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HumanaChoice Giveback H7617-061 (PPO)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for HumanaChoice Giveback H7617-061 (PPO). The information on this page is a summary only.
For a complete listing of all available benefits and cost information on HumanaChoice Giveback H7617-061 (PPO) in 2026, please refer to our full plan details page.
HumanaChoice Giveback H7617-061 (PPO) is a PPO plan offered by Humana Inc. available for enrollment in 2026 to people living in Denver. This plan received an overall rating of 4.5 out of 5 stars in 2026.
It's important to know that HumanaChoice Giveback H7617-061 (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 Giveback H7617-061 (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 Giveback H7617-061 (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 $97.00. 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.
Common Services:
Doctor Visits:
Specialist Visits:
Emergency Room:
Urgent Care:
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Drug Coverage
The HumanaChoice Giveback H7617-061 (PPO) plan features a $0 drug deductible, meaning your prescription drug coverage begins immediately. For Tier 1 preferred generic and Tier 2 generic drugs, you will pay no copay for a 1-month or 3-month supply at standard pharmacies and through preferred mail order. If you choose standard mail order, Tier 1 drugs carry a $10 copay for a 1-month supply, while Tier 2 drugs carry a $20 copay. Tier 3 preferred brand drugs require a $30 copay for a 1-month supply at standard pharmacies and preferred mail order, whereas standard mail order costs $47. For higher-tier prescriptions, Tier 4 non-preferred drugs require a 35% coinsurance across all pharmacy options, and Tier 5 specialty drugs require a 33% coinsurance for a 1-month supply.
Additional Benefits
The HumanaChoice Giveback H7617-061 (PPO) plan offers robust coverage for essential medical services with predictable out-of-pocket costs and no coinsurance for many primary services. Beneficiaries enjoy no copay for primary care visits and preventive services, while specialist visits require a $45 copay. Inpatient hospital stays require a $325 daily copay for the first six days, followed by no copay for days seven through 90. This plan also features key supplemental benefits, including dental services covered up to a $1,000 annual maximum with no copay for most preventive care. Routine hearing and vision exams are available with no copay, though prescription hearing aids and eyewear have specific coverage limits. Additionally, home health services are covered with no copay, and skilled nursing facility stays feature no copay for the first 20 days.
Inpatient Hospital See details
HumanaChoice Giveback H7617-061 (PPO) covers inpatient acute and psychiatric hospital stays with no coinsurance, requiring a $325 daily copay for days 1 through 6 and no copay for days 7 through 90. Unlimited additional acute hospital days are covered at no copay, but additional psychiatric days, upgrades, and non-Medicare-covered stays are not covered.
Outpatient Services See details
HumanaChoice Giveback H7617-061 (PPO) covers outpatient services with no coinsurance, featuring a $0 to $325 copay for outpatient hospital services and a $325 copay per stay for observation services. Ambulatory surgical center and blood services have no copay, while outpatient substance abuse sessions require a $25 to $35 copay.
Partial Hospitalization See details
HumanaChoice Giveback H7617-061 (PPO) covers partial hospitalization services with a $35.00 copay and no coinsurance. Prior authorization is required for this benefit.
Ambulance and Transportation Services See details
HumanaChoice Giveback H7617-061 (PPO) covers ambulance services with no coinsurance, requiring a $335 copay for ground ambulance and a $1,250 copay for air ambulance, with prior authorization required. For transportation services, some services are covered, but transportation to plan-approved or any health-related locations is not covered.
Emergency Services See details
HumanaChoice Giveback H7617-061 (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 require a $40 copay and no coinsurance, while worldwide emergency, urgent, and transportation services are covered with a $115 copay and no coinsurance.
Primary Care See details
HumanaChoice Giveback H7617-061 (PPO) covers primary care physician services with no copay and no coinsurance, and specialist services with a $45 copay and no coinsurance. Other services like mental health care and therapy require copays ranging from $25 to $45 with no coinsurance, while chiropractic services are not covered in practice since routine and other chiropractic services are not covered.
