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Humana Full Access R0110-003 (Regional PPO)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for Humana Full Access R0110-003 (Regional PPO). The information on this page is a summary only.
For a complete listing of all available benefits and cost information on Humana Full Access R0110-003 (Regional PPO) in 2025, please refer to our full plan details page.
Humana Full Access R0110-003 (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 2025.
It's important to know that Humana Full Access R0110-003 (Regional 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 Full Access R0110-003 (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 Humana Full Access R0110-003 (Regional PPO), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $139.00. 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 $300.00 health deductible. This means, every calendar year, you pay this amount towards covered services before your insurance coverage kicks in.
This plan has a $350.00 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 Full Access R0110-003 (Regional PPO) plan has a $350 deductible for prescription drugs. After you meet your deductible, your costs will vary depending on the drug tier and the pharmacy you use. For preferred generic drugs, you will pay a $5 copay at preferred mail and a $20 copay at standard mail. For standard generic drugs, the copay is $47.00 at all pharmacies. Brand name drugs have a 43% coinsurance, and non-preferred drugs have a 28% coinsurance. Once your total drug costs reach $2000, you enter the catastrophic coverage phase where you pay nothing for covered drugs.
Additional Benefits
The Humana Full Access R0110-003 (Regional PPO) plan offers comprehensive coverage with a variety of benefits. Inpatient hospital stays have no copay, while outpatient services have copays ranging from $0 to $175. Primary care physician visits have a $5 copay, and the plan also covers a range of other services such as hearing, vision, and dental, each with its own copay or coinsurance structure. This plan includes coverage for emergency services, with copays ranging from $65 to $140, and also covers home health services and preventive services with no copay. Other services like ambulance, partial hospitalization, and medical equipment are covered with varying copays and coinsurance. The plan also includes additional services like acupuncture and a meal benefit, along with services with coinsurance for the member.
Inpatient Hospital See details
Inpatient Hospital benefits, including Inpatient Hospital-Acute and Inpatient Hospital Psychiatric, are covered with no copay. Additional days for Inpatient Hospital-Acute are covered with no copay, while Non-Medicare-covered Stay and Upgrades for Inpatient Hospital-Acute, as well as Additional Days and Non-Medicare-covered Stay for Inpatient Hospital Psychiatric, are not covered.
Outpatient Services See details
Outpatient Services, including all outpatient hospital services, are covered, with a copay between $0 and $175 depending on the service. Observation services, ambulatory surgical center services, and outpatient blood services have no copay, while outpatient substance abuse services have a copay between $30 and $50.
Partial Hospitalization See details
Partial Hospitalization is covered by this plan, but requires prior authorization. There is a $40 copay for this benefit.
Ambulance and Transportation Services See details
Ambulance and Transportation Services are covered. Ground ambulance services have a $315 copay, and air ambulance services have a 20% coinsurance. Transportation services to any health-related location are not covered.
Emergency Services See details
Emergency Services, Urgently Needed Services, and Worldwide Emergency Services are covered by the Humana Full Access R0110-003 (Regional PPO) plan. Emergency Services have a $140 copay with no coinsurance, Urgently Needed Services have a $65 copay with no coinsurance, and Worldwide Emergency Services have a $140 copay for Worldwide Emergency Coverage, Worldwide Urgent Coverage, and Worldwide Emergency Transportation.
Primary Care See details
The Humana Full Access R0110-003 (Regional PPO) plan covers primary care physician services with a $5 copay, chiropractic services with a $20 copay, and occupational therapy services with a $25 copay. The plan also covers physician specialist services with a $35 copay, mental health specialty services with a $30 copay, physical therapy and speech-language pathology services with a $25 copay, and additional telehealth benefits with a copay between $0 and $65. Additionally, individual and group sessions for psychiatric services have a $30 copay, and Opioid Treatment Program Services have a copay between $30 and $50.
Preventive Services See details
The Humana Full Access R0110-003 (Regional PPO) plan covers preventive services, including an annual physical exam with no copay, and additional preventive services with a copay. The plan also covers Kidney Disease Education Services, Glaucoma Screenings, Diabetes Self-Management Training, Barium Enemas, Digital Rectal Exams, and EKGs following a Welcome Visit with no copay. However, health education, in-home safety assessments, personal emergency response systems, and other services are not covered.
