A non-government entity
HumanaChoice R0110-001 (Regional PPO)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for HumanaChoice R0110-001 (Regional PPO). The information on this page is a summary only.
For a complete listing of all available benefits and cost information on HumanaChoice R0110-001 (Regional PPO) in 2026, please refer to our full plan details page.
HumanaChoice R0110-001 (Regional PPO) is a Regional PPO plan offered by Humana Inc. available for enrollment in 2025 to people living in States of Louisiana and Mississippi. This plan received an overall rating of 3.5 out of 5 stars in 2026.
It's important to know that HumanaChoice R0110-001 (Regional PPO) is a Medicare Advantage (MA) Plan without drug coverage. That means that this plan covers medical services but doesn't cover prescription drugs. If you are looking for a plan with prescription drug coverage, please search for other MA and PDP plans offered in your area.
Key Plan Facts
Below are a few key facts and commonly-asked questions about HumanaChoice R0110-001 (Regional 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 R0110-001 (Regional 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 has a $1000.00 health deductible. This means, every calendar year, you pay this amount towards covered services before your insurance coverage kicks in.
Drugs are not covered by this plan, so a prescription drug deductible is not applicable.
Out-of-Pocket Maximums
This plan has a combined Maximum Out-Of-Pocket cost of $11100.00 (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 $11100.00 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 R0110-001 (Regional 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
Prescription drugs are not covered by HumanaChoice R0110-001 (Regional PPO).
Additional Benefits
The HumanaChoice R0110-001 (Regional PPO) plan offers robust medical coverage with affordable out-of-pocket costs, featuring no copays for primary care visits and routine preventive screenings. For specialized care, members pay a low $20 copay for specialist visits and a $15 copay for physical, occupational, or speech therapy. Inpatient hospital stays require a $195 daily copay for the first six days and no copay thereafter, while outpatient hospital services range from no copay up to a $225 copay with no coinsurance. This regional PPO plan also provides excellent supplemental benefits, including routine dental care up to a $5,000 annual limit and routine vision and hearing exams with no copays. Emergency care is available with a $115 copay, which is waived upon hospital admission, and urgent care carries a $40 copay. Additionally, members can access up to 24 one-way transportation trips per year to approved locations and enjoy home health services with no copay or coinsurance.
Inpatient Hospital See details
HumanaChoice R0110-001 (Regional PPO) covers inpatient acute and psychiatric hospital stays with no coinsurance, featuring a $195 daily copay for days 1 through 6 and no copay for days 7 through 90. Unlimited additional acute days are covered with no copay, though psychiatric additional days, upgrades, and non-Medicare-covered stays are not covered.
Outpatient Services See details
HumanaChoice R0110-001 (Regional PPO) covers outpatient services with no coinsurance, offering ambulatory surgical center and outpatient blood services with no copay. Outpatient hospital services range from no copay to a $225 copay, observation services require a $195 copay per stay, and outpatient substance abuse sessions have a $20 copay.
Partial Hospitalization See details
HumanaChoice R0110-001 (Regional PPO) covers partial hospitalization services with a $20.00 copay and no coinsurance. Prior authorization is required to access this covered benefit.
Ambulance and Transportation Services See details
Ambulance and transportation services are covered under HumanaChoice R0110-001 (Regional PPO), featuring a $310 copay for ground ambulance services and a 20% coinsurance for air ambulance services. Transportation services are partially covered, providing up to 24 one-way trips per year to plan-approved locations with no copay and no coinsurance, while transportation to any health-related location is not covered.
Emergency Services See details
HumanaChoice R0110-001 (Regional PPO) covers emergency services with a $115 copay and no coinsurance, with the copay waived if you are admitted to the hospital within 24 hours. Urgently needed services feature a $40 copay and no coinsurance, while worldwide emergency, urgent, and transportation services are all covered with a $115 copay and no coinsurance.
Primary Care See details
HumanaChoice R0110-001 (Regional PPO) offers primary care physician services with no copay and no coinsurance, and specialist visits with a $20 copay and no coinsurance. Physical, occupational, and speech therapy services require a $15 copay and no coinsurance, while podiatry, routine chiropractic, and other chiropractic services are not covered.
