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Humana Full Access R0110-014 (Regional PPO)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for Humana Full Access R0110-014 (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 R0110-014 (Regional PPO) in 2026, please refer to our full plan details page.
Humana Full Access R0110-014 (Regional PPO) is a Regional PPO plan offered by Humana Inc. available for enrollment in 2025 to people living in Michigan. This plan received an overall rating of 3.5 out of 5 stars in 2026.
It's important to know that Humana Full Access R0110-014 (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 R0110-014 (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 R0110-014 (Regional PPO), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $54.00. 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 $6550.00 (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 $6550.00 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 R0110-014 (Regional PPO) medicare plan features an annual prescription drug deductible of $615. This deductible is the amount you must pay out-of-pocket for your medications before the plan's coverage begins to pay. Specific copayment and coinsurance details by drug tier are not available for this plan. To fully understand your potential out-of-pocket costs, it is recommended to compare your personal prescription list against the plan's formulary.
Additional Benefits
The Humana Full Access R0110-014 (Regional PPO) Medicare plan provides robust coverage with no copay or coinsurance for primary care doctor visits and annual preventive exams. Specialist visits carry a $60 copay, urgent care is $50, and emergency room services require a $125 copay which is waived if you are admitted. For inpatient hospital stays, patients pay a $420 daily copay for the first 5 to 7 days, with no copays or coinsurance for additional days. This plan also features no copays for routine dental, vision, and hearing services, including a $2,000 annual maximum for dental care and a $200 allowance for eyewear. Prescription hearing aids are covered with copays ranging from $399 to $999, while durable medical equipment and dialysis require a 20% coinsurance with no copay. Home health services and home infusion bundled services are fully covered with no copay or coinsurance, though prior authorization may be required.
Inpatient Hospital See details
Inpatient hospital services are partially covered by Humana Full Access R0110-014 (Regional PPO) with no coinsurance, though prior authorization is required. For Medicare-covered stays, acute care requires a $420 daily copay for days 1 to 7 (no copay for days 8 and beyond) and psychiatric care requires a $420 daily copay for days 1 to 5 (no copay for days 6 to 90), while upgrades, non-Medicare-covered stays, and additional psychiatric days are not covered.
Outpatient Services See details
Outpatient services are covered by Humana Full Access R0110-014 (Regional PPO) with no coinsurance, featuring a $0 to $420 copay for outpatient hospital services and a $420 copay per stay for observation services. Ambulatory surgical center and outpatient blood services require no copay or coinsurance, while outpatient substance abuse sessions carry a $35 copay and no coinsurance.
Partial Hospitalization See details
Humana Full Access R0110-014 (Regional PPO) covers partial hospitalization services with a $35.00 copay and no coinsurance, although prior authorization is required.
Ambulance and Transportation Services See details
Ambulance and transportation services are covered by Humana Full Access R0110-014 (Regional PPO) with a $315 copay and no coinsurance for prior-authorized ground and air ambulance services. While some transportation services are covered, trips to plan-approved or any health-related locations are not covered.
Emergency Services See details
Humana Full Access R0110-014 (Regional PPO) covers emergency services with a $125 copay and no coinsurance, with the copay waived if you are admitted to the hospital within 24 hours. Urgently needed services require a $50 copay and no coinsurance, while worldwide emergency, urgent, and transportation services are covered with a $125 copay and no coinsurance.
Primary Care See details
Primary care services under Humana Full Access R0110-014 (Regional PPO) are available with no copay and no coinsurance, while specialist visits require a $60 copay and no coinsurance. Physical and occupational therapy cost a $45 copay and no coinsurance, and although some chiropractic services are covered for a $15 copay and no coinsurance, routine and other chiropractic services are not covered.
