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Humana Value Plus H7617-089 (PPO)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for Humana Value Plus H7617-089 (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 H7617-089 (PPO) in 2026, please refer to our full plan details page.
Humana Value Plus H7617-089 (PPO) is a PPO plan offered by Humana Inc. available for enrollment in 2026 to people living in Alabama. This plan received an overall rating of 4.5 out of 5 stars in 2026.
It's important to know that Humana Value Plus H7617-089 (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 H7617-089 (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 H7617-089 (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 has a $150.00 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 $5750.00 (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 $5750.00 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 H7617-089 (PPO) prescription drug plan features a defined standard drug benefit with an annual deductible of $615.00. After meeting this deductible, you will pay cost-sharing amounts for your medications during the initial coverage phase. This phase continues until the total drug costs paid by both you and the plan reach $2,100.00. Once your yearly out-of-pocket drug costs reach $2,100.00, you enter the catastrophic coverage phase and will have no copay for Medicare Part D covered drugs. Additionally, the standard Part D premium for this plan is $27.70, which may be reduced if you qualify for the low-income subsidy.
Additional Benefits
The Humana Value Plus H7617-089 (PPO) plan offers affordable healthcare coverage with no copay for primary care doctor visits, routine preventive care, and home health services. Specialist visits and therapy sessions are highly accessible, requiring only a $20 to $30 copay per visit. For inpatient hospital stays, members pay a $210 daily copay for the first four days, with no copay required for days five through ninety. Additionally, the plan features valuable supplemental benefits, including routine dental and hearing exams with no copay, alongside a $2,500 annual dental limit and a $250 allowance for eyewear. Emergency care is covered with a $150 copay, which is waived upon hospital admission, and routine lab services and outpatient X-rays are provided with no copay. Other specialized needs, such as medical equipment and dialysis, are covered with a standard 20% coinsurance.
Inpatient Hospital See details
Humana Value Plus H7617-089 (PPO) partially covers inpatient hospital benefits, requiring a $210 daily copay for days 1 to 4 and no copay or coinsurance for days 5 through 90 for acute and psychiatric stays. While unlimited additional acute stay days are covered with no copay or coinsurance, upgrades, non-Medicare-covered stays, and additional psychiatric days are not covered.
Outpatient Services See details
Humana Value Plus H7617-089 (PPO) covers outpatient hospital services with a $0 to $30 copay and 20% coinsurance, and ambulatory surgical center services with no copay and 20% coinsurance. Outpatient substance abuse services require a $30 copay with no coinsurance, while blood services have no copay and no coinsurance, and observation services carry a $210 copay per stay.
Partial Hospitalization See details
Humana Value Plus H7617-089 (PPO) covers partial hospitalization benefits with a $30 copay and no coinsurance. Prior authorization is required to access these covered services.
Ambulance and Transportation Services See details
Humana Value Plus H7617-089 (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 24 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 H7617-089 (PPO) with a $150 copay and no coinsurance, which is waived if you are admitted to the hospital within 24 hours. Urgently needed services are covered with a $65 copay and no coinsurance, while worldwide emergency, urgent, and transportation services each carry a $150 copay and no coinsurance.
Primary Care See details
Humana Value Plus H7617-089 (PPO) covers primary care physician visits with no copay and no coinsurance. Specialist visits, therapy services, and mental health sessions are also covered with copays ranging from $20 to $30 and no coinsurance.
Preventive Services See details
Humana Value Plus H7617-089 (PPO) provides partially covered preventive services with no copay and no coinsurance for covered benefits like annual physicals and kidney disease education. However, sub-services such as health education, safety assessments, PERS, medical nutrition therapy, medication reconciliation, re-admission prevention, weight management, alternative therapies, therapeutic massage, adult day health, nutritional/dietary benefits, palliative care, caregiver support, tobacco cessation, disease management, telemonitoring, remote access, bathroom safety, and counseling are not covered.
Hearing Services See details
Humana Value Plus H7617-089 (PPO) covers hearing services with no coinsurance, featuring a $25 copay for Medicare-covered exams and no copay for routine exams, fitting evaluations, and OTC hearing aids. Prescription hearing aids are partially covered with no copay for general types, though inner ear, outer ear, and over the ear prescription hearing aids are not covered.
Vision Services See details
Humana Value Plus H7617-089 (PPO) covers eye exams up to a $75 annual limit with no deductible, no coinsurance, and a copay ranging from routine exams with no copay up to $25 for other exams. Eyewear is partially covered with no copay or coinsurance up to a $250 annual limit for contact lenses and eyeglasses, while individual eyeglass lenses, eyeglass frames, and upgrades are not covered.
Dental Services See details
Humana Value Plus H7617-089 (PPO) dental services are partially covered up to a $2,500 annual maximum, with no copay and no coinsurance for covered preventive and comprehensive services, and a $25 copay and no coinsurance for Medicare-covered dental. Fluoride treatment, maxillofacial prosthetics, implant services, fixed prosthodontics, and orthodontics are not covered.
Home Infusion bundled Services See details
Humana Value Plus H7617-089 (PPO) covers home infusion bundled services with prior authorization, requiring no coinsurance to 20% coinsurance for covered Part B drugs. Medicare Part B insulin drugs require a $35 copay, other Part B drugs have no copay, and chemotherapy or radiation drugs require a copay.
Dialysis Services See details
Dialysis Services are covered by Humana Value Plus H7617-089 (PPO) with 20% coinsurance and no copay. Prior authorization is required to receive these services.
Medical Equipment See details
Medical equipment benefits, including durable medical equipment, prosthetics, medical supplies, and diabetic supplies, are covered by Humana Value Plus H7617-089 (PPO) with a 20% coinsurance and no copay. Diabetic therapeutic shoes and inserts are covered with a $10 copay, and prior authorization is required for most of these services.
Diagnostic and Radiological Services See details
Diagnostic and radiological services are covered by Humana Value Plus H7617-089 (PPO), with no copay or coinsurance for lab services and outpatient X-rays. Other services require prior authorization, featuring a $0 to $65 copay (no coinsurance) for diagnostic procedures, up to a $335 copay (no coinsurance) for diagnostic radiology, and a $25 copay with 20% coinsurance for therapeutic radiology.
Home Health Services See details
Home health services are covered under the Humana Value Plus H7617-089 (PPO) plan with no copay and no coinsurance. Prior authorization is required for these services.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are not covered under the Humana Value Plus H7617-089 (PPO) plan, which provides no coverage for intensive cardiac rehabilitation, pulmonary rehabilitation, or supervised exercise therapy (SET) for symptomatic peripheral artery disease (PAD).
Skilled Nursing Facility (SNF) See details
Humana Value Plus H7617-089 (PPO) partially covers Skilled Nursing Facility (SNF) services with prior authorization, featuring no copay and no coinsurance for days 1 through 20, and a $218 daily copay with no coinsurance for days 21 through 100. Additional days beyond the Medicare-covered limit are not covered.
Other Services See details
Other Services are partially covered by Humana Value Plus H7617-089 (PPO), featuring acupuncture, chronic illness meals, and select over-the-counter items with no copay and no coinsurance. Dual Eligible SNPs with highly integrated services are not covered, and the plan does not cover all drugs on the CMS over-the-counter list.
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