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Humana Value Plus H7617-087 (PPO)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for Humana Value Plus H7617-087 (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 H7617-087 (PPO) in 2026, please refer to our full plan details page.
Humana Value Plus H7617-087 (PPO) is a PPO plan offered by Humana Inc. available for enrollment in 2026 to people living in Mississippi. This plan received an overall rating of 4.5 out of 5 stars in 2026.
It's important to know that Humana Value Plus H7617-087 (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 H7617-087 (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 H7617-087 (PPO), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $23.80. 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 $13800.00 (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 $13800.00 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 H7617-087 (PPO) Medicare plan features an annual prescription drug deductible of $615. This deductible is the amount you must pay out-of-pocket for your covered medications before the plan begins to cover its share of the costs. Knowing this deductible amount is crucial for estimating your yearly healthcare expenses with this Humana PPO plan. Specific drug coverage tier details, including copayments and coinsurance rates for individual medication tiers, are currently unavailable. To fully understand your potential out-of-pocket costs, you should review the plan's drug formulary to see how your specific prescriptions are classified. This step ensures you get the most accurate pricing information for your prescription drug needs before enrolling.
Additional Benefits
The Humana Value Plus H7617-087 (PPO) plan provides comprehensive healthcare coverage with no copay for primary care doctor visits, routine dental care up to a $2,500 annual limit, and routine vision and hearing services. For specialized care, specialist office visits require a $25 copay, while emergency room visits carry a $115 copay. If you require an inpatient hospital stay, you will pay a $728 daily copay for the first three days, with no copay required for the remaining days of your stay. Most outpatient services, diagnostic procedures, and durable medical equipment are subject to a 20% coinsurance. Additionally, the plan features several cost-saving benefits with no copay, including home health services, skilled nursing facility stays for the first 20 days, and up to 60 one-way transportation trips to approved locations. Members also enjoy coverage for over-the-counter items, acupuncture, and chronic illness meals at no additional cost.
Inpatient Hospital See details
Humana Value Plus H7617-087 (PPO) covers inpatient hospital services with no coinsurance, requiring prior authorization. For acute stays, you pay a $728 daily copay for days 1-3 and no copay for days 4 and beyond, while psychiatric stays require a $678 daily copay for days 1-3 and no copay for days 4-90. Non-Medicare-covered stays, upgrades, and additional psychiatric days are not covered.
Outpatient Services See details
Humana Value Plus H7617-087 (PPO) covers outpatient hospital services with a $0 to $35 copay and 20% coinsurance, and ambulatory surgical center services with no copay and 20% coinsurance. Outpatient substance abuse services require a $35 copay with no coinsurance, while outpatient blood services are covered with no copay and no coinsurance.
Partial Hospitalization See details
Humana Value Plus H7617-087 (PPO) covers partial hospitalization services with a $35 copay and no coinsurance, though prior authorization is required.
Ambulance and Transportation Services See details
Humana Value Plus H7617-087 (PPO) covers ambulance and transportation services, with ground ambulance requiring a $335 copay and no coinsurance, and air ambulance requiring a 20% coinsurance and no copay. Transportation services are partially covered with no copay and no coinsurance for up to 60 one-way trips per year to plan-approved locations, but transportation to any health-related location is not covered.
Emergency Services See details
Emergency services are covered by Humana Value Plus H7617-087 (PPO) with a $115 copay and no coinsurance, with the copay waived if admitted to the hospital within 24 hours. Urgently needed services require a $40 copay and no coinsurance, while worldwide emergency, urgent, and transportation services are covered for a $115 copay and no coinsurance.
Primary Care See details
Primary care services under the Humana Value Plus H7617-087 (PPO) plan feature no copay and no coinsurance for primary care doctor visits, and a $25 copay with no coinsurance for specialists. Physical and occupational therapy are covered with no copay and 20% coinsurance, mental health services require a $35 copay and no coinsurance, and chiropractic and podiatry services are not covered.
Preventive Services See details
Preventive services under Humana Value Plus H7617-087 (PPO) are partially covered with no copay and no coinsurance for services like annual physical exams, kidney disease education, memory fitness, and in-home support. However, several sub-services are not covered, including health education, in-home safety assessments, personal emergency response systems, 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, tobacco cessation counseling, disease management, telemonitoring, remote access technologies, home safety modifications, and counseling services.
Hearing Services See details
Humana Value Plus H7617-087 (PPO) covers Medicare-covered hearing exams with a $25 copay and no coinsurance, while routine exams, fittings, and OTC hearing aids are provided with no copay and no coinsurance. Prescription hearing aids are partially covered with no copay or coinsurance for up to two aids every three years, but inner ear, outer ear, and over the ear prescription hearing aids are not covered.
Vision Services See details
Humana Value Plus H7617-087 (PPO) partially covers Vision Services with no copay, no coinsurance, and no deductible for routine eye exams and eyewear, such as contact lenses and eyeglasses. This plan features an annual maximum coverage of $40 for exams and $550 for eyewear, while other eye exam services, eyeglass lenses, eyeglass frames, and upgrades are not covered.
Dental Services See details
Humana Value Plus H7617-087 (PPO) dental services are partially covered, offering no copay and no coinsurance for most preventive and comprehensive care up to a $2,500 yearly maximum, while Medicare-covered dental services require a $25 copay and no coinsurance. Specific services including fluoride treatment, maxillofacial prosthetics, implants, and orthodontics are not covered.
Home Infusion bundled Services See details
Home infusion bundled services are covered by Humana Value Plus H7617-087 (PPO) with prior authorization required. Part B insulin drugs have a $35 copay and 0% to 20% coinsurance, other Part B drugs have no copay and 0% to 20% coinsurance, and chemotherapy drugs require a copay and 0% to 20% coinsurance.
Dialysis Services See details
Humana Value Plus H7617-087 (PPO) covers dialysis services with no copay and a 20% coinsurance. Prior authorization is required to receive these covered services.
Medical Equipment See details
Humana Value Plus H7617-087 (PPO) covers durable medical equipment, medical supplies, prosthetics, and diabetic supplies with a 20% coinsurance and no copay. Diabetic therapeutic shoes and inserts are covered with a $10 copay, and diabetic supplies are limited to specified manufacturers.
Diagnostic and Radiological Services See details
Diagnostic and radiological services are covered by Humana Value Plus H7617-087 (PPO) with prior authorization and generally require a 20% coinsurance. Diagnostic procedures have a copay ranging from $0 to $40, therapeutic radiological services require a minimum $25 copay, and there is no copay for lab services, outpatient X-rays, or diagnostic radiological services.
Home Health Services See details
Home Health Services are covered by Humana Value Plus H7617-087 (PPO) with no copay and no coinsurance, although prior authorization is required.
Cardiac Rehabilitation Services See details
Humana Value Plus H7617-087 (PPO) covers some cardiac rehabilitation services with no copay, a 20% coinsurance, and prior authorization requirements. While some services are covered, standard cardiac rehabilitation, intensive cardiac rehabilitation, pulmonary rehabilitation, and supervised exercise therapy (SET) for symptomatic peripheral artery disease (PAD) are not covered.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) services are covered by Humana Value Plus H7617-087 (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, a prior three-day hospital stay is not required, and additional days beyond the standard 100 days are not covered.
Other Services See details
Other services covered by Humana Value Plus H7617-087 (PPO) include acupuncture, over-the-counter (OTC) items, and chronic illness meal benefits, all of which feature no copay and no coinsurance. Prior authorization is required for both the meal benefit and acupuncture, which is limited to 20 treatments per year, while certain other miscellaneous services are not covered.
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