A non-government entity
HumanaChoice R0110-011 (Regional PPO)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for HumanaChoice R0110-011 (Regional PPO). The information on this page is a summary only.
For a complete listing of all available benefits and cost information on HumanaChoice R0110-011 (Regional PPO) in 2026, please refer to our full plan details page.
HumanaChoice R0110-011 (Regional PPO) is a Regional PPO plan offered by Humana Inc. available for enrollment in 2025 to people living in Indiana and Kentucky. This plan received an overall rating of 3.5 out of 5 stars in 2026.
It's important to know that HumanaChoice R0110-011 (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 R0110-011 (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 R0110-011 (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. Additionally, this plan comes with a Part B Premium reduction of $2.00. You must continue to pay paying your reduced Part B Premium.
Deductibles
This plan does not have a health deductible. Your insurance coverage on covered health services will start immediately.
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 $10050.00 (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 $10050.00 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 R0110-011 (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 R0110-011 (Regional PPO).
Additional Benefits
The HumanaChoice R0110-011 (Regional PPO) plan offers robust coverage with no copays or coinsurance for primary care visits, preventive services, and home health care. For specialist visits, patients can expect copays between $20 and $50, while emergency room visits carry an $80 copay that is waived if admitted. Inpatient hospital stays require a $275 daily copay for the first several days, after which there is no copay, and outpatient hospital services range from no copay to a $245 copay. This plan also includes valuable supplemental benefits, featuring no copays or coinsurance for routine dental care up to a $2,500 annual limit and eyewear up to $300. Routine hearing exams and over-the-counter hearing aids also have no copay, while prescription hearing aids require a copay of up to $299. For medical equipment and supplies, there are no copays, though coinsurance ranges from 10% to 20% depending on the item.
Inpatient Hospital See details
HumanaChoice R0110-011 (Regional PPO) covers inpatient hospital services with no coinsurance, requiring a $275 daily copay for days 1 through 6 of acute stays and days 1 through 5 of psychiatric stays, with no copay for subsequent covered days. Prior authorization is required, and upgrades, non-Medicare-covered stays, and additional psychiatric days are not covered.
Outpatient Services See details
HumanaChoice R0110-011 (Regional PPO) covers outpatient services with no coinsurance, featuring a $0 to $245 copay for outpatient hospital services and a $275 copay per stay for observation services. Ambulatory surgical center services and outpatient blood services are covered with no copay and no coinsurance, while outpatient substance abuse sessions require a $30 to $35 copay with no coinsurance.
Partial Hospitalization See details
HumanaChoice R0110-011 (Regional PPO) covers partial hospitalization services with a $35.00 copay and no coinsurance. Prior authorization is required to receive this covered benefit.
Ambulance and Transportation Services See details
HumanaChoice R0110-011 (Regional PPO) covers ground and air ambulance services with a $270 copay and no coinsurance. Transportation services are partially covered, offering up to 24 one-way trips per year to plan-approved locations with no copay or coinsurance, while transportation to any other health-related locations is not covered.
Emergency Services See details
HumanaChoice R0110-011 (Regional PPO) covers emergency services with an $80 copay, which is waived if you are admitted to the hospital within 24 hours, and no coinsurance. Urgently needed services require a $50 copay with no coinsurance, while worldwide emergency, urgent, and transportation services are covered with an $80 copay and no coinsurance.
Primary Care See details
HumanaChoice R0110-011 (Regional PPO) covers primary care physician services with no copay and no coinsurance, while other covered services like specialist visits, mental health, and physical therapy require copays ranging from $20 to $50 with no coinsurance. Podiatry and chiropractic services are not covered under this plan.
Preventive Services See details
Preventive Services are covered by HumanaChoice R0110-011 (Regional PPO) with no copay and no coinsurance for annual physical exams, kidney disease education, and other routine screenings. Additional preventive benefits are partially covered, offering a memory fitness benefit with no copay or coinsurance, while sub-services like health education, in-home safety assessments, PERS, medical nutrition therapy, post-discharge medication reconciliation, re-admission prevention, chemotherapy wigs, weight management, alternative therapies, therapeutic massage, adult day health, nutritional benefits, palliative care, in-home support, caregiver support, smoking cessation, disease management, telemonitoring, remote access, home safety modifications, and counseling are not covered.
