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Humana Value Choice H7617-064 (PPO)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for Humana Value Choice H7617-064 (PPO). The information on this page is a summary only.
For a complete listing of all available benefits and cost information on Humana Value Choice H7617-064 (PPO) in 2026, please refer to our full plan details page.
Humana Value Choice H7617-064 (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 Humana Value Choice H7617-064 (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 Value Choice H7617-064 (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 Value Choice H7617-064 (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 $1.00. You must continue to pay paying your reduced Part B Premium.
Deductibles
This plan has a $300.00 health deductible. This means, every calendar year, you pay this amount towards covered services before your insurance coverage kicks in.
This plan has a $400.00 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 $8950.00 (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 $8950.00 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 Value Choice H7617-064 (PPO) prescription drug plan features an annual drug deductible of $400. Under this plan, Tier 1 preferred generic drugs have no copay for a 1-month or 3-month supply at standard pharmacies and preferred mail order. For Tier 2 generic drugs, you will pay an $8 copay for a 1-month supply at standard pharmacies or preferred mail order, and there is no copay for a 3-month supply filled through preferred mail order. Tier 3 preferred brand drugs require a $47 copay for a 1-month supply, with a reduced $94 copay for a 3-month supply through preferred mail order. Tier 4 non-preferred drugs require a 46% coinsurance, while Tier 5 specialty tier drugs carry a 28% coinsurance for a 1-month supply. These clear cost-sharing tiers help you understand your out-of-pocket expenses for Medicare prescription drug coverage.
Additional Benefits
The Humana Value Choice H7617-064 (PPO) plan offers comprehensive medical coverage with no copay for primary care visits, preventive services, home health care, and routine hearing exams. Specialist visits require an affordable $20 copay, while inpatient hospital stays carry a $325 daily copay for the first six days before transitioning to no copay for longer stays. Emergency room visits are covered with a $115 copay, which is waived if you are admitted, and urgent care has a $50 copay. For specialized care, the plan provides up to $2,500 in dental coverage and up to $250 for eyeglasses or contacts with no copays for most routine services. Diagnostic lab tests and outpatient X-rays also feature no copay, whereas durable medical equipment requires an 18% coinsurance. Additionally, skilled nursing facility stays are covered with no copay for the first 20 days of care.
Inpatient Hospital See details
Humana Value Choice H7617-064 (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 days are covered with no copay, but additional psychiatric days, upgrades, and non-Medicare-covered stays are not covered.
Outpatient Services See details
Humana Value Choice H7617-064 (PPO) covers outpatient services with no coinsurance, though prior authorization is required. You will pay no copay for ambulatory surgical center and outpatient blood services, a $0 to $325 copay for outpatient hospital services, a $325 copay per stay for observation services, and a $25 to $35 copay for outpatient substance abuse sessions.
Partial Hospitalization See details
Humana Value Choice H7617-064 (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
Humana Value Choice H7617-064 (PPO) covers ground ambulance services with a $335 copay and air ambulance services with a $630 copay, both with no coinsurance, while plan-approved transportation services are not covered.
Emergency Services See details
Emergency services under the Humana Value Choice H7617-064 (PPO) are covered with a $115 copay and no coinsurance, which is waived if you are admitted to the hospital within 24 hours. Urgently needed services have a $50 copay and no coinsurance, while worldwide emergency, urgent, and transportation services are covered with a $115 copay and no coinsurance.
Primary Care See details
Humana Value Choice H7617-064 (PPO) provides primary care physician services with no copay and no coinsurance, while specialist visits require a $20 copay and no coinsurance. Other covered services, including physical, occupational, mental health, and podiatry services, feature copays ranging from $20 to $35 with no coinsurance, though chiropractic services are not covered.
Preventive Services See details
Preventive services offered by Humana Value Choice H7617-064 (PPO) are partially covered with no copay and no coinsurance for covered benefits, including annual physicals, kidney disease education, diabetes self-management training, and smoking cessation counseling. However, several supplemental benefits are not covered, such as health education, in-home safety assessments, personal emergency response systems, medical nutrition therapy, post-discharge medication reconciliation, re-admission prevention, wigs, weight management, alternative therapies, therapeutic massage, adult day health, nutritional/dietary benefits, home-based palliative care, in-home support, caregiver support, enhanced disease management, telemonitoring, remote access technologies, home or bathroom safety modifications, and counseling.
Hearing Services See details
Humana Value Choice H7617-064 (PPO) covers hearing exams with no coinsurance, requiring a $20 copay for Medicare-covered exams and no copay for routine annual exams and fitting evaluations. Prescription hearing aids are partially covered with no coinsurance and copays ranging from $699 to $999 for up to two aids per year, though inner ear, outer ear, over the ear, and OTC hearing aids are not covered.
Vision Services See details
Humana Value Choice H7617-064 (PPO) partially covers vision services with no deductibles, no coinsurance, and no copays, providing up to $75 for one annual routine eye exam and up to $250 for one pair of contact lenses or eyeglasses per year. Other eye exam services, individual eyeglass lenses, individual eyeglass frames, and upgrades are not covered.
Dental Services See details
Humana Value Choice H7617-064 (PPO) partially covers dental services up to a $2,500 yearly limit, offering most preventive and comprehensive services with no copay and no coinsurance, though prosthodontics require a 30% coinsurance and no copay. Medicare-covered dental services have a $20 copay and no coinsurance, but fluoride treatments, implants, orthodontics, and maxillofacial prosthetics are not covered.
Home Infusion bundled Services See details
Humana Value Choice H7617-064 (PPO) covers home infusion bundled services with no copay, although prior authorization and step therapy are required. Associated Medicare Part B chemotherapy and other drugs have no copay and no coinsurance to 20% coinsurance, while Part B insulin has a $35 copay and no coinsurance to 20% coinsurance.
Dialysis Services See details
Humana Value Choice H7617-064 (PPO) covers Dialysis Services with no copay and a 20% coinsurance. Prior authorization is required to receive these covered services.
Medical Equipment See details
Humana Value Choice H7617-064 (PPO) covers durable medical equipment (DME) with an 18% coinsurance and no copay. Prosthetic devices and medical supplies are covered with a 15% to 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 no coinsurance.
Diagnostic and Radiological Services See details
Diagnostic and radiological services are covered under Humana Value Choice H7617-064 (PPO) with no copay for lab and outpatient X-ray services, and no coinsurance for diagnostic services. Diagnostic procedures carry a $0 to $100 copay, while therapeutic radiological services require at least a $40 copay and 20% coinsurance, with prior authorization required.
Home Health Services See details
Home Health Services are covered by Humana Value Choice H7617-064 (PPO) with no copay and no coinsurance, although prior authorization is required.
Cardiac Rehabilitation Services See details
Humana Value Choice H7617-064 (PPO) offers Cardiac Rehabilitation Services with no copay, no coinsurance, and prior authorization required. Although some services are covered, standard cardiac, intensive cardiac, pulmonary, and SET for PAD rehabilitation services are not covered.
Skilled Nursing Facility (SNF) See details
Humana Value Choice H7617-064 (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 for this benefit, which does not require a prior three-day inpatient hospital stay for admission.
Other Services See details
Humana Value Choice H7617-064 (PPO) partially covers other services, offering acupuncture with a $20.00 copay and no coinsurance for up to 20 treatments per year, alongside a chronic illness meal benefit with no copay and no coinsurance. Both covered services require prior authorization, while over-the-counter items are not covered.
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