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HumanaChoice H7617-066 (PPO)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for HumanaChoice H7617-066 (PPO). The information on this page is a summary only.
For a complete listing of all available benefits and cost information on HumanaChoice H7617-066 (PPO) in 2026, please refer to our full plan details page.
HumanaChoice H7617-066 (PPO) is a PPO plan offered by Humana Inc. available for enrollment in 2026 to people living in Select Counties in Arkansas. This plan received an overall rating of 4.5 out of 5 stars in 2026.
It's important to know that HumanaChoice H7617-066 (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 H7617-066 (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 H7617-066 (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 $2.00. 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 a $420.00 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 $8400.00 (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 $8400.00 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 H7617-066 (PPO) Medicare plan offers an Enhanced Alternative drug benefit with a $420 prescription drug deductible. After meeting this deductible, you will pay a $5 copay for Tier 1 preferred generics at standard pharmacies or through preferred mail order, while Tier 2 standard generics require a $47 copay. For higher tiers, you will pay a coinsurance of 48% for Tier 3 preferred brands and 28% for Tier 4 non-preferred drugs. Once your annual out-of-pocket drug costs reach $2,100, you enter the catastrophic coverage phase and pay nothing for Medicare Part D covered drugs. Eligible individuals qualifying for the low-income subsidy, also known as Extra Help, will also see their Part D premium reduced to no cost.
Additional Benefits
The HumanaChoice H7617-066 (PPO) plan offers comprehensive medical coverage with no copay for primary care visits, while specialist visits and acupuncture require a $35 copay. For hospital stays, inpatient care requires a $295 daily copay for the first six days and no copay for days seven through 90, while emergency room visits carry a $130 copay. Additionally, routine laboratory tests and home health services require no copay, whereas dialysis and durable medical equipment involve a 20% coinsurance. Supplemental benefits include routine dental and hearing exams with no copay, alongside a $1,000 annual dental limit and a $250 allowance for eyewear. Vision exams range from no copay to a $35 copay, while prescription hearing aids require a copay between $599 and $899. Members also benefit from over-the-counter items and meal programs with no copay, helping to reduce out-of-pocket healthcare expenses.
Inpatient Hospital See details
HumanaChoice H7617-066 (PPO) partially covers inpatient hospital benefits, which require a daily copay of $295 for days 1 to 6, no copay for days 7 to 90, and no coinsurance for acute and psychiatric stays. Unlimited additional acute stay days are covered with no copay, but upgrades, non-Medicare-covered stays, and additional psychiatric days are not covered.
Outpatient Services See details
HumanaChoice H7617-066 (PPO) covers outpatient services with no coinsurance, including no copay for ambulatory surgical center and outpatient blood services. Other covered services require copays, ranging from $0 to $350 for outpatient hospital services, $30 to $35 for outpatient substance abuse sessions, and $295 per stay for observation services.
Partial Hospitalization See details
Partial hospitalization benefits are covered by HumanaChoice H7617-066 (PPO) with a $35 copay and no coinsurance. Prior authorization is required for these services.
Ambulance and Transportation Services See details
HumanaChoice H7617-066 (PPO) covers ground and air ambulance services with a $335 copay and no coinsurance, though prior authorization is required. Transportation services are not covered.
Emergency Services See details
HumanaChoice H7617-066 (PPO) covers emergency services with a $130 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 $130 copay and no coinsurance.
Primary Care See details
HumanaChoice H7617-066 (PPO) offers partially covered primary care benefits, as routine chiropractic and podiatry services are not covered. Covered services include primary care visits with no copay and no coinsurance, specialist visits for a $35 copay and no coinsurance, and therapy and mental health services with copays ranging from $25 to $30 and no coinsurance.
Preventive Services See details
HumanaChoice H7617-066 (PPO) partially covers preventive services, offering no copay and no coinsurance for covered benefits such as annual physical exams, kidney disease education, and diabetes self-management training. However, several additional services are not covered, including health education, weight management programs, personal emergency response systems, and in-home safety assessments.
Hearing Services See details
Hearing services are covered by HumanaChoice H7617-066 (PPO), featuring no copay or coinsurance for routine exams, fitting evaluations, and over-the-counter hearing aids, while Medicare-covered exams require a $35 copay and no coinsurance. Prescription hearing aids are partially covered with a copay of $599 to $899 and no coinsurance, but inner ear, outer ear, and over-the-ear models are not covered.
Vision Services See details
HumanaChoice H7617-066 (PPO) provides partially covered vision services, including eye exams with a $0 to $35 copay and no coinsurance, and covered eyewear with no copay and no coinsurance. While contact lenses and combined eyeglasses (lenses and frames) are covered up to a $250 annual limit, separate eyeglass lenses, separate eyeglass frames, and upgrades are not covered.
Dental Services See details
HumanaChoice H7617-066 (PPO) covers dental services with a $1,000 annual limit, requiring a $35 copay and no coinsurance for Medicare-covered dental, and no copay or coinsurance for most preventive and comprehensive services. This benefit is partially covered, as fluoride treatment, maxillofacial prosthetics, implant services, and orthodontics are not covered.
Home Infusion bundled Services See details
HumanaChoice H7617-066 (PPO) covers home infusion bundled services, which require prior authorization and step therapy. Under this benefit, Medicare Part B insulin drugs require a $35 copay and 0% to 20% coinsurance, while chemotherapy, radiation, and other Part B drugs have no copay and 0% to 20% coinsurance.
Dialysis Services See details
Dialysis Services are covered by the HumanaChoice H7617-066 (PPO) plan with a 20% coinsurance and no copay, though prior authorization is required.
Medical Equipment See details
HumanaChoice H7617-066 (PPO) covers durable medical equipment and prosthetics 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 and coinsurance; prior authorization is required.
Diagnostic and Radiological Services See details
HumanaChoice H7617-066 (PPO) covers diagnostic and radiological services, with prior authorization required. Lab and outpatient X-ray services feature no copay and no coinsurance, while diagnostic procedures cost between a $0 and $100 copay (no coinsurance), diagnostic radiology costs up to a $360 copay (no coinsurance), and therapeutic radiology requires up to a $35 copay and 20% coinsurance.
Home Health Services See details
Home Health Services are covered by HumanaChoice H7617-066 (PPO) with no copay and no coinsurance. Prior authorization is required to receive these services.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are not covered in practice under the HumanaChoice H7617-066 (PPO) plan; although the plan notes some services are covered, cardiac rehabilitation, intensive cardiac rehabilitation, pulmonary rehabilitation, and SET for PAD services are not covered, meaning there is no copay or coinsurance.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) benefits are covered by HumanaChoice H7617-066 (PPO) with a $10 daily copay for days 1 to 20, a $218 daily copay for days 21 to 100, and no coinsurance. Prior authorization is required, and additional days beyond the Medicare-covered limit are not covered.
Other Services See details
Other services are partially covered by HumanaChoice H7617-066 (PPO), which provides acupuncture for a $35 copay and no coinsurance, plus over-the-counter items and meal benefits with no copay and no coinsurance. Highly integrated dual-eligible SNP services are not covered, and the plan does not cover all drugs on the CMS OTC list.
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