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HumanaChoice R0110-015 (Regional PPO)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for HumanaChoice R0110-015 (Regional PPO). The information on this page is a summary only.
For a complete listing of all available benefits and cost information on HumanaChoice R0110-015 (Regional PPO) in 2025, please refer to our full plan details page.
HumanaChoice R0110-015 (Regional PPO) is a Regional PPO plan offered by Humana Inc. available for enrollment in 2025 to people living in Ohio. This plan received an overall rating of 3.5 out of 5 stars in 2025.
It's important to know that HumanaChoice R0110-015 (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 R0110-015 (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 R0110-015 (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 $46.00. 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 $6500.00 (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 $6500.00 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
Prescription drugs are not covered by HumanaChoice R0110-015 (Regional PPO).
Additional Benefits
The HumanaChoice R0110-015 (Regional PPO) plan offers a range of benefits with varying costs. Inpatient hospital stays have a copay, while outpatient services have copays that range from $0 to $365. The plan also covers primary care and preventive services with no copay, and offers additional benefits like hearing, vision, and dental services with copays and coinsurance. This plan includes coverage for ambulance, emergency, and home health services, and offers coverage for other services like acupuncture and over-the-counter items. There are also some services that require prior authorization.
Inpatient Hospital See details
Inpatient Hospital coverage includes a $390 copay for days 1-5 and no copay for days 6-90 for acute care, and a $390 copay for days 1-4 and no copay for days 5-90 for psychiatric care. Additional days for inpatient hospital-acute have no copay, while non-Medicare-covered stays and upgrades for inpatient hospital-acute are not covered.
Outpatient Services See details
Outpatient Services include coverage for outpatient hospital services with a copay between $0 and $365, observation services with a $390 copay, ambulatory surgical center services with no copay, outpatient substance abuse services with a copay between $40 and $75 for both individual and group sessions, and outpatient blood services with no copay.
Partial Hospitalization See details
Partial Hospitalization is covered by the HumanaChoice R0110-015 (Regional PPO) plan, with a $55 copay. Prior authorization is required.
Ambulance and Transportation Services See details
Ambulance and Transportation Services are covered, with a $270 copay for both ground and air ambulance services, and no 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 HumanaChoice R0110-015 (Regional PPO) plan. Emergency Services has a $90 copay, Urgently Needed Services has a $55 copay, and Worldwide Emergency Coverage, Worldwide Urgent Coverage, and Worldwide Emergency Transportation all have a $90 copay.
Primary Care See details
The HumanaChoice R0110-015 (Regional PPO) plan covers primary care physician services and chiropractic services with no copay, while occupational therapy services have a $20-$40 copay. Physician specialist services have a $35 copay, and mental health specialty services, podiatry services, psychiatric services, and opioid treatment program services have copays from $35 to $75. Physical therapy and speech-language pathology services have a $20-$40 copay, and additional telehealth benefits have a $0-$55 copay.
Preventive Services See details
The HumanaChoice R0110-015 (Regional PPO) plan covers preventive services, including an annual physical exam with no copay. Additional preventive services are covered, including smoking cessation and fitness benefits, with no copay.
Hearing Services See details
Hearing services include hearing exams with a $35 copay, routine hearing exams with no copay, and fitting/evaluation for hearing aids with no copay. Prescription hearing aids are partially covered, with a copay of $299 for all types, while OTC hearing aids are covered up to $75 every three months.
Vision Services See details
The HumanaChoice R0110-015 (Regional PPO) plan covers vision services, including eye exams with a copay between $0 and $35, and eyewear with no copay. Contact lenses and eyeglasses (lenses and frames) are covered with no copay, but eyeglass lenses, eyeglass frames, and upgrades are not covered.
Dental Services See details
Dental services are covered, with a $1,000 annual maximum benefit. Medicare dental services require a $35 copay, while oral exams, dental x-rays, other diagnostic services, prophylaxis (cleaning), other preventive services, restorative services, adjunctive general services, endodontics, periodontics, prosthodontics (removable and fixed), and oral and maxillofacial surgery have no copay. Fluoride treatment, maxillofacial prosthetics, implants, and orthodontics are not covered.
Home Infusion bundled Services See details
Home Infusion bundled Services are covered by HumanaChoice R0110-015 (Regional PPO), with a $35 copay for Medicare Part B Insulin Drugs, and a coinsurance between 0% and 20% for all other covered drugs. Prior authorization is required.
Dialysis Services See details
Dialysis Services are covered under the HumanaChoice R0110-015 (Regional PPO) plan, but require prior authorization. The coinsurance for this service is 20%.
Medical Equipment See details
Medical Equipment benefits are covered under the HumanaChoice R0110-015 (Regional PPO) plan. Durable Medical Equipment (DME) has a 19% coinsurance and requires authorization, while Durable Medical Equipment for use outside the home is not covered. Prosthetic Devices have a 20% coinsurance, Medical Supplies have a 20% coinsurance, and Diabetic Supplies have a 10-20% coinsurance with no copay. Diabetic Therapeutic Shoes/Inserts have a $10 copay.
Diagnostic and Radiological Services See details
Diagnostic and Radiological Services, including Diagnostic Procedures/Tests and Lab Services, are covered. Diagnostic Procedures/Tests have a copay between $0 and $105, and Lab Services have no copay. Radiological Services are also covered, with copays up to $425 for Diagnostic Radiological Services and up to $35 for Therapeutic Radiological Services, along with coinsurance up to 20% for Therapeutic Radiological Services. Outpatient X-Ray Services have no copay.
Home Health Services See details
Home Health Services are covered by HumanaChoice R0110-015 (Regional PPO) with no copay and no coinsurance. Additional Hours of Care and Personal Care Services are not covered.
Cardiac Rehabilitation Services See details
For HumanaChoice R0110-015 (Regional PPO), Cardiac Rehabilitation Services are covered, but the plan does not cover the following sub-services: 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
Skilled Nursing Facility (SNF) services are covered by HumanaChoice R0110-015 (Regional PPO), but require prior authorization. There is no copay for days 1-20, but there is a $178 copay for days 21-100. Additional days beyond Medicare-covered and non-Medicare-covered SNF stays are not covered.
Other Services See details
The HumanaChoice R0110-015 (Regional PPO) plan covers acupuncture with a $35 copay, and covers over-the-counter items with a maximum benefit of $75 every three months. The plan also covers a meal benefit with no copay. However, 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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