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HumanaChoice SNP-DE H7617-082 (PPO D-SNP)

Benefits Summary and Overview

This page is a benefits summary and overview of key plan information for HumanaChoice SNP-DE H7617-082 (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 H7617-082 (PPO D-SNP) in 2026, please refer to our full plan details page.

HumanaChoice SNP-DE H7617-082 (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 Mississippi. This plan received an overall rating of 4.5 out of 5 stars in 2026.

It's important to know that HumanaChoice SNP-DE H7617-082 (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 H7617-082 (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.

Overview IconKey Plan Facts

Below are a few key facts and commonly-asked questions about HumanaChoice SNP-DE H7617-082 (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 H7617-082 (PPO D-SNP), 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.

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 $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:

Regular visits to your primary care doctor are covered and will have a copay of and coinsurance of 20%.

Specialist Visits:

Visits to specialists are covered and will have a copay of and coinsurance of 20%. Specialist visits may require a referral from your primary care doctor or prior authorization.

Emergency Room:

Trips to the Emergency Room are covered, and will have a copay of and coinsurance of 0% (no coinsurance). Coverage may vary for in-network and out-of-network hospitals.

Urgent Care:

Trips to Urgent Care arecovered and will have a copay of and coinsurance of 20%. Coverage may vary for in-network and out-of-network hospitals.

Sign up for HumanaChoice SNP-DE H7617-082 (PPO D-SNP)

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Drug Coverage IconDrug Coverage

The HumanaChoice SNP-DE H7617-082 (PPO D-SNP) Medicare plan features an annual prescription drug deductible of $615. For Tier 1 preferred generic and Tier 2 generic drugs, members pay no copay for one-month or three-month supplies filled at standard pharmacies or through preferred mail order. If utilizing standard mail order for these generic tiers, copays range from $10 to $20 for a one-month supply and $30 to $60 for a three-month supply. Brand-name and specialty medications under Tier 3 preferred brand, Tier 4 non-preferred drug, and Tier 5 specialty tiers require a 25% coinsurance payment. This 25% coinsurance rate applies to standard pharmacies, preferred mail order, and standard mail order services. While the 25% coinsurance covers up to a three-month supply for Tiers 3 and 4, Tier 5 specialty drugs are limited to a one-month supply at this rate.

Additional Benefits IconAdditional Benefits

The HumanaChoice SNP-DE H7617-082 (PPO D-SNP) offers comprehensive coverage for core medical services, featuring no copay and a 20% coinsurance for primary care and specialist visits. Inpatient hospital stays require a copay of $2,070 for acute care and $1,870 for psychiatric care with no coinsurance, while skilled nursing facility stays feature no copay for the first 20 days. Emergency services are available with a $115 copay, which is waived if you are admitted to the hospital within 24 hours. The plan also provides valuable supplemental benefits, including preventive services, home health care, and up to 36 one-way transportation trips with no copay and no coinsurance. Dental services are covered up to a $1,500 annual limit, while eyewear is covered up to a $300 annual limit, both featuring no copay. Additionally, routine hearing exams and hearing aids are covered with no copay, though some coinsurance and device limits may apply depending on the service.

Inpatient Hospital See details

HumanaChoice SNP-DE H7617-082 (PPO D-SNP) partially covers inpatient hospital care with no coinsurance, requiring a $2,070 copay per stay for acute care and a $1,870 copay per stay for psychiatric care. Prior authorization is required, and non-Medicare-covered stays, acute care upgrades, and additional days for psychiatric care are not covered.

Outpatient Services See details

HumanaChoice SNP-DE H7617-082 (PPO D-SNP) covers outpatient hospital services with a $550 copay and 20% coinsurance, and ambulatory surgical center services with a $400 copay and 20% coinsurance. Outpatient substance abuse and blood services are also covered with no copay and 20% coinsurance, with no deductible applied to blood services.

Partial Hospitalization See details

HumanaChoice SNP-DE H7617-082 (PPO D-SNP) covers partial hospitalization services with no copay and a 20% coinsurance. Prior authorization is required to access this covered benefit.

Ambulance and Transportation Services See details

HumanaChoice SNP-DE H7617-082 (PPO D-SNP) covers ground ambulance services with a $335 copay and coinsurance, and air ambulance services with a copay and 20% coinsurance. Transportation services are partially covered, offering up to 36 one-way trips per year to plan-approved locations with no copay and no coinsurance, while transportation to any health-related location is not covered.

