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Humana Value Plus H7617-088 (PPO)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for Humana Value Plus H7617-088 (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 H7617-088 (PPO) in 2026, please refer to our full plan details page.
Humana Value Plus H7617-088 (PPO) is a PPO plan offered by Humana Inc. available for enrollment in 2026 to people living in Tennessee. This plan received an overall rating of 4.5 out of 5 stars in 2026.
It's important to know that Humana Value Plus H7617-088 (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 H7617-088 (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 H7617-088 (PPO), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $27.70. 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 $7000.00 (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 $7000.00 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 H7617-088 (PPO) Medicare plan features an annual prescription drug deductible of $615. This deductible represents the amount you must pay out-of-pocket for your covered medications before the plan begins to pay its share. Specific details regarding copayments, coinsurance, and drug tier coverages are currently not available for this plan. To understand your exact costs for specific medications, you should contact the plan provider directly to verify how your prescriptions are classified.
Additional Benefits
The Humana Value Plus H7617-088 (PPO) plan offers affordable medical coverage featuring no copay for primary care physician visits, preventive services, and home health care. Specialist and therapy visits require a $20 copay, while inpatient hospital stays have a $155 daily copay for the first five days and no copay for remaining days. Emergency care is covered with a $130 copay, which is waived upon hospital admission, and urgent care visits require a $50 copay. This plan also includes valuable supplemental benefits like routine dental, vision, and hearing exams with no copay, plus up to 36 free one-way transportation trips per year. Dental services are covered up to a $2,000 annual maximum, and prescription eyewear is covered up to $250 annually with no copay. Durable medical equipment and most Part B drugs carry a 20% coinsurance, though covered Part B insulin is capped at a $35 copay.
Inpatient Hospital See details
Humana Value Plus H7617-088 (PPO) inpatient hospital care is partially covered with no coinsurance, requiring a $155 daily copay for days 1 through 5 and no copay for days 6 through 90 for both acute and psychiatric stays. Prior authorization is required, and upgrades, non-Medicare-covered stays, and additional psychiatric days are not covered.
Outpatient Services See details
Humana Value Plus H7617-088 (PPO) covers outpatient services with no coinsurance, featuring a $0 to $180 copay for outpatient hospital services and a $155 copay per stay for observation services. Ambulatory surgical center and outpatient blood services are fully covered with no copay and no coinsurance, while outpatient substance abuse individual and group sessions require a $25 to $35 copay.
Partial Hospitalization See details
Humana Value Plus H7617-088 (PPO) covers partial hospitalization services with a $35.00 copay and no coinsurance. Prior authorization is required to access these covered services.
Ambulance and Transportation Services See details
Humana Value Plus H7617-088 (PPO) covers ground ambulance services with a $335 copay and air ambulance services with a 20% coinsurance, requiring prior authorization for both. Transportation services are partially covered with no copay or coinsurance for up to 36 one-way trips per year to plan-approved locations, while trips to any other health-related location are not covered.
Emergency Services See details
Humana Value Plus H7617-088 (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 care is covered with 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
Humana Value Plus H7617-088 (PPO) covers primary care physician services with no copay and no coinsurance, while specialist, physical therapy, and occupational therapy visits require a $20 copay and no coinsurance. Chiropractic services are partially covered, offering up to 12 routine visits per year with no copay (other chiropractic services are not covered), and mental health, psychiatric, and podiatry services are covered with no coinsurance and copays ranging from $0 to $35.
Preventive Services See details
Humana Value Plus H7617-088 (PPO) preventive services are covered with no copay and no coinsurance for annual physical exams, kidney disease education, glaucoma screenings, diabetes self-management training, digital rectal exams, and EKGs. Additional supplemental benefits are partially covered with no copay and no coinsurance for memory fitness, in-home support, and chemotherapy wigs up to $500 annually. Non-covered services include health education, in-home safety assessments, personal emergency response systems, medical nutrition therapy, post-discharge medication reconciliation, re-admission prevention, weight management, alternative therapies, therapeutic massage, adult day health, nutritional benefits, palliative care, caregiver support, smoking cessation, disease management, telemonitoring, remote technologies, home safety modifications, and counseling.
Hearing Services See details
Humana Value Plus H7617-088 (PPO) covers routine hearing exams, fitting evaluations, and OTC hearing aids with no copay and no coinsurance, while Medicare-covered hearing exams require a $20 copay and no coinsurance. Prescription hearing aids are partially covered with no copay and no coinsurance for up to two aids every three years, though inner ear, outer ear, and over the ear hearing aids are not covered.
Vision Services See details
Vision services are partially covered by Humana Value Plus H7617-088 (PPO) with no coinsurance, offering routine eye exams with no copay and other exams with a $0 to $20 copay, while other eye exam services are not covered. Covered eyewear, including contact lenses and complete eyeglasses, has no copay and no coinsurance up to a $250 annual limit, but separate frames, lenses, and upgrades are not covered.
Dental Services See details
Dental services are partially covered by Humana Value Plus H7617-088 (PPO) up to a combined $2,000 annual maximum, with a $20 copay and no coinsurance for Medicare-covered services, and no copay or coinsurance for most other preventive and comprehensive services. Fluoride treatments, maxillofacial prosthetics, implant services, fixed prosthodontics, and orthodontics are not covered.
Home Infusion bundled Services See details
Humana Value Plus H7617-088 (PPO) covers home infusion bundled services with prior authorization. Covered Part B insulin requires a $35 copay and 0% to 20% coinsurance, while chemotherapy drugs require a copay and 0% to 20% coinsurance, and other Part B drugs have no copay and 0% to 20% coinsurance.
Dialysis Services See details
Dialysis Services are covered under the Humana Value Plus H7617-088 (PPO) plan with no copay and a 20% coinsurance. Prior authorization is required to receive these covered services.
Medical Equipment See details
Humana Value Plus H7617-088 (PPO) covers durable medical equipment, prosthetics, medical supplies, and diabetic supplies with a 20% coinsurance and no copay. Diabetic therapeutic shoes and inserts are covered with a $10 copay and coinsurance, with prior authorization required for most medical equipment.
Diagnostic and Radiological Services See details
Humana Value Plus H7617-088 (PPO) covers diagnostic services with no coinsurance, featuring no copay for lab services and a $0 to $80 copay for diagnostic procedures. Covered radiological services include outpatient x-rays with no copay, diagnostic radiology with copays starting at $0, and therapeutic radiology requiring a minimum 20% coinsurance and $20 copay.
Home Health Services See details
Home Health Services are covered by Humana Value Plus H7617-088 (PPO) with no copay and no coinsurance, although prior authorization is required.
Cardiac Rehabilitation Services See details
Cardiac rehabilitation services are covered by the Humana Value Plus H7617-088 (PPO) plan with no coinsurance and required prior authorization, though in practice only some services are covered as cardiac, intensive cardiac, pulmonary, and SET for PAD rehabilitation services are not covered.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) care is covered by Humana Value Plus H7617-088 (PPO) with no coinsurance, requiring no copay for days 1 through 20 and a $218 daily copay for days 21 through 100. Prior authorization is required, though a prior three-day inpatient hospital stay is not, and additional days beyond the Medicare-covered limit are not covered.
Other Services See details
Humana Value Plus H7617-088 (PPO) partially covers other services with no copay and no coinsurance, offering up to 20 acupuncture treatments per year, chronic illness meal benefits, and reimbursement for select over-the-counter items. Prior authorization is required for acupuncture and meal benefits, while dual eligible SNP benefits and certain other services are not covered.
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