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HumanaChoice H7617-079 (PPO)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for HumanaChoice H7617-079 (PPO). The information on this page is a summary only.
For a complete listing of all available benefits and cost information on HumanaChoice H7617-079 (PPO) in 2026, please refer to our full plan details page.
HumanaChoice H7617-079 (PPO) is a PPO plan offered by Humana Inc. available for enrollment in 2026 to people living in Louisiana. This plan received an overall rating of 4.5 out of 5 stars in 2026.
It's important to know that HumanaChoice H7617-079 (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 H7617-079 (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 H7617-079 (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 has a $1000.00 health deductible. This means, every calendar year, you pay this amount towards covered services before your insurance coverage kicks in.
This plan has a $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 $10100.00 (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 $10100.00 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 H7617-079 (PPO) plan features an annual drug deductible of $615. For Tier 1 preferred generic drugs, you will pay no copay at standard pharmacies or through preferred mail order. Tier 2 generic drugs are also highly affordable, costing as little as a $5 copay for a one-month supply, or no copay for a three-month supply when using preferred mail order. Tier 3 preferred brand drugs require a $47 copay for a one-month supply, which drops to a $131 copay for a three-month supply via preferred mail order. Higher-tier prescriptions transition to coinsurance, with Tier 4 non-preferred drugs requiring 47% coinsurance and Tier 5 specialty drugs requiring 25% coinsurance. Understanding these copayment and coinsurance structures helps you estimate your out-of-pocket prescription costs under this Humana Medicare Advantage plan.
Additional Benefits
The HumanaChoice H7617-079 (PPO) plan offers robust coverage for essential medical services, featuring no copay or coinsurance for primary care visits and a $40 copay with no coinsurance for specialists. For hospital stays, there is no coinsurance, with inpatient care requiring a $115 daily copay for the first 10 days and no copay for days 11 through 90. Emergency room visits carry a $130 copay, which is waived if you are admitted, while urgent care services require a $50 copay. This plan also includes valuable supplemental benefits, such as dental coverage with a $2,000 annual maximum and no copay for most preventive and comprehensive services. Vision care features no copay for eyewear up to a $350 annual limit, while routine hearing exams and home health services are covered with no copay. Additionally, covered preventive services, including annual physicals and fitness benefits, are available to members with no copay or coinsurance.
Inpatient Hospital See details
HumanaChoice H7617-079 (PPO) partially covers inpatient hospital services with no coinsurance and a daily copay of $115 for days 1 through 10, followed by no copay for days 11 through 90. Unlimited additional acute care days are covered at no copay, but additional psychiatric days, non-Medicare-covered stays, and room upgrades are not covered.
Outpatient Services See details
HumanaChoice H7617-079 (PPO) covers outpatient services with no coinsurance, though prior authorization is required for most treatments. There is no copay for ambulatory surgical center and outpatient blood services, while other costs include a $35 copay for outpatient substance abuse sessions, a $115 copay per stay for observation services, and copays ranging from $0 to $275 for outpatient hospital services.
Partial Hospitalization See details
HumanaChoice H7617-079 (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
Ambulance and Transportation Services are partially covered by HumanaChoice H7617-079 (PPO), as transportation services to plan-approved or any health-related locations are not covered. Covered ground ambulance services require a $335 copay and no coinsurance, while air ambulance services require a 20% coinsurance and no copay, with prior authorization required for all transport.
Emergency Services See details
HumanaChoice H7617-079 (PPO) covers emergency services with a $130 copay, which is waived if you are admitted to the hospital within 24 hours, and urgently needed services with a $50 copay, both with no coinsurance. Worldwide emergency, urgent, and transportation services are also covered with a $130 copay and no coinsurance.
Primary Care See details
HumanaChoice H7617-079 (PPO) offers primary care physician services with no copay and no coinsurance, and specialist visits with a $40 copay and no coinsurance. Physical, occupational, mental health, and psychiatric therapies require copays ranging from $30 to $35 with no coinsurance. Podiatry is not covered, and chiropractic services are only partially covered as routine and other chiropractic services are excluded.
Preventive Services See details
Preventive Services are partially covered by HumanaChoice H7617-079 (PPO) with no copay and no coinsurance for covered options, including annual physical exams, diabetes self-management training, glaucoma screenings, fitness benefits, and in-home support. However, several supplemental services are not covered, such as health education, weight management programs, personal emergency response systems, nutritional counseling, and home safety assessments.
Hearing Services See details
HumanaChoice H7617-079 (PPO) hearing services include routine hearing exams and fitting evaluations with no copay and no coinsurance, while Medicare-covered exams have a $40 copay and no coinsurance. Prescription hearing aids are partially covered with no coinsurance and copays ranging from $299 to $599 for up to two devices per year, though OTC, inner ear, outer ear, and over-the-ear hearing aids are not covered.
Vision Services See details
HumanaChoice H7617-079 (PPO) partially covers vision services with no deductibles and no coinsurance, featuring a $0 to $40 copay for eye exams and no copay for eyewear up to a $350 annual limit. Other eye exam services, eyeglass lenses, eyeglass frames, and upgrades are not covered under this plan.
Dental Services See details
HumanaChoice H7617-079 (PPO) offers partially covered dental services with a $2,000 annual maximum benefit for both in- and out-of-network care. Most preventive and comprehensive services feature no copay and no coinsurance, though prosthodontics require a 30% coinsurance with no copay, Medicare-covered services require a $40 copay with no coinsurance, and fluoride, implants, maxillofacial prosthetics, and orthodontics are not covered.
Home Infusion bundled Services See details
HumanaChoice H7617-079 (PPO) covers home infusion bundled services with no copay, though prior authorization is required. Covered Medicare Part B chemotherapy, radiation, and other drugs have no coinsurance to 20% coinsurance, while Medicare Part B insulin has a $35 copay and no coinsurance to 20% coinsurance.
Dialysis Services See details
HumanaChoice H7617-079 (PPO) covers dialysis services with no copay and a 20% coinsurance. Prior authorization is required to receive coverage for these services.
Medical Equipment See details
HumanaChoice H7617-079 (PPO) covers durable medical equipment (DME) with a 12% coinsurance and no copay, and prosthetic devices and medical supplies 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.
Diagnostic and Radiological Services See details
HumanaChoice H7617-079 (PPO) covers diagnostic services with no coinsurance, offering no copay for lab services and a $0 to $75 copay for diagnostic procedures. Covered radiological services include outpatient X-rays with no copay, diagnostic radiology with a minimum $0 copay, and therapeutic radiology with a minimum $40 copay and 20% coinsurance.
Home Health Services See details
HumanaChoice H7617-079 (PPO) covers Home Health Services with no copay and no coinsurance, although prior authorization is required.
Cardiac Rehabilitation Services See details
HumanaChoice H7617-079 (PPO) covers some Cardiac Rehabilitation Services with no coinsurance and prior authorization required, though several key sub-services are not covered. Specifically, standard cardiac, intensive cardiac, pulmonary, and SET for PAD rehabilitation services are not covered and carry a $20 copay.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) services are partially covered by HumanaChoice H7617-079 (PPO) with no coinsurance, featuring no copay for days 1 to 20 and a $218 daily copay for days 21 to 100. Prior authorization is required, and additional days beyond the standard Medicare-covered limit are not covered.
Other Services See details
HumanaChoice H7617-079 (PPO) partially covers other services, offering acupuncture for a $40 copay and no coinsurance up to 20 treatments per year, and a chronic illness meal benefit with no copay and no coinsurance. Both covered services require prior authorization, while over-the-counter (OTC) items are not covered.
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