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HumanaChoice SNP-DE H7617-075 (PPO D-SNP)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for HumanaChoice SNP-DE H7617-075 (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 H7617-075 (PPO D-SNP) in 2026, please refer to our full plan details page.
HumanaChoice SNP-DE H7617-075 (PPO D-SNP) is a PPO D-SNP 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 SNP-DE H7617-075 (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 H7617-075 (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.
Key Plan Facts
Below are a few key facts and commonly-asked questions about HumanaChoice SNP-DE H7617-075 (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 H7617-075 (PPO D-SNP), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $8.90. 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 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:
Specialist Visits:
Emergency Room:
Urgent Care:
Sign up for HumanaChoice SNP-DE H7617-075 (PPO D-SNP)
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Drug Coverage
HumanaChoice SNP-DE H7617-075 (PPO D-SNP) features an Enhanced Alternative drug benefit with an annual prescription deductible of $615.00. If you qualify for the low-income subsidy, your Part D premium is reduced to $8.90. For Tier 1 preferred generic drugs, there is no copay at standard pharmacies and preferred mail, though standard mail carries a $20.00 copay. For Tier 2 standard generics, Tier 3 preferred brands, and Tier 4 non-preferred drugs, you will pay a 25% coinsurance at standard pharmacies, preferred mail, and standard mail. Once your yearly out-of-pocket drug costs reach $2,100.00, you enter the catastrophic coverage phase and pay nothing for covered Medicare Part D drugs.
Additional Benefits
The HumanaChoice SNP-DE H7617-075 (PPO D-SNP) plan offers comprehensive medical coverage where most outpatient, primary care, specialist, and diagnostic services require a 20% coinsurance with no copay. For inpatient hospital stays, members pay a copay of $2,230 for acute care and $2,080 for psychiatric care, both with no coinsurance. Emergency room visits carry a $115 copay, which is waived if admitted, while urgent care services require a 20% coinsurance. This plan also includes valuable supplemental benefits, such as routine preventive care, home health services, and up to 60 one-way transportation trips per year with no copay and no coinsurance. Additionally, dental care up to $1,500 and eyewear up to $350 are covered with no copay or coinsurance, while routine hearing and vision exams require a 20% coinsurance. Skilled nursing facility stays feature no copay for the first 20 days and a $218 daily copay for days 21 through 100.
Inpatient Hospital See details
HumanaChoice SNP-DE H7617-075 (PPO D-SNP) partially covers inpatient hospital services, featuring a $2,230 copay per stay with no coinsurance for acute care and a $2,080 copay per stay with no coinsurance for psychiatric care. Prior authorization is required, and acute care upgrades, psychiatric additional days, and non-Medicare-covered stays are not covered.
Outpatient Services See details
Outpatient services are covered by HumanaChoice SNP-DE H7617-075 (PPO D-SNP) with a 20% coinsurance and no copay. This coverage applies to outpatient hospital, observation, ambulatory surgical center, substance abuse, and blood services, most of which require prior authorization.
Partial Hospitalization See details
Partial hospitalization benefits are covered by HumanaChoice SNP-DE H7617-075 (PPO D-SNP) with no copay and a 20% coinsurance. Prior authorization is required for these services.
Ambulance and Transportation Services See details
HumanaChoice SNP-DE H7617-075 (PPO D-SNP) covers ground and air ambulance services with a 20% coinsurance and no copay, subject to prior authorization. Transportation services are partially covered with no copay or coinsurance for up to 60 one-way trips per year to plan-approved locations, but transportation to any health-related location is not covered.
Emergency Services See details
HumanaChoice SNP-DE H7617-075 (PPO D-SNP) 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 are covered with a 20% coinsurance and no copay, while worldwide emergency, urgent, and transportation services are available with a $115 copay and no coinsurance.
Primary Care See details
Primary care benefits are partially covered by HumanaChoice SNP-DE H7617-075 (PPO D-SNP), as podiatry and routine chiropractic services are not covered. Most covered services, such as primary care physician and specialist visits, require a 20% coinsurance, while telehealth services feature a 20% coinsurance and no copay.
