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Humana Value Plus H7617-081 (PPO)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for Humana Value Plus H7617-081 (PPO). The information on this page is a summary only.
For a complete listing of all available benefits and cost information on Humana Value Plus H7617-081 (PPO) in 2026, please refer to our full plan details page.
Humana Value Plus H7617-081 (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 Humana Value Plus H7617-081 (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 Humana Value Plus H7617-081 (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 Humana Value Plus H7617-081 (PPO), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $32.90. 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 $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 Humana Value Plus H7617-081 (PPO) Medicare prescription drug plan features an annual drug deductible of $615. This deductible represents the amount you must pay out-of-pocket for your prescription medications before the plan begins to pay its share. Knowing this upfront cost is a key factor when deciding if this plan aligns with your healthcare budget. Specific drug coverage tier details, including copays and coinsurance rates for different medication tiers, are not available for this plan. To determine your exact out-of-pocket costs, it is recommended to check how your specific medications are covered under the plan formulary. This ensures you find the most cost-effective prescription drug coverage for your needs.
Additional Benefits
The Humana Value Plus H7617-081 (PPO) provides comprehensive healthcare coverage, featuring no copay for primary care visits and a $35 copay for specialists. If you require inpatient hospital care, you will pay a $600 daily copay for the first three days and no copay for the remaining covered days. Outpatient services, emergency visits, and diagnostic testing generally range from no copay up to a 20% coinsurance or fixed copays. For extra peace of mind, the plan offers routine dental, vision, and hearing benefits with no copay for most preventive services, including a $2,500 annual dental limit. Members also have access to up to 36 one-way transportation trips per year to plan-approved locations with no copay. Additionally, home health services and skilled nursing care are covered with no copay for initial treatment periods.
Inpatient Hospital See details
Humana Value Plus H7617-081 (PPO) covers inpatient acute hospital stays with no coinsurance and a $600 daily copay for days 1 to 3, followed by no copay for days 4 through 999. Inpatient psychiatric care is also covered with no coinsurance and a $550 daily copay for days 1 to 3 (no copay for days 4 to 90), though non-Medicare-covered stays and hospital upgrades are not covered.
Outpatient Services See details
Humana Value Plus H7617-081 (PPO) outpatient services include outpatient hospital care with a $0 to $35 copay and 20% coinsurance, and ambulatory surgical center visits with no copay and 20% coinsurance. Outpatient substance abuse services require a $35 copay and no coinsurance, while outpatient blood services are covered with no copay and no coinsurance.
Partial Hospitalization See details
Humana Value Plus H7617-081 (PPO) covers partial hospitalization services with a $35.00 copay and no coinsurance. Prior authorization is required for these covered services.
Ambulance and Transportation Services See details
Humana Value Plus H7617-081 (PPO) covers ground ambulance services with a $335 copay and no coinsurance, and air ambulance services with a 20% coinsurance and no copay. Transportation services are partially covered with no copay and no coinsurance for up to 36 one-way trips per year to plan-approved locations, though transportation to any health-related location is not covered.
Emergency Services See details
Humana Value Plus H7617-081 (PPO) covers emergency services with a $130 copay and no coinsurance, which is waived if you are admitted to the hospital within 24 hours. Urgently needed services are covered with a $50 copay and no coinsurance, while worldwide emergency, urgent care, and emergency transportation services are available with a $130 copay and no coinsurance.
Primary Care See details
Humana Value Plus H7617-081 (PPO) covers primary care physician services with no copay and no coinsurance, while specialist visits require a $35 copay and no coinsurance. Chiropractic services are partially covered, excluding other chiropractic services, with a $15 copay and no coinsurance, and physical, occupational, and speech therapy require no copay and 20% coinsurance.
Preventive Services See details
Humana Value Plus H7617-081 (PPO) offers partially covered preventive services with no copay and no coinsurance for covered benefits like annual physicals, kidney education, diabetes training, glaucoma screenings, digital rectal exams, EKGs, fitness benefits, and in-home support. However, several services are not covered under this plan, 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/dietary benefits, home-based palliative care, caregiver support, smoking cessation, disease management, telemonitoring, remote access, home safety devices, and counseling.
Hearing Services See details
Humana Value Plus H7617-081 (PPO) covers hearing exams with a $35 copay, no coinsurance, and no deductible, while routine annual exams, fittings, and OTC hearing aids feature no copay or coinsurance. Prescription hearing aids are partially covered with no copay or coinsurance for up to two devices every three years, though inner ear, outer ear, and over the ear models are not covered.
Vision Services See details
Vision services are partially covered by Humana Value Plus H7617-081 (PPO) with no deductibles and no coinsurance. Routine eye exams and eyewear, including contact lenses and eyeglasses, are covered with no copay up to annual limits of $75 and $250 respectively, though other eye exams, separate eyeglass lenses, separate frames, and upgrades are not covered.
Dental Services See details
Humana Value Plus H7617-081 (PPO) dental services are partially covered up to a $2,500 annual limit, featuring no copay and no coinsurance for most preventive and comprehensive services. Medicare-covered dental services require a $35 copay and no coinsurance, while fluoride treatments, maxillofacial prosthetics, implant services, and orthodontics are not covered.
Home Infusion bundled Services See details
Humana Value Plus H7617-081 (PPO) covers home infusion bundled services, subject to prior authorization and step therapy. Covered Medicare Part B chemotherapy drugs require a copayment and 0% to 20% coinsurance, other Part B drugs carry no copayment and 0% to 20% coinsurance, and Part B insulin is available for a $35 copayment and 0% to 20% coinsurance.
Dialysis Services See details
Dialysis Services are covered by Humana Value Plus H7617-081 (PPO) with no copay and a 20% coinsurance. Prior authorization is required to receive these services.
Medical Equipment See details
Medical equipment benefits under Humana Value Plus H7617-081 (PPO) are covered, generally requiring a 20% coinsurance and no copay for durable medical equipment, prosthetics, medical supplies, and diabetic supplies. Diabetic therapeutic shoes and inserts require a $10 copay, and prior authorization is required for most equipment and supplies.
Diagnostic and Radiological Services See details
Diagnostic and radiological services are covered by Humana Value Plus H7617-081 (PPO) with prior authorization, generally requiring a 20% coinsurance across services. There is no copay for lab services, outpatient X-rays, and diagnostic radiology, while diagnostic tests carry a $0 to $50 copay and therapeutic radiology requires a minimum copay of $35.
Home Health Services See details
Home Health Services are covered by Humana Value Plus H7617-081 (PPO) with no copay and no coinsurance, although prior authorization is required.
Cardiac Rehabilitation Services See details
Humana Value Plus H7617-081 (PPO) covers cardiac rehabilitation services with no copay, although prior authorization is required. A 20% coinsurance applies to intensive cardiac rehabilitation, pulmonary rehabilitation, and supervised exercise therapy (SET) for symptomatic peripheral artery disease (PAD) services.
Skilled Nursing Facility (SNF) See details
Humana Value Plus H7617-081 (PPO) covers Skilled Nursing Facility (SNF) care with no coinsurance, requiring prior authorization but no prior three-day hospital stay. There is no copay for days 1 through 20, followed by a $218 daily copay for days 21 through 100, though additional days beyond Medicare limits are not covered.
Other Services See details
Humana Value Plus H7617-081 (PPO) offers partial coverage for other services, including acupuncture, over-the-counter items, and meal benefits with no copay and no coinsurance. Prior authorization is required for acupuncture and meal benefits, while other specific services under this category are not covered.
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1-877-649-2073 / TTY 711. 8am-11pm EST. 7 days a week
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