Emergency Services See details

HumanaChoice SNP-DE H7617-082 (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 (up to $40) 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 under the HumanaChoice SNP-DE H7617-082 (PPO D-SNP) are partially covered, as other chiropractic services are not covered. Most covered services, including primary care provider visits, specialist services, and various therapies, require no copay and a 20% coinsurance.

Preventive Services See details

HumanaChoice SNP-DE H7617-082 (PPO D-SNP) provides preventive services with no copay and no coinsurance for covered benefits, including annual physical exams, glaucoma screenings, and kidney disease education. This benefit is partially covered, as several services—including health education, personal emergency response systems (PERS), medical nutrition therapy, and weight management programs—are not covered.

Hearing Services See details

HumanaChoice SNP-DE H7617-082 (PPO D-SNP) covers hearing services, offering routine exams with a 20% coinsurance and no copay, and fitting evaluations with no copay or coinsurance. Prescription hearing aids are partially covered with no copay or coinsurance for up to two devices every three years, excluding inner ear, outer ear, and over-the-ear models, while unlimited over-the-counter hearing aids are covered with no copay or coinsurance.

Vision Services See details

HumanaChoice SNP-DE H7617-082 (PPO D-SNP) vision services are partially covered, offering routine eye exams with no copay and 20% coinsurance up to a $40 annual limit, though other eye exam services are not covered. Covered eyewear has no copay and no coinsurance up to a $300 annual limit for eyeglasses (lenses and frames) or contact lenses, but separate eyeglass lenses, separate frames, and upgrades are not covered.

Dental Services See details

HumanaChoice SNP-DE H7617-082 (PPO D-SNP) dental services are partially covered up to a $1,500 annual limit, offering Medicare-covered dental with no copay and a 20% coinsurance, and other covered services with no copay and no coinsurance. Sub-services that are not covered under this plan include fluoride treatment, endodontics, prosthodontics, maxillofacial prosthetics, implant services, oral and maxillofacial surgery, and orthodontics.

Home Infusion bundled Services See details

Home infusion bundled services are covered by HumanaChoice SNP-DE H7617-082 (PPO D-SNP) with prior authorization required, featuring a 0% to 20% coinsurance for chemotherapy, radiation, and other Part B drugs. Medicare Part B insulin drugs have a $35 copay with 0% to 20% coinsurance, while other Part B drugs have no copay.

Dialysis Services See details

HumanaChoice SNP-DE H7617-082 (PPO D-SNP) covers dialysis services with no copay and a 20% coinsurance. Prior authorization is required for this benefit.

Medical Equipment See details

HumanaChoice SNP-DE H7617-082 (PPO D-SNP) covers durable medical equipment, prosthetics, medical supplies, and diabetic services 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 H7617-082 (PPO D-SNP) covers diagnostic and radiological services subject to prior authorization and a 20% minimum coinsurance. Under this plan, lab services feature no copay, outpatient x-rays have a $50 copay, diagnostic radiological services require a minimum $200 copay, and other diagnostic and therapeutic services also require copays.

Home Health Services See details

HumanaChoice SNP-DE H7617-082 (PPO D-SNP) covers home health services with no copay and no coinsurance, although prior authorization is required.

Cardiac Rehabilitation Services See details

Cardiac Rehabilitation Services are covered under the HumanaChoice SNP-DE H7617-082 (PPO D-SNP) plan with no copay, though prior authorization is required. While some services are covered, specific sub-services including standard cardiac, intensive cardiac, pulmonary, and SET for PAD rehabilitation are not covered and require a 20% coinsurance.

Skilled Nursing Facility (SNF) See details

Skilled Nursing Facility (SNF) care is covered by HumanaChoice SNP-DE H7617-082 (PPO D-SNP) with no coinsurance, featuring 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 inpatient hospital stay is not required, additional days beyond the standard 100 Medicare-covered days are not covered.

Other Services See details

Other services are partially covered by HumanaChoice SNP-DE H7617-082 (PPO D-SNP), featuring acupuncture with no copay and 20% coinsurance, and over-the-counter items and meal benefits with no copay and no coinsurance. Prior authorization is required for acupuncture and meal benefits, and other miscellaneous services are not covered.

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