Preventive Services See details
Preventive services are partially covered by Humana Full Access R0110-014 (Regional PPO) with no copay and no coinsurance for covered services such as annual physical exams, kidney disease education, and diabetes training. However, several additional preventive benefits are not covered, including health education, in-home safety assessments, personal emergency response systems, medical nutrition therapy, post-discharge medication reconciliation, readmission prevention, chemotherapy wigs, weight management, alternative therapies, therapeutic massage, adult day health, nutritional/dietary benefits, home palliative care, in-home support, caregiver support, smoking cessation, disease management, telemonitoring, remote access, home safety modifications, and counseling.
Hearing Services See details
Hearing services are covered by Humana Full Access R0110-014 (Regional PPO) with no deductible, offering routine exams, fitting evaluations, and over-the-counter hearing aids with no copay and no coinsurance. Medicare-covered exams require a $60 copay and no coinsurance, while prescription hearing aids are partially covered with a $399 to $999 copay and no coinsurance, though inner ear, outer ear, and over-the-ear prescription hearing aids are not covered.
Vision Services See details
Humana Full Access R0110-014 (Regional PPO) partially covers vision services with no deductible, no coinsurance, and no copay for an annual routine eye exam and covered eyewear, which features a $200 annual limit. Copays for other covered eye exams range from $0 to $60, while other eye exam services, separate eyeglass lenses, eyeglass frames, and upgrades are not covered.
Dental Services See details
Dental Services are partially covered by Humana Full Access R0110-014 (Regional PPO), with Medicare-covered services requiring a $60 copay and no coinsurance, and other covered services requiring no copay and no coinsurance up to a $2,000 annual maximum. Fluoride treatment, removable prosthodontics, maxillofacial prosthetics, implant services, and orthodontics are not covered.
Home Infusion bundled Services See details
Home infusion bundled services are covered by Humana Full Access R0110-014 (Regional PPO) with no copay and no coinsurance, though prior authorization is required. Under this benefit, Part B chemotherapy, radiation, and other drugs have no copay and coinsurance ranging from no coinsurance to 20%, while insulin drugs require a $35 copay and coinsurance from no coinsurance to 20%.
Dialysis Services See details
Dialysis services are covered under the Humana Full Access R0110-014 (Regional PPO) plan with no copay and a 20% coinsurance, though prior authorization is required.
Medical Equipment See details
Humana Full Access R0110-014 (Regional PPO) covers durable medical equipment, prosthetics, and medical supplies with a 20% coinsurance and no copay. Diabetic supplies are covered with a 10% to 20% coinsurance and no copay, while diabetic therapeutic shoes and inserts also feature no copay.
Diagnostic and Radiological Services See details
Humana Full Access R0110-014 (Regional PPO) covers diagnostic services with prior authorization, offering lab services with no copay or coinsurance and diagnostic tests with a copay of up to $100 and no coinsurance. Radiological services also require prior authorization, featuring outpatient X-rays with no copay but applicable coinsurance, diagnostic radiological services with a copay starting at $0 and no coinsurance, and therapeutic radiological services with a copay and a minimum 20% coinsurance.
Home Health Services See details
Home Health Services are covered under the Humana Full Access R0110-014 (Regional PPO) plan with no copay and no coinsurance, though prior authorization is required.
Cardiac Rehabilitation Services See details
Humana Full Access R0110-014 (Regional PPO) features no coinsurance for cardiac rehabilitation services, but the benefit is not covered in practice as cardiac, intensive cardiac, pulmonary, and SET for PAD rehabilitation sub-services are all not covered.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) care is partially covered by Humana Full Access R0110-014 (Regional PPO) with no coinsurance, requiring a daily copay of $10 for days 1 through 20 and $214 for days 21 through 100. While a prior three-day hospital stay is not required, prior authorization is necessary, and additional days beyond the standard Medicare-covered limit are not covered.
Other Services See details
Other services covered by Humana Full Access R0110-014 (Regional PPO) include acupuncture with a $60 copay and no coinsurance for up to 20 treatments yearly, as well as over-the-counter items and chronic illness meals with no copay and no coinsurance. Prior authorization is required for acupuncture and meal benefits, and some additional services under this benefit category are not covered.
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