A non-government entity
HumanaChoice H7617-090 (PPO)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for HumanaChoice H7617-090 (PPO). The information on this page is a summary only.
For a complete listing of all available benefits and cost information on HumanaChoice H7617-090 (PPO) in 2026, please refer to our full plan details page.
HumanaChoice H7617-090 (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 HumanaChoice H7617-090 (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 HumanaChoice H7617-090 (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 HumanaChoice H7617-090 (PPO), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $20.00. 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 has a $250.00 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 $6200.00 (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 $6200.00 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:
Sign up for HumanaChoice H7617-090 (PPO)
Need help deciding? Talk with one of our licensed insurance specialists 1-877-649-2073 / TTY 711. 8am-11pm EST. 7 days a week
Drug Coverage
HumanaChoice H7617-090 (PPO) features an Enhanced Alternative drug benefit with a yearly prescription drug deductible of $615.00. After meeting this deductible, you enter the initial coverage phase where a 30-day supply of Tier 1 preferred generics costs a $5.00 copay at standard pharmacies and preferred mail, while Tier 2 standard generics require a $47.00 copay. For brand-name and non-preferred medications, you will pay a 50% coinsurance for Tier 3 and a 25% coinsurance for Tier 4. Once your yearly out-of-pocket drug costs reach $2,100.00, you enter the catastrophic coverage phase and pay nothing for Medicare Part D covered drugs. Additionally, individuals who qualify for the low-income subsidy will see their Part D premium reduced to $20.00. This structured plan helps beneficiaries clearly understand and manage their prescription medication costs.
Additional Benefits
The HumanaChoice H7617-090 (PPO) plan offers affordable access to essential medical services, featuring no copay for primary care visits, routine dental care, and annual physicals. Specialist visits require a copay of up to $40, while inpatient hospital stays carry a $225 daily copay for the first seven days with no copay thereafter. Emergency care is accessible with a $150 copay, which is waived if you are admitted to the hospital. For ancillary benefits, the plan provides a $2,000 annual dental limit and a $300 eyewear allowance, both with no copay or coinsurance for standard services. Diagnostic lab tests, X-rays, and home health services are also covered with no copay or coinsurance. However, specialized needs like durable medical equipment and dialysis require a 20% coinsurance with no copay.
Inpatient Hospital See details
HumanaChoice H7617-090 (PPO) partially covers inpatient hospital benefits, requiring a $225 daily copay for days 1 to 7 of acute stays and days 1 to 6 of psychiatric stays, with no copay for subsequent covered days and no coinsurance. Upgrades, non-Medicare-covered stays, and additional days for psychiatric care are not covered.
Outpatient Services See details
HumanaChoice H7617-090 (PPO) covers outpatient services with no coinsurance, featuring copays ranging from $0 to $325 for outpatient hospital services, $225 per stay for observation services, and $35 for outpatient substance abuse sessions. Members will pay no copay for ambulatory surgical center and outpatient blood services, although prior authorization is required.
Partial Hospitalization See details
Partial hospitalization benefits are covered under the HumanaChoice H7617-090 (PPO) plan with a $35.00 copay and no coinsurance. Prior authorization is required for this service.
Ambulance and Transportation Services See details
HumanaChoice H7617-090 (PPO) partially covers Ambulance and Transportation Services, but does not cover Transportation Services to plan-approved or any health-related locations. Covered ground ambulance services require a $335 copay and no coinsurance, while air ambulance services require a 20% coinsurance and no copay.
Emergency Services See details
HumanaChoice H7617-090 (PPO) covers emergency services 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 require a $150 copay and no coinsurance.
Primary Care See details
HumanaChoice H7617-090 (PPO) offers partially covered Primary Care benefits, with podiatry services and routine chiropractic care being excluded from coverage. Covered services require no coinsurance, featuring no copay for primary care visits, $20 copays for therapy services, and up to a $40 copay for specialists.
Preventive Services See details
Preventive Services are partially covered by HumanaChoice H7617-090 (PPO) with no copay and no coinsurance for covered services such as annual physicals, kidney disease education, fitness benefits, and in-home support. However, sub-services including health education, safety assessments, personal emergency response systems, medical nutrition therapy, medication reconciliation, readmission prevention, wigs, weight management, alternative therapies, therapeutic massage, adult day health, nutritional benefits, palliative care, caregiver support, smoking cessation, disease management, telemonitoring, remote access technologies, safety devices, and counseling are not covered.
Hearing Services See details
Hearing services are partially covered by HumanaChoice H7617-090 (PPO), though OTC hearing aids and inner ear, outer ear, and over the ear prescription hearing aids are not covered. Routine exams and fitting evaluations have no copay or coinsurance, while Medicare-covered exams require a $40 copay and prescription hearing aids have a $399 to $699 copay, both with no coinsurance.
Vision Services See details
HumanaChoice H7617-090 (PPO) partially covers vision services, offering routine eye exams with no copay and other exams with a $0 to $40 copay, with no coinsurance or deductibles. Eyewear is covered with no copay or coinsurance up to a $300 annual limit, though separate eyeglass lenses, eyeglass frames, and upgrades are not covered.
