HumanaChoice - Diabetes and Heart (PPO C-SNP)

HumanaChoice - Diabetes and Heart (PPO C-SNP) is a PPO C-SNP plan offered by Humana Inc. available for enrollment in 2026 to people living in Select Counties in Oklahoma. This plan received an overall rating of 4.5 out of 5 stars in 2026.

It's important to know that HumanaChoice - Diabetes and Heart (PPO C-SNP) 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 - Diabetes and Heart (PPO C-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.

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:

Drug Coverage

The HumanaChoice - Diabetes and Heart (PPO C-SNP) plan features an annual drug deductible of $615. Under this plan, you will pay no copay for Tier 1 preferred generic drugs filled at standard pharmacies or through preferred mail order, as well as no copay for Tier 6 select care drugs across all standard and mail order options. Tier 2 generic drugs are also highly affordable, costing as little as a $9 copay for a one-month supply at standard pharmacies and no copay for a three-month supply through preferred mail order. For brand-name and specialty medications, Tier 3 preferred brand drugs require a $47 copay for a one-month supply. Higher-tier medications transition to coinsurance, with Tier 4 non-preferred drugs requiring 47% coinsurance and Tier 5 specialty tier drugs requiring 25% coinsurance. This structured pricing allows you to easily plan your prescription expenses whether utilizing local standard pharmacies or convenient mail-order services.

Additional Benefits

The HumanaChoice - Diabetes and Heart (PPO C-SNP) plan offers comprehensive medical coverage with no copay and no coinsurance for primary care visits, home health services, and preventive physicals. Specialist visits and therapy services require a low $25 copay and no coinsurance, while inpatient hospital stays carry a $300 daily copay for the first six days followed by no copay. Outpatient care features no coinsurance, with costs ranging from no copay for ambulatory surgical centers to a copay of up to $270 for outpatient hospital services. Supplemental benefits include routine dental, vision, and hearing care, which generally require no copay and no coinsurance, including up to $1,500 in annual dental coverage. For specialized needs, medical equipment and dialysis services require a 20% coinsurance with no copay, while over-the-counter items and chronic illness meals are available with no copay and no coinsurance. Emergency room visits carry a $130 copay, which is waived if you are admitted to the hospital within 24 hours.