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HumanaChoice SNP-DE H7617-067 (PPO D-SNP)

Benefits Summary and Overview

This page is a benefits summary and overview of key plan information for HumanaChoice SNP-DE H7617-067 (PPO D-SNP). The information on this page is a summary only.

For a complete listing of all available benefits and cost information on HumanaChoice SNP-DE H7617-067 (PPO D-SNP) in 2026, please refer to our full plan details page.

HumanaChoice SNP-DE H7617-067 (PPO D-SNP) is a PPO D-SNP plan offered by Humana Inc. available for enrollment in 2026 to people living in Colorado. This plan received an overall rating of 4.5 out of 5 stars in 2026.

It's important to know that HumanaChoice SNP-DE H7617-067 (PPO D-SNP) is a Medicare Advantage (MA) Plan with drug coverage. That means that this plan covers both medical services and prescription drugs.

Important:

HumanaChoice SNP-DE H7617-067 (PPO D-SNP)is a Special Needs Type (SNP) plan. This means you can only enroll in this plan if you meet specific criteria. See our full plan details page for more information.

Overview IconKey Plan Facts

Below are a few key facts and commonly-asked questions about HumanaChoice SNP-DE H7617-067 (PPO D-SNP).

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 SNP-DE H7617-067 (PPO D-SNP), 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.

This plan does not come with a Part B Premium reduction. You must continue to pay your 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 $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 $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:

Regular visits to your primary care doctor are covered and will have a copay of and coinsurance of 20%.

Specialist Visits:

Visits to specialists are covered and will have a copay of and coinsurance of 20%. Specialist visits may require a referral from your primary care doctor or prior authorization.

Emergency Room:

Trips to the Emergency Room are covered, and will have a copay of and coinsurance of 0% (no coinsurance). Coverage may vary for in-network and out-of-network hospitals.

Urgent Care:

Trips to Urgent Care arecovered and will have a copay of and coinsurance of 20%. Coverage may vary for in-network and out-of-network hospitals.

Sign up for HumanaChoice SNP-DE H7617-067 (PPO D-SNP)

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Drug Coverage IconDrug Coverage

The HumanaChoice SNP-DE H7617-067 (PPO D-SNP) prescription drug plan features an annual drug deductible of $615. For Tier 1 preferred generic and Tier 2 generic medications, there is no copay for one-month or three-month supplies filled at standard pharmacies or through preferred mail order. Standard mail order delivery for these generic tiers requires a copay ranging from $10 to $60 depending on the tier and supply duration. For Tier 3 preferred brand, Tier 4 non-preferred, and Tier 5 specialty drugs, members are responsible for a 25% coinsurance. This 25% coinsurance rate applies across standard pharmacies, preferred mail order, and standard mail order services. Understanding these copays and coinsurance structures helps you accurately estimate your annual out-of-pocket prescription costs with this Humana Medicare plan.

Additional Benefits IconAdditional Benefits

The HumanaChoice SNP-DE H7617-067 (PPO D-SNP) plan offers comprehensive coverage where many outpatient services, primary care visits, diagnostics, and medical equipment require no copay and a 20% coinsurance. For emergency situations, members pay a $115 copay, which is waived upon hospital admission, while inpatient hospital stays require an $1,850 copay per stay. Skilled nursing facility care is also covered with no copay for the first 20 days, followed by a $218 daily copay for days 21 through 100. Additionally, the plan features no copay and no coinsurance for routine preventive services, home health visits, and select dental and vision benefits, subject to specific annual limits. Members also benefit from covered transportation services for up to 60 one-way trips per year and prescription hearing aids with no copay or coinsurance. Most covered services, including outpatient care, dialysis, and medical equipment, require prior authorization.

Inpatient Hospital See details

HumanaChoice SNP-DE H7617-067 (PPO D-SNP) inpatient hospital benefits are partially covered, requiring a $1,850 copay per stay and no coinsurance, with prior authorization required. While acute and psychiatric stays are covered, upgrades, non-Medicare-covered stays, and additional psychiatric days are not covered.

Outpatient Services See details

HumanaChoice SNP-DE H7617-067 (PPO D-SNP) covers outpatient services, including outpatient hospital, ambulatory surgical center, outpatient substance abuse, and blood services, with no copay and a 20% coinsurance. Prior authorization is required for these services, and there is no deductible for outpatient blood services.

Partial Hospitalization See details

HumanaChoice SNP-DE H7617-067 (PPO D-SNP) covers partial hospitalization services with no copay and a 20% coinsurance. Prior authorization is required to receive coverage for this benefit.

Ambulance and Transportation Services See details

HumanaChoice SNP-DE H7617-067 (PPO D-SNP) covers ground and air ambulance services with a 20% coinsurance and no copay, subject to prior authorization. Additionally, the plan offers partially covered transportation services with no copay and no coinsurance for up to 60 one-way trips per year to plan-approved locations, though transportation to any other health-related location is not covered.

