A non-government entity
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 2026, 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 2026.
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 $33.00. 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:
Sign up for HumanaChoice R0110-015 (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 R0110-015 (Regional PPO).
Additional Benefits
HumanaChoice R0110-015 (Regional PPO) offers comprehensive healthcare coverage with no copay for primary care visits, preventive care, and home health services. Specialist visits, outpatient services, and mental health care generally require a $35 copay, while inpatient hospital stays incur a daily copay of $390 for the first few days and no copay thereafter. Emergency care is available with a $90 copay, which is waived if you are admitted to the hospital. This plan also features excellent supplemental benefits, including no copay for routine dental, vision, and hearing exams, alongside allowances for eyewear and hearing aids. While many diagnostic tests and rehabilitation services feature no copay, durable medical equipment and dialysis require coinsurance ranging from 10% to 20%. Additionally, members can access acupuncture, over-the-counter items, and home-delivered meals with no copay.
Inpatient Hospital See details
HumanaChoice R0110-015 (Regional PPO) covers inpatient hospital services with no coinsurance, requiring a $390 daily copay for days 1–5 of acute stays and days 1–4 of psychiatric stays, with no copay for subsequent covered days. Prior authorization is required, and non-Medicare-covered stays, hospital upgrades, and additional psychiatric days are not covered.
Outpatient Services See details
Outpatient services are covered by HumanaChoice R0110-015 (Regional PPO) with no coinsurance, though prior authorization is required for most services. There is no copay for ambulatory surgical center and blood services, a $35 copay for outpatient substance abuse sessions, a $0 to $365 copay for outpatient hospital services, and a $390 copay per stay for observation services.
Partial Hospitalization See details
HumanaChoice R0110-015 (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
Ambulance and transportation services are covered by HumanaChoice R0110-015 (Regional PPO), offering Medicare-covered ground and air ambulance services with a $270 copay and no coinsurance, subject to prior authorization. Although some transportation services are covered, rides to plan-approved or any other health-related locations are not covered.
Emergency Services See details
HumanaChoice R0110-015 (Regional PPO) covers emergency services with a $90 copay and no coinsurance, which is waived if you are admitted to the hospital within 24 hours. Urgently needed services are covered with a $50 copay and no coinsurance, while worldwide emergency, urgent, and transportation services are available with a $90 copay and no coinsurance.
Primary Care See details
HumanaChoice R0110-015 (Regional PPO) covers primary care physician services with no copay and no coinsurance, while specialist, mental health, and podiatry visits require a $35 copay and no coinsurance. Physical, occupational, and speech therapy require a $20 to $40 copay with no coinsurance, telehealth ranges from no copay to a $50 copay with no coinsurance, and chiropractic services are not covered.
Preventive Services See details
HumanaChoice R0110-015 (Regional PPO) covers preventive services with no copay and no coinsurance, including annual physical exams, kidney disease education, and select screenings. Additional preventive services are only partially covered, as the plan does not cover health education, in-home safety assessments, personal emergency response systems, medical nutrition therapy, post-discharge medication reconciliation, re-admission prevention, wigs, weight management, alternative therapies, therapeutic massage, adult day health, nutritional/dietary benefits, home-based palliative care, in-home support, caregiver support, enhanced disease management, telemonitoring, remote access technologies, home/bathroom safety modifications, and counseling.
Hearing Services See details
HumanaChoice R0110-015 (Regional PPO) covers hearing services with no deductibles, featuring routine hearing exams, fitting evaluations, and OTC hearing aids with no copay and no coinsurance, while Medicare-covered exams require a $35 copay and no coinsurance. Prescription hearing aids are partially covered with no coinsurance and a copay ranging from $0 to $299 for up to two devices every three years, though inner ear, outer ear, and over the ear hearing aids are not covered.
Vision Services See details
HumanaChoice R0110-015 (Regional PPO) partially covers vision services with no coinsurance, featuring a $0 to $35 copay for eye exams and no copay for covered eyewear with a $450 annual limit. One routine eye exam and one pair of eyeglasses or contact lenses are covered per year, while other eye exams, individual eyeglass lenses or frames, and upgrades are not covered.
Dental Services See details
HumanaChoice R0110-015 (Regional PPO) dental services are partially covered up to a $1,000 annual maximum for both in-network and out-of-network care. Medicare-covered dental services require a $35 copay and no coinsurance, while other covered preventive and comprehensive services have no copay and no coinsurance, though fluoride treatments, implants, orthodontics, and maxillofacial prosthetics are not covered.
Home Infusion bundled Services See details
HumanaChoice R0110-015 (Regional PPO) covers home infusion bundled services with no copay, although prior authorization is required. Associated Medicare Part B chemotherapy, radiation, and other drugs incur between no coinsurance and 20% coinsurance, while Part B insulin drugs require a $35 copay and between no coinsurance and 20% coinsurance.
Dialysis Services See details
HumanaChoice R0110-015 (Regional PPO) covers dialysis services with no copay and a 20% coinsurance. Prior authorization is required to receive these covered services.
Medical Equipment See details
HumanaChoice R0110-015 (Regional PPO) covers durable medical equipment (DME) with a 19% coinsurance and no copay, and 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 require a $10 copay and no coinsurance.
Diagnostic and Radiological Services See details
Diagnostic and radiological services are covered by HumanaChoice R0110-015 (Regional PPO), requiring prior authorization for all services. Diagnostic tests and labs feature no coinsurance, with no copay for lab services and copays ranging from $0 to $105 for diagnostic procedures, while radiological services feature no copay for outpatient X-rays and diagnostic radiology, and a minimum 20% coinsurance and $35 copay for therapeutic radiology.
Home Health Services See details
Home Health Services are covered by HumanaChoice R0110-015 (Regional PPO) with no copay and no coinsurance, although prior authorization is required.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are covered by HumanaChoice R0110-015 (Regional PPO) with no copay and no coinsurance, although prior authorization is required. While some services are covered, cardiac rehabilitation, intensive cardiac rehabilitation, pulmonary rehabilitation, and supervised exercise therapy (SET) for symptomatic peripheral artery disease (PAD) services are not covered.
Skilled Nursing Facility (SNF) See details
HumanaChoice R0110-015 (Regional PPO) covers Skilled Nursing Facility (SNF) services with no coinsurance, offering no copay for days 1 to 20 and a $178 copay per day for days 21 to 100. Prior authorization is required and a prior three-day inpatient hospital stay is not needed, but additional days beyond the standard Medicare-covered limit are not covered.
Other Services See details
HumanaChoice R0110-015 (Regional PPO) covers acupuncture with a $35 copay and no coinsurance for up to 20 treatments per year, requiring prior authorization. Over-the-counter (OTC) items and chronic illness meal benefits are also covered with no copay and no coinsurance, though the meal benefit requires prior authorization.
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