Hearing Services See details
The Humana Full Access R0110-003 (Regional PPO) plan covers hearing exams with a $35 copay, routine hearing exams with no copay, and fitting/evaluation for hearing aids with no copay. Prescription hearing aids (all types) are covered with a copay between $699 and $999, while prescription hearing aids for the inner ear, outer ear, and over the ear are not covered, and OTC hearing aids are not covered.
Vision Services See details
The Humana Full Access R0110-003 (Regional PPO) plan covers vision services including eye exams and eyewear. Eye exams have a copay between $0 and $35, while routine eye exams have no copay. Eyewear has no copay, and the plan covers contact lenses and eyeglasses (lenses and frames). Eyeglass lenses, eyeglass frames, and upgrades are not covered.
Dental Services See details
The Humana Full Access R0110-003 (Regional PPO) plan covers Medicare Dental Services with a $35 copay, and other dental services including oral exams with no copay, dental x-rays with no copay, other diagnostic dental services with no copay, prophylaxis (cleaning) with no copay, restorative services with a 30-40% coinsurance, removable prosthodontics with a 30% coinsurance, fixed prosthodontics with a 30-40% coinsurance, oral and maxillofacial surgery with no copay; however, fluoride treatment, maxillofacial prosthetics, implant services, and orthodontics are not covered. The plan has a $1500 annual maximum for dental services.
Home Infusion bundled Services See details
Home Infusion bundled Services are covered, with prior authorization required. For Medicare Part B insulin drugs, there is a $35 copay and coinsurance between 0% and 20%. Medicare Part B Chemotherapy/Radiation Drugs and Other Medicare Part B Drugs are also covered, with coinsurance between 0% and 20%.
Dialysis Services See details
Dialysis Services are covered, but require prior authorization. You will pay 20% coinsurance for these services.
Medical Equipment See details
Medical Equipment benefits include Durable Medical Equipment, Prosthetics/Medical Supplies, and Diabetic Equipment. Durable Medical Equipment has a 17% coinsurance and requires authorization, while Durable Medical Equipment for use outside the home is not covered. Prosthetic Devices and Medical Supplies have a 20% coinsurance, while Diabetic Supplies have a 10-20% coinsurance and no copay, and Diabetic Therapeutic Shoes/Inserts have a $10 copay.
Diagnostic and Radiological Services See details
Diagnostic and Radiological Services are covered, with a copay required for some services. Diagnostic Procedures/Tests have a copay between $0 and $100, while Lab Services have no copay. Diagnostic Radiological Services have a copay of at most $325, Therapeutic Radiological Services have a copay of at most $60 with a minimum copay of $35, and Outpatient X-Ray Services have a $5 copay.
Home Health Services See details
Home Health Services are covered by the Humana Full Access R0110-003 (Regional PPO) plan with no copay and no coinsurance. Additional Hours of Care and Personal Care Services are not covered.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are covered, but the plan does not cover the sub-services of Cardiac Rehabilitation Services, Intensive Cardiac Rehabilitation Services, Pulmonary Rehabilitation Services, and SET for PAD Services. Prior authorization is required.
Skilled Nursing Facility (SNF) See details
The Humana Full Access R0110-003 (Regional PPO) plan covers Skilled Nursing Facility (SNF) services with a copay of $20 for days 1-20 and $214 for days 21-100. Additional days beyond Medicare-covered and non-Medicare-covered stays for SNF are not covered.
Other Services See details
Other services include acupuncture with a $35 copay, and a meal benefit with no copay. Over-the-counter items, Dual Eligible SNPs, Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) Services, Private Duty Nursing Services, Case Management (Long Term Care), Institution for Mental Disease Services for Individuals 65 or Older, Services in an Intermediate Care Facility for Individuals with Intellectual Disabilities, Case Management, Tobacco Cessation Counseling for Pregnant Women, Freestanding Birth Center Services, Respiratory Care Services, Family Planning Services, Nursing Home Services, Home and Community Based Services, Personal Care Services, and Self-Directed Personal Assistance Services are not covered.
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