Preventive Services See details
Preventive services are covered by HumanaChoice R0110-001 (Regional PPO) with no copay and no coinsurance for annual physicals, kidney disease education, and various screenings. However, the benefit is only partially covered, as it excludes health education, in-home safety assessments, personal emergency response systems, medical nutrition therapy, post-discharge medication reconciliation, readmission prevention, weight management, alternative therapies, therapeutic massage, adult day health, nutritional/dietary benefits, home-based palliative care, caregiver support, smoking cessation, enhanced disease management, telemonitoring, remote access, home safety modifications, and counseling.
Hearing Services See details
HumanaChoice R0110-001 (Regional PPO) covers hearing services with no copay and no coinsurance for routine exams, fitting evaluations, and OTC hearing aids, while Medicare-covered exams require a $20 copay and no coinsurance. Prescription hearing aids are partially covered, offering up to two aids per year with a copay between $699 and $999 and no coinsurance, though inner ear, outer ear, and over-the-ear types are not covered.
Vision Services See details
Vision services are partially covered by HumanaChoice R0110-001 (Regional PPO), featuring routine eye exams and select eyewear with no copay, no coinsurance, and no deductibles. While routine exams (up to $40 annually) and contact lenses or eyeglasses (up to $350 annually) are covered, other eye exam services, eyeglass lenses, eyeglass frames, and upgrades are not covered.
Dental Services See details
Dental services are partially covered by HumanaChoice R0110-001 (Regional PPO), offering Medicare-covered dental services for a $20 copay and no coinsurance, and other covered dental services with no copay or coinsurance up to a $5,000 annual maximum. Fluoride treatment, maxillofacial prosthetics, implant services, and orthodontics are not covered.
Home Infusion bundled Services See details
HumanaChoice R0110-001 (Regional PPO) covers home infusion bundled services with no copay, subject to prior authorization. Associated Medicare Part B drugs, including chemotherapy, radiation, and insulin, carry a coinsurance ranging from no coinsurance up to 20%, with insulin also requiring a $35 copay.
Dialysis Services See details
Dialysis services are covered by HumanaChoice R0110-001 (Regional PPO) with no copay and a 20% coinsurance. Prior authorization is required to receive these covered services.
Medical Equipment See details
HumanaChoice R0110-001 (Regional PPO) covers durable medical equipment (DME) with no copay and 7% coinsurance, and prosthetic devices and medical supplies with no copay and 20% coinsurance. Diabetic supplies are covered with no copay and 10% to 20% coinsurance, while diabetic therapeutic shoes or inserts require a $10 copay.
Diagnostic and Radiological Services See details
Diagnostic and Radiological Services under HumanaChoice R0110-001 (Regional PPO) are covered with no coinsurance, although prior authorization is required. Lab services and outpatient X-rays have no copay, while diagnostic procedures and tests carry a copay of $0 to $50, diagnostic radiological services start at a $0 copay, and therapeutic radiological services require a minimum copay of $20.
Home Health Services See details
Home health services are covered under the HumanaChoice R0110-001 (Regional PPO) plan with no copay and no coinsurance, although prior authorization is required.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are covered by HumanaChoice R0110-001 (Regional PPO) with a $15 copay and no coinsurance, though some services are covered while cardiac, intensive cardiac, pulmonary, and supervised exercise therapy (SET) for symptomatic peripheral artery disease (PAD) services are not covered. Prior authorization is required for these services.
Skilled Nursing Facility (SNF) See details
HumanaChoice R0110-001 (Regional PPO) covers Skilled Nursing Facility (SNF) services with no coinsurance and no prior three-day hospital stay requirement. There is no copay for days 1 through 20, a $218 copay for days 21 through 100, and prior authorization is required, though additional days beyond the standard Medicare limit are not covered.
Other Services See details
HumanaChoice R0110-001 (Regional PPO) partially covers other services, offering acupuncture with a $20 copay and no coinsurance, as well as over-the-counter items and meal benefits with no copay and no coinsurance. Other specific sub-services, including Dual Eligible SNPs and additional unspecified 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