Preventive Services See details
HumanaChoice Giveback H7617-061 (PPO) covers preventive services with no copay and no coinsurance, including annual physical exams, kidney disease education, and diabetes self-management training. However, the benefit is only partially covered because supplemental services such as health education, weight management programs, in-home safety assessments, and nutritional benefits are not covered.
Hearing Services See details
HumanaChoice Giveback H7617-061 (PPO) hearing services include Medicare-covered exams for a $45 copay and routine exams or fitting evaluations with no copay, all with no coinsurance. Prescription hearing aids are partially covered with no coinsurance and a copay ranging from $699 to $999, but inner ear, outer ear, over the ear, and OTC hearing aids are not covered.
Vision Services See details
HumanaChoice Giveback H7617-061 (PPO) vision services are partially covered, offering one routine eye exam (up to $75) and one pair of contact lenses or eyeglasses (up to $100) per year with no copay and no coinsurance. Prior authorization is required, and other eye exam services, individual lenses, frames, and upgrades are not covered.
Dental Services See details
HumanaChoice Giveback H7617-061 (PPO) offers partially covered dental services up to a $1,000 annual maximum, excluding fluoride treatments, maxillofacial prosthetics, implants, and orthodontics. Medicare-covered dental services require a $45 copay and no coinsurance, while most other covered preventive and comprehensive services have no copay and no coinsurance, except for prosthodontics which carry a 30% coinsurance and no copay.
Home Infusion bundled Services See details
Home infusion bundled services are covered by HumanaChoice Giveback H7617-061 (PPO) with no copay, though prior authorization is required. Associated Medicare Part B chemotherapy, insulin, and other drugs are covered with a 0% to 20% coinsurance, with insulin drugs also requiring a $35 copay.
Dialysis Services See details
Dialysis Services are covered by HumanaChoice Giveback H7617-061 (PPO) with no copay and a 20% coinsurance. Prior authorization is required to receive this covered benefit.
Medical Equipment See details
HumanaChoice Giveback H7617-061 (PPO) covers medical equipment, offering durable medical equipment and medical supplies at a 15% coinsurance with no copay. Prosthetic devices require a 20% coinsurance with no copay, while diabetic supplies have a 10% to 20% coinsurance with no copay, and diabetic therapeutic shoes or inserts require a $10 copay.
Diagnostic and Radiological Services See details
HumanaChoice Giveback H7617-061 (PPO) covers diagnostic and radiological services with prior authorization, offering no copay for lab services, outpatient X-rays, and diagnostic radiology. Diagnostic procedures and tests carry a $0 to $50 copay alongside 20% coinsurance, while therapeutic radiology requires a minimum $50 copay and 20% coinsurance.
Home Health Services See details
Home health services are covered by HumanaChoice Giveback H7617-061 (PPO) with no copay and no coinsurance, although prior authorization is required.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services under the HumanaChoice Giveback H7617-061 (PPO) plan require prior authorization, and although some services are covered, cardiac rehabilitation, intensive cardiac rehabilitation, pulmonary rehabilitation, and supervised exercise therapy (SET) for symptomatic peripheral artery disease (PAD) are not covered in practice. For these services, there is no copay for cardiac and intensive cardiac rehabilitation, and a 20% coinsurance applies to pulmonary rehabilitation and SET for PAD.
Skilled Nursing Facility (SNF) See details
HumanaChoice Giveback H7617-061 (PPO) covers Skilled Nursing Facility (SNF) services with no coinsurance, requiring no copay for days 1 to 20 and a $218 daily copay for days 21 to 100. Prior authorization is required, a prior 3-day hospital stay is not necessary, and additional days beyond the Medicare-covered limit are not covered.
Other Services See details
Other services are partially covered by HumanaChoice Giveback H7617-061 (PPO), featuring acupuncture with a $45 copay and no coinsurance for up to 20 treatments per year, and meal benefits for chronic illnesses with no copay and no coinsurance. Over-the-counter (OTC) items and other additional services are not covered.
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