Emergency Services See details

Emergency services are covered under the HumanaChoice SNP-DE H7617-067 (PPO D-SNP) plan with a $115 copay and no coinsurance, which is waived if you are admitted to the hospital within 24 hours. Urgently needed services require no copay and a 20% coinsurance (up to a $40 maximum), while worldwide emergency, urgent, and transportation services are covered with a $115 copay and no coinsurance.

Primary Care See details

Primary Care benefits under the HumanaChoice SNP-DE H7617-067 (PPO D-SNP) plan are covered with no copay and a 20% coinsurance for most services, including primary care, specialist, therapy, and telehealth visits. Routine foot care is covered for up to 12 visits per year with a 20% coinsurance, but routine and other chiropractic services are not covered.

Preventive Services See details

HumanaChoice SNP-DE H7617-067 (PPO D-SNP) covers preventive services, including annual physical exams, kidney disease education, and a memory fitness benefit, with no copay and no coinsurance. Additional preventive benefits are only partially covered, as services such as health education, nutritional/dietary benefits, in-home safety assessments, and personal emergency response systems are not covered.

Hearing Services See details

HumanaChoice SNP-DE H7617-067 (PPO D-SNP) covers hearing services, featuring routine hearing exams once per year with no copay and a 20% coinsurance, alongside fitting evaluations and OTC hearing aids with no copay and no coinsurance. Prescription hearing aids are partially covered with no copay or coinsurance for up to two aids every three years, though inner ear, outer ear, and over-the-ear prescription hearing aids are not covered.

Vision Services See details

HumanaChoice SNP-DE H7617-067 (PPO D-SNP) partially covers vision services, offering one routine eye exam per year with no copay and a 20% coinsurance up to a $40 limit, while other eye exam services are not covered. Eyewear is also partially covered with no copay and no coinsurance up to a $350 annual limit for contact lenses or eyeglasses, though individual eyeglass lenses, eyeglass frames, and upgrades are not covered.

Dental Services See details

Dental services are partially covered by HumanaChoice SNP-DE H7617-067 (PPO D-SNP) with a $3,500 annual maximum benefit for both in-network and out-of-network care. Medicare-covered dental services require no copay and a 20% coinsurance, while other covered preventive and comprehensive services have no copay and no coinsurance. Fluoride treatment, maxillofacial prosthetics, implant services, and orthodontics are not covered.

Home Infusion bundled Services See details

Home infusion bundled services are covered by HumanaChoice SNP-DE H7617-067 (PPO D-SNP), with prior authorization and step therapy required. Covered Medicare Part B insulin drugs require a $35 copay, other Part B drugs have no copay, and coinsurance ranges from 0% to 20% for all covered Part B chemotherapy, radiation, insulin, and other drugs.

Dialysis Services See details

HumanaChoice SNP-DE H7617-067 (PPO D-SNP) covers dialysis services with no copay and a 20% coinsurance. Prior authorization is required to receive these covered services.

Medical Equipment See details

HumanaChoice SNP-DE H7617-067 (PPO D-SNP) covers durable medical equipment, prosthetics, medical supplies, and diabetic equipment with a 20% coinsurance and no copay. Prior authorization is required for these services, and diabetic supplies are limited to specified manufacturers.

Diagnostic and Radiological Services See details

Diagnostic and radiological services are covered under the HumanaChoice SNP-DE H7617-067 (PPO D-SNP) plan, requiring prior authorization. Covered services, including diagnostic tests, lab services, radiological services, and outpatient X-rays, feature no copay and a 20% coinsurance.

Home Health Services See details

Home Health Services are covered by HumanaChoice SNP-DE H7617-067 (PPO D-SNP) with no copay and no coinsurance, although prior authorization is required.

Cardiac Rehabilitation Services See details

Cardiac Rehabilitation Services are covered by HumanaChoice SNP-DE H7617-067 (PPO D-SNP) with no copay and require prior authorization, though some services are covered while standard cardiac, intensive cardiac, pulmonary, and supervised exercise therapy (SET) for peripheral artery disease services are not covered and require a 20% coinsurance.

Skilled Nursing Facility (SNF) See details

HumanaChoice SNP-DE H7617-067 (PPO D-SNP) 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, and while a prior three-day inpatient hospital stay is not required for admission, coverage is limited to the standard 100 days as additional days are not covered.

Other Services See details

Other services are partially covered by HumanaChoice SNP-DE H7617-067 (PPO D-SNP), featuring acupuncture with no copay and 20% coinsurance, alongside meal benefits and over-the-counter (OTC) items with no copay and no coinsurance. Prior authorization is required for acupuncture and meals, while highly integrated SNP services are not covered.

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