Dental Services See details
HumanaChoice H7617-090 (PPO) dental services are partially covered up to a $2,000 annual maximum for both in-network and out-of-network care. Covered preventive and comprehensive services, such as exams, cleanings, and extractions, require no copay and no coinsurance, whereas Medicare-covered dental services require a $40 copay and no coinsurance. Fluoride treatments, maxillofacial prosthetics, implant services, and orthodontics are not covered.
Home Infusion bundled Services See details
HumanaChoice H7617-090 (PPO) covers home infusion bundled services with prior authorization, featuring a $35 copay and no coinsurance to 20% coinsurance for Medicare Part B insulin drugs. Other covered Part B chemotherapy, radiation, and miscellaneous drugs require no copay and carry no coinsurance to 20% coinsurance.
Dialysis Services See details
Dialysis Services are covered by HumanaChoice H7617-090 (PPO) with a 20% coinsurance and no copay. Prior authorization is required to receive these services.
Medical Equipment See details
HumanaChoice H7617-090 (PPO) covers medical equipment, including durable medical equipment (DME), prosthetics, and diabetic supplies, with prior authorization required. DME, prosthetics, and medical supplies require a 20% coinsurance with no copay, while diabetic supplies have a 10% to 20% coinsurance with no copay, and diabetic therapeutic shoes or inserts require a $10 copay.
Diagnostic and Radiological Services See details
HumanaChoice H7617-090 (PPO) covers diagnostic and radiological services, with prior authorization required for all services. There is no copay or coinsurance for lab services and outpatient X-rays, while diagnostic procedures carry a copay up to $75, diagnostic radiology costs up to a $335 copay, and therapeutic radiology requires a $40 copay and 20% coinsurance.
Home Health Services See details
Home health services are covered by HumanaChoice H7617-090 (PPO) with no copay and no coinsurance. Prior authorization is required to receive these services.
Cardiac Rehabilitation Services See details
HumanaChoice H7617-090 (PPO) indicates that some services are covered for cardiac rehabilitation, but in practice, Cardiac Rehabilitation, Intensive Cardiac Rehabilitation, Pulmonary Rehabilitation, and SET for PAD services are not covered. Since these services are not covered, there are no associated copays or coinsurance, though prior authorization is required for the benefit.
Skilled Nursing Facility (SNF) See details
HumanaChoice H7617-090 (PPO) partially covers Skilled Nursing Facility (SNF) services, offering no copay for days 1 through 20 and a $218 daily copay for days 21 through 100, with no coinsurance. Prior authorization is required, and additional days beyond the Medicare-covered limit are not covered.
Other Services See details
HumanaChoice H7617-090 (PPO) partially covers Other Services, excluding over-the-counter items and dual eligible SNPs. Covered benefits include acupuncture for up to 20 treatments per year with a $40 copay and no coinsurance, as well as chronic illness meal benefits with no copay and no coinsurance.
Get Personalized Help from a licensed insurance agent
1-877-649-2073 / TTY 711. 8am-11pm EST. 7 days a week
*/SMID: MULTIPLAN_HCIHNMEDADVRX25_HCI_M
MedicareAdvantageRX.com is owned and operated by Dog Media Solutions LLC.
This is a promotional communication.
Every year, Medicare evaluates plans based on a 5-star rating system.
Part B premium reduction is not available with all plans. Availability varies by carrier and location. Actual Part B premium reduction could be lower. Deductibles, copays and coinsurance may apply.
* Benefit(s) mentioned may be part of a special supplemental program for chronically ill members with one of the following conditions: Diabetes mellitus, Cardiovascular disorders, Chronic and disabling mental health conditions, Chronic lung disorders, Chronic heart failure. This is not a complete list of qualifying conditions. Having a qualifying condition alone does not mean you will receive the benefit(s). Other requirements may apply.
Enrollment in Medicare/Medicare Advantage may be limited to certain times of the year unless you qualify for a Special Enrollment Period
We do not offer every plan available in your area. Currently, we represent 18 organizations, which offer 52,101 products in your area. Please contact Medicare.gov, 1-800-MEDICARE, or your local State Health Insurance Program (SHIP) to get information on all of your options.
We represent Medicare Advantage HMO, PPO and PFFS organizations and stand-alone PDP prescription drug plans that are contracted with Medicare. Enrollment depends on the plan's contract renewal.
Not all plans offer all of these benefits. Benefits may vary by carrier and location. Limitations and exclusions may apply.
Please contact Medicare.gov ,1-800-MEDICARE , or your local State Health Insurance Program (SHIP) to get information on all of your options.
Medicare has neither approved nor endorsed any information on this site.
Speak with a licensed insurance agent: 1-877-649-2073 / TTY 711 | 8am - 11pm ET | 7 days a week
© 2023 Dog Media Solutions LLC. All rights reserved