeutic radiological services have up to a 20% coinsurance and copays ranging from $0 to $105.
Home Health Services See details
Home Health Services are covered by the Humana Full Access Giveback H7617-058 (PPO) plan with no copay and no coinsurance, although prior authorization is required.
Cardiac Rehabilitation Services See details
Humana Full Access Giveback H7617-058 (PPO) features no coinsurance for cardiac rehabilitation services, but in practice, these services are not covered. The plan does not cover cardiac, intensive cardiac, pulmonary, or SET for PAD rehabilitation services.
Skilled Nursing Facility (SNF) See details
Humana Full Access Giveback H7617-058 (PPO) covers Skilled Nursing Facility (SNF) services with no coinsurance, featuring no copay for days 1 through 20 and a $218 daily copay for days 21 through 100. Prior authorization is required, prior three-day hospital stays are not required, and additional days beyond the standard 100-day limit are not covered.
Other Services See details
Humana Full Access Giveback H7617-058 (PPO) partially covers other services, offering acupuncture for a $50 copay and no coinsurance, alongside chronic illness meals and over-the-counter items with no copay and no coinsurance. Other miscellaneous services and dual-eligible SNP services are not covered.
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