A non-government entity
HumanaChoice Florida H7617-107 (PPO)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for HumanaChoice Florida H7617-107 (PPO). The information on this page is a summary only.
For a complete listing of all available benefits and cost information on HumanaChoice Florida H7617-107 (PPO) in 2026, please refer to our full plan details page.
HumanaChoice Florida H7617-107 (PPO) is a PPO plan offered by Humana Inc. available for enrollment in 2026 to people living in Broward, Miami-Dade and Palm Beach counties. This plan received an overall rating of 4.5 out of 5 stars in 2026.
It's important to know that HumanaChoice Florida H7617-107 (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 Florida H7617-107 (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 Florida H7617-107 (PPO), 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 $6100.00 (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 $6100.00 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 Florida H7617-107 (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
The HumanaChoice Florida H7617-107 (PPO) Medicare prescription drug plan features an annual drug deductible of $615. For Tier 1 preferred generics and Tier 2 generics, members enjoy no copay for 1-month and 3-month supplies filled at standard pharmacies or through preferred mail order. Standard mail order options for these generic tiers range from a $10 to $20 copay for a 1-month supply up to a $30 to $60 copay for a 3-month supply. Tier 3 preferred brand drugs have a $47 copay for a 1-month supply, which can be extended to a 3-month supply for $141 at standard pharmacies or a reduced $131 through preferred mail order. For advanced medications, Tier 4 non-preferred drugs require 41% coinsurance, while Tier 5 specialty drugs carry a 25% coinsurance for a 1-month supply.
Additional Benefits
The HumanaChoice Florida H7617-107 (PPO) plan offers affordable healthcare coverage with no copay for primary care visits, telehealth, preventive services, and home health care. For specialized medical needs, members pay predictable copays, including $30 to $45 for specialist visits and a $300 daily copay for the first six days of inpatient hospital stays. Emergency and urgent care are also highly accessible, requiring copays of $150 and $15 respectively with no coinsurance. This plan also features valuable supplemental benefits, including dental care up to a $3,000 annual limit and routine hearing services with no copay. Vision benefits include a $200 annual allowance for eyewear with no copay, alongside covered acupuncture and over-the-counter items. Other services like medical equipment, diagnostic tests, and dialysis are covered with coinsurance typically ranging from 10% to 20%.
Inpatient Hospital See details
Inpatient hospital services are partially covered by HumanaChoice Florida H7617-107 (PPO) with no coinsurance, requiring a $300 daily copay for days 1 through 6 and no copay for days 7 and beyond. Prior authorization is required, and upgrades, non-Medicare-covered stays, and additional psychiatric days are not covered.
Outpatient Services See details
HumanaChoice Florida H7617-107 (PPO) covers outpatient services with no coinsurance, offering no copays for ambulatory surgical center and outpatient blood services. Outpatient hospital services require a copay of $0 to $300, observation services have a $300 copay per stay, and outpatient substance abuse sessions carry a $30 to $35 copay.
Partial Hospitalization See details
HumanaChoice Florida H7617-107 (PPO) covers partial hospitalization services with a $35.00 copay and no coinsurance. Prior authorization is required for these covered services.
Ambulance and Transportation Services See details
HumanaChoice Florida H7617-107 (PPO) covers ambulance services with prior authorization, requiring a $120 to $240 copay and no coinsurance for ground ambulance services, and a 20% coinsurance with no copay for air ambulance services. Transportation services to health-related locations are not covered under this plan.
Emergency Services See details
HumanaChoice Florida H7617-107 (PPO) covers emergency services with a $150 copay and no coinsurance, which is waived if you are admitted to the hospital within 24 hours. Urgent care is available for a $15 copay and no coinsurance, while worldwide emergency, urgent, and transportation services are covered with a $150 copay and no coinsurance.
Primary Care See details
Primary care benefits under HumanaChoice Florida H7617-107 (PPO) feature primary care physician visits with no copay and no coinsurance, as well as telehealth services starting at no copay. Specialist visits, mental health, and physical therapy are covered with copays ranging from $30 to $45 and no coinsurance, while chiropractic and podiatry services are not covered.
