Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for HumanaChoice R0110-018 (Regional PPO). The information on this page is a summary only.
For a complete listing of all available benefits and cost information on HumanaChoice R0110-018 (Regional PPO) in 2026, please refer to our full plan details page.
HumanaChoice R0110-018 (Regional PPO) is a Regional PPO plan offered by Humana Inc. available for enrollment in 2025 to people living in States of Alabama and Tennessee. This plan received an overall rating of 3.5 out of 5 stars in 2026.
It's important to know that HumanaChoice R0110-018 (Regional PPO) is a Medicare Advantage (MA) Plan with drug coverage. That means that this plan covers both medical services and prescription drugs.
Below are a few key facts and commonly-asked questions about HumanaChoice R0110-018 (Regional PPO).
The cost of a Medicare Advantage Plan is made up of four main parts.
For HumanaChoice R0110-018 (Regional PPO), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $86.00. 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 $450.00 health deductible. This means, every calendar year, you pay this amount towards covered services before your insurance coverage kicks in.
This plan has a $590.00 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 $9800.00 (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 $9800.00 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.
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The HumanaChoice R0110-018 (Regional PPO) is an Enhanced Alternative plan with a $590.00 prescription drug deductible and a standard Part D premium of $86.00, which drops to $58.30 for individuals qualifying for Extra Help. After meeting the deductible, you will pay a $5.00 copay for Tier 1 preferred generics at standard pharmacies or through preferred mail. Tier 2 standard generics carry a $47.00 copay, while higher tiers like Tier 3 preferred brands and Tier 4 non-preferred drugs require 35% and 26% coinsurance respectively. Once your yearly out-of-pocket drug costs reach $2,100.00, you enter the catastrophic coverage phase. In this phase, you pay nothing for Medicare Part D covered drugs, though some costs may still apply for excluded drugs covered under enhanced benefits.
The HumanaChoice R0110-018 (Regional PPO) plan offers robust coverage for essential medical services, featuring no copay and no coinsurance for primary care doctor visits and key preventive services. For specialized care, inpatient hospital stays require a $325 daily copay for the first few days with no copay for subsequent days, while emergency room visits carry a $130 copay. Outpatient services and diagnostic lab tests are also highly accessible, often requiring no copay or low copays with no coinsurance. This plan also includes valuable supplemental benefits, such as routine dental, vision, and hearing exams with no copay, though more advanced dental care requires up to 40% coinsurance. Skilled nursing facility stays feature no copay for the first 20 days, whereas durable medical equipment and dialysis services generally require a 20% coinsurance with no copay. Additionally, home health services and chronic illness meals are provided with no copay and no coinsurance, helping to keep out-of-pocket costs predictable.
HumanaChoice R0110-018 (Regional PPO) partially covers inpatient hospital services with no coinsurance, requiring a $325 daily copay for days 1 to 5 of acute care (no copay for days 6 to 999) and a $325 daily copay for days 1 to 4 of psychiatric care (no copay for days 5 to 90). Prior authorization is required for both services, while upgrades, non-Medicare-covered stays, and additional psychiatric days are not covered.
Outpatient services are covered by HumanaChoice