Preventive Services See details
HumanaChoice SNP-DE H7617-075 (PPO D-SNP) partially covers preventive services, offering Medicare-covered preventive care, annual physicals, kidney education, and select screenings with no copay and no coinsurance. However, several additional preventive services are not covered, including fitness benefits, health education, weight management, nutritional therapy, and in-home support.
Hearing Services See details
HumanaChoice SNP-DE H7617-075 (PPO D-SNP) covers hearing services, including routine hearing exams with a 20% coinsurance and no copay, as well as fitting evaluations and OTC hearing aids with no copay or coinsurance. Prescription hearing aids are partially covered with no copay for general types, but inner ear, outer ear, and over-the-ear prescription hearing aids are not covered.
Vision Services See details
HumanaChoice SNP-DE H7617-075 (PPO D-SNP) partially covers vision services, offering one routine eye exam per year with a 20% coinsurance and no copay, and contact lenses or eyeglasses with no copay and no coinsurance up to a $350 annual limit. Standalone eyeglass lenses, eyeglass frames, and upgrades are not covered.
Dental Services See details
Dental services are partially covered under the HumanaChoice SNP-DE H7617-075 (PPO D-SNP) plan, excluding fluoride treatments, maxillofacial prosthetics, implant services, and orthodontics. Medicare-covered dental services require a 20% coinsurance with no copay, while other covered dental services feature no copay and no coinsurance up to a $1,500 annual maximum.
Home Infusion bundled Services See details
Home Infusion bundled Services are covered by HumanaChoice SNP-DE H7617-075 (PPO D-SNP) with prior authorization, featuring coinsurance ranging from no coinsurance to 20% on covered Part B drugs. Medicare Part B insulin drugs require a $35 copay, other Part B drugs have no copay, and chemotherapy or radiation drugs also carry a copayment.
Dialysis Services See details
Dialysis Services are covered under the HumanaChoice SNP-DE H7617-075 (PPO D-SNP) plan with no copay and a 20% coinsurance. Prior authorization is required for these services.
Medical Equipment See details
HumanaChoice SNP-DE H7617-075 (PPO D-SNP) covers medical equipment, including durable medical equipment, prosthetics, and diabetic supplies, generally with a 20% coinsurance and no copay. Prior authorization is required for these benefits, and diabetic supplies are limited to specified manufacturers.
Diagnostic and Radiological Services See details
HumanaChoice SNP-DE H7617-075 (PPO D-SNP) covers diagnostic and radiological services, with diagnostic tests and lab services requiring up to 20% coinsurance and no copay. Outpatient x-rays carry up to 20% coinsurance and a $50 copay, and prior authorization is required for these services.
Home Health Services See details
Home Health Services are covered by HumanaChoice SNP-DE H7617-075 (PPO D-SNP) with no copay and no coinsurance. Prior authorization is required to receive these benefits.
Cardiac Rehabilitation Services See details
HumanaChoice SNP-DE H7617-075 (PPO D-SNP) indicates some services are covered, but in practice, cardiac, intensive cardiac, pulmonary, and SET for PAD rehabilitation services are not covered. As a result, there are no copay or coinsurance benefits available for these services.
Skilled Nursing Facility (SNF) See details
HumanaChoice SNP-DE H7617-075 (PPO D-SNP) partially covers Skilled Nursing Facility (SNF) services with no coinsurance, though prior authorization is required. There is no copay for days 1 through 20 and a $218 daily copay for days 21 through 100, but additional days beyond the Medicare-covered limit are not covered.
Other Services See details
HumanaChoice SNP-DE H7617-075 (PPO D-SNP) provides partially covered Other Services, with Dual Eligible SNPs with Highly Integrated Services being not covered. Covered benefits include acupuncture with a 20% coinsurance and no copay, as well as over-the-counter items and meal benefits with no copay and no coinsurance.
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