Hearing Services See details
Hearing services under the HumanaChoice R0110-011 (Regional PPO) plan are partially covered, excluding prescription hearing aids for the inner ear, outer ear, and over the ear. Medicare-covered exams require a $30 copay and no coinsurance, while routine exams, fitting evaluations, and OTC hearing aids have no copay and no coinsurance. Covered prescription hearing aids have no coinsurance and a copay ranging from $0 to $299 for up to two devices every three years.
Vision Services See details
HumanaChoice R0110-011 (Regional PPO) vision services are partially covered with no deductible, no copays, and no coinsurance for covered benefits. Annual routine eye exams are covered up to $40, and eyewear like contact lenses or eyeglasses (lenses and frames) is covered up to $300, while other eye exams, eyeglass lenses, eyeglass frames, and upgrades are not covered.
Dental Services See details
HumanaChoice R0110-011 (Regional PPO) provides partially covered dental services, featuring a $30 copay and no coinsurance for Medicare-covered dental care, and no copay or coinsurance for other covered preventive and comprehensive services up to a $2,500 combined annual limit. Fluoride treatments, maxillofacial prosthetics, implant services, fixed prosthodontics, and orthodontics are not covered under this plan.
Home Infusion bundled Services See details
Home infusion bundled services are covered by HumanaChoice R0110-011 (Regional PPO) with no copay, though prior authorization is required. Under this benefit, Medicare Part B chemotherapy, radiation, and other drugs carry no copay and coinsurance ranging from no coinsurance to 20%, while Part B insulin requires a $35 copay and coinsurance ranging from no coinsurance to 20%.
Dialysis Services See details
Dialysis Services are covered under HumanaChoice R0110-011 (Regional PPO) with no copay and a 20% coinsurance. Prior authorization is required to receive these covered services.
Medical Equipment See details
Medical equipment benefits covered by HumanaChoice R0110-011 (Regional PPO) include durable medical equipment (DME) with a 13% coinsurance and no copay, and prosthetics and medical supplies with a 20% coinsurance and no copay. Covered diabetic supplies have a 10% to 20% coinsurance and no copay, while diabetic therapeutic shoes or inserts require a $10 copay.
Diagnostic and Radiological Services See details
Diagnostic and radiological services are covered by HumanaChoice R0110-011 (Regional PPO), with prior authorization required. Lab services and outpatient X-rays have no copays, diagnostic tests range from a $0 to $105 copay with no coinsurance, and therapeutic radiological services require a minimum 20% coinsurance and $30 copay.
Home Health Services See details
HumanaChoice R0110-011 (Regional PPO) covers Home Health Services with no copay and no coinsurance, although prior authorization is required.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are covered by HumanaChoice R0110-011 (Regional PPO) with no coinsurance, though prior authorization is required. While some services are covered, specific sub-services—including standard cardiac, intensive cardiac, pulmonary, and Supervised Exercise Therapy (SET) for Symptomatic Peripheral Artery Disease (PAD) services—are not covered and require a $10 copay.
Skilled Nursing Facility (SNF) See details
HumanaChoice R0110-011 (Regional PPO) covers Skilled Nursing Facility (SNF) services with no coinsurance, requiring no copay for days 1 to 20 and a $178 copay for days 21 to 100. Prior authorization is required, and additional days beyond the Medicare-covered limit are not covered.
Other Services See details
HumanaChoice R0110-011 (Regional PPO) covers select other services, including acupuncture for a $30 copay and no coinsurance, up to a limit of 20 treatments per year. Over-the-counter items and meal benefits for chronic illnesses are also covered with no copay and no coinsurance, though prior authorization is required for acupuncture and meals, and some other 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