Preventive Services See details
HumanaChoice Florida H7617-107 (PPO) covers preventive services, including annual physical exams, kidney disease education, diabetes self-management, fitness benefits, and in-home support, with no copay and no coinsurance. However, some supplemental services are not covered, including health education, in-home safety assessments, personal emergency response systems, and nutritional/dietary benefits.
Hearing Services See details
HumanaChoice Florida H7617-107 (PPO) covers hearing services, featuring a $35 copay and no coinsurance for Medicare-covered exams, and no copay or coinsurance for annual routine exams, fittings, and OTC hearing aids. Prescription hearing aids are partially covered with no copay or coinsurance up to a $1,000 maximum every three years, though inner ear, outer ear, and over-the-ear types are not covered.
Vision Services See details
Vision services are partially covered by HumanaChoice Florida H7617-107 (PPO), featuring no coinsurance and copays ranging from $0 to $35 for eye exams, and no copay or coinsurance for eyewear up to a $200 annual limit. Other eye exam services, individual eyeglass lenses, eyeglass frames, and upgrades are not covered.
Dental Services See details
HumanaChoice Florida H7617-107 (PPO) offers partially covered dental services up to a $3,000 annual limit, with no copay and no coinsurance for preventive care and most comprehensive treatments. Medicare-covered dental services require a $35 copay with no coinsurance, prosthodontics require a 30% coinsurance with no copay, and fluoride, implants, orthodontics, and maxillofacial prosthetics are not covered.
Home Infusion bundled Services See details
HumanaChoice Florida H7617-107 (PPO) covers home infusion bundled services with no copay, although prior authorization and step therapy are required. Associated Medicare Part B drugs, including chemotherapy, carry a 0% to 20% coinsurance, while Part B insulin drugs require a $35 copay and 0% to 20% coinsurance.
Dialysis Services See details
HumanaChoice Florida H7617-107 (PPO) covers Dialysis Services with no copay and a 20% coinsurance. Prior authorization is required to receive these covered services.
Medical Equipment See details
HumanaChoice Florida H7617-107 (PPO) covers medical equipment, featuring a 10% coinsurance and no copay for durable medical equipment (DME) and prosthetics, and a 20% coinsurance for medical supplies. Covered diabetic supplies have a 20% coinsurance with no copay, while diabetic therapeutic shoes and inserts require a $5 copay.
Diagnostic and Radiological Services See details
Diagnostic and radiological services are covered under HumanaChoice Florida H7617-107 (PPO) with prior authorization, typically requiring a 20% coinsurance. Lab services, outpatient X-rays, and diagnostic radiology have no copay, while diagnostic tests carry a copay up to $200 and therapeutic radiology has a minimum copay of $30.
Home Health Services See details
HumanaChoice Florida H7617-107 (PPO) covers Home Health Services with no copay and no coinsurance, though prior authorization is required.
Cardiac Rehabilitation Services See details
HumanaChoice Florida H7617-107 (PPO) offers Cardiac Rehabilitation Services with no copay and no coinsurance, though prior authorization is required. Only some services are covered, as standard cardiac, intensive cardiac, pulmonary, and supervised exercise therapy (SET) for symptomatic peripheral artery disease (PAD) services are not covered.
Skilled Nursing Facility (SNF) See details
HumanaChoice Florida H7617-107 (PPO) covers Skilled Nursing Facility (SNF) services with no coinsurance, offering no copay for days 1 through 20 and a $160 copay for days 21 through 100. Prior authorization is required, a prior three-day inpatient hospital stay is not required, and additional days beyond the Medicare-covered limit are not covered.
Other Services See details
Other services are partially covered by HumanaChoice Florida H7617-107 (PPO) with no copay and no coinsurance, including up to 25 acupuncture treatments per year, over-the-counter items, and chronic illness meal benefits. Prior authorization is required for acupuncture and meals, while Other 1, Other 2, Other 3, and Dual Eligible SNPs with Highly Integrated Services are not covered.
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