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HumanaChoice H7617-080 (PPO)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for HumanaChoice H7617-080 (PPO). The information on this page is a summary only.
For a complete listing of all available benefits and cost information on HumanaChoice H7617-080 (PPO) in 2026, please refer to our full plan details page.
HumanaChoice H7617-080 (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 H7617-080 (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 H7617-080 (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 H7617-080 (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 $1.00. You must continue to pay paying your reduced Part B Premium.
Deductibles
This plan has a $500.00 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 $6900.00 (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 $6900.00 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 H7617-080 (PPO) Medicare prescription drug plan features an annual drug deductible of $615. For Tier 1 preferred generic drugs, you will pay no copay for a 1-month or 3-month supply at standard pharmacies and through preferred mail order. Tier 2 generic drugs are also highly affordable, costing as little as a $5 copay for a 1-month supply, or no copay for a 3-month supply when using preferred mail order. Tier 3 preferred brand drugs require a copay of $47 for a 1-month supply across standard pharmacies and mail order services. For higher-tier medications, Tier 4 non-preferred drugs carry a 48% coinsurance, while Tier 5 specialty drugs require a 25% coinsurance for a 1-month supply. Choosing preferred mail order can help lower costs, such as reducing Tier 3 three-month supply copays to $131.
Additional Benefits
The HumanaChoice H7617-080 (PPO) plan offers affordable coverage for core medical needs, featuring no copay and no coinsurance for primary care doctor visits and annual physicals. Specialist visits require a copay of $30 to $35, while inpatient hospital stays require a $295 daily copay for the first 10 days and no copay for additional days. Emergency room visits carry a $130 copay, which is waived if you are admitted, and outpatient services have no coinsurance with copays ranging from $0 to $350. Supplemental care includes routine dental services up to a $1,500 annual limit with no copay and coinsurance up to 40%, alongside routine vision and hearing exams with no copay. Prescription hearing aids are covered with copays ranging from $599 to $899, while home health services are fully covered with no copay or coinsurance. For medical equipment and dialysis, members can expect a 20% coinsurance and no copay.
Inpatient Hospital See details
HumanaChoice H7617-080 (PPO) inpatient hospital benefits are partially covered with no coinsurance, excluding upgrades, non-Medicare-covered stays, and additional psychiatric days. Acute stays require a $295 copay for days 1 through 10 and no copay for days 11 and beyond, while psychiatric stays require a $247 copay for days 1 through 10 and no copay for days 11 through 90.
Outpatient Services See details
HumanaChoice H7617-080 (PPO) covers outpatient hospital services with no coinsurance and a copay of $0 to $350, and observation services with no coinsurance and a $295 copay per stay. Ambulatory surgical center and outpatient blood services are covered with no copay and no coinsurance, while outpatient substance abuse sessions require a $35 copay and no coinsurance.
Partial Hospitalization See details
HumanaChoice H7617-080 (PPO) covers partial hospitalization services with a $35.00 copay and no coinsurance. Prior authorization is required to access this benefit.
Ambulance and Transportation Services See details
Ambulance services are covered by HumanaChoice H7617-080 (PPO) with prior authorization, requiring a $335 copay and no coinsurance for ground services, and a 20% coinsurance with no copay for air services. Transportation services to health-related locations are not covered.
Emergency Services See details
HumanaChoice H7617-080 (PPO) emergency services are covered with a $130 copay and no coinsurance, and this copay is waived if you are admitted to the hospital within 24 hours. Urgently needed services require 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 H7617-080 (PPO) primary care benefits feature no copay and no coinsurance for primary care physician visits, while specialist, therapy, and mental health services require a $30 to $35 copay and no coinsurance. Telehealth benefits range from no copay to a $50 copay with no coinsurance, but routine chiropractic and podiatry services are not covered.
Preventive Services See details
HumanaChoice H7617-080 (PPO) preventive services are partially covered with no copay and no coinsurance for annual physicals, kidney disease education, diabetes training, glaucoma screenings, and select fitness, smoking cessation, and in-home support services. Several supplemental benefits are not covered, including health education, in-home safety assessments, PERS, medical nutrition therapy, post-discharge medication reconciliation, readmission prevention, wigs, weight management, alternative therapies, therapeutic massage, adult day health, nutritional benefits, palliative care, caregiver support, enhanced disease management, telemonitoring, remote access technologies, home safety modifications, and counseling.
Hearing Services See details
Hearing services are partially covered by HumanaChoice H7617-080 (PPO), offering Medicare-covered exams for a $35 copay and routine exams or fitting evaluations with no copay and no coinsurance. Up to two prescription hearing aids are covered annually with copays ranging from $599 to $899 and no coinsurance, though OTC, inner ear, outer ear, and over the ear hearing aids are not covered.
Vision Services See details
Vision services are partially covered by HumanaChoice H7617-080 (PPO) with no deductible, no coinsurance, and no copays for routine eye exams and covered eyewear, which feature annual limits of $75 and $150 respectively. Other eye exams, individual eyeglass lenses, individual eyeglass frames, and eyewear upgrades are not covered.
Dental Services See details
HumanaChoice H7617-080 (PPO) partially covers dental services up to a $1,500 annual limit, excluding fluoride treatments, maxillofacial prosthetics, implant services, and orthodontics. Medicare-covered dental requires a $35 copay and no coinsurance, while other covered preventive and comprehensive services feature no copay and coinsurance ranging from no coinsurance up to 40%.
Home Infusion bundled Services See details
HumanaChoice H7617-080 (PPO) covers home infusion bundled services with no copay, although prior authorization is required. Associated Medicare Part B chemotherapy, radiation, and other drugs require no coinsurance to 20% coinsurance, while covered insulin carries a $35 copay and no coinsurance to 20% coinsurance.
Dialysis Services See details
HumanaChoice H7617-080 (PPO) covers dialysis services with no copay and a 20% coinsurance. Prior authorization is required to receive these covered services.
Medical Equipment See details
HumanaChoice H7617-080 (PPO) covers medical equipment, including durable medical equipment (DME), prosthetics, and medical supplies, with a 20% coinsurance and no copay. Covered diabetic supplies require a 10% to 20% coinsurance and no copay, while diabetic therapeutic shoes and inserts have a $10 copay and no coinsurance.
Diagnostic and Radiological Services See details
HumanaChoice H7617-080 (PPO) covers diagnostic and radiological services with prior authorization required. Diagnostic services have no coinsurance, featuring no copay for lab services and a $0 to $75 copay for diagnostic procedures. Radiological services include outpatient X-rays and diagnostic radiology with no copay, while therapeutic radiological services require a $35 copay and a minimum 20% coinsurance.
Home Health Services See details
HumanaChoice H7617-080 (PPO) covers Home Health Services with no copay and no coinsurance, though prior authorization is required.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are covered under the HumanaChoice H7617-080 (PPO) plan with no coinsurance and require prior authorization. However, only some services are covered in practice, as cardiac, intensive cardiac, pulmonary, and SET for PAD rehabilitation services are not covered and require a $15 copay.
Skilled Nursing Facility (SNF) See details
HumanaChoice H7617-080 (PPO) covers Skilled Nursing Facility (SNF) services with no coinsurance, offering 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 hospital stay is not necessary, additional days beyond the standard 100-day Medicare benefit period are not covered.
Other Services See details
HumanaChoice H7617-080 (PPO) partially covers other services, offering acupuncture with a $35 copay and no coinsurance for up to 20 treatments per year, and a chronic illness meal benefit with no copay and no coinsurance. Over-the-counter (OTC) items are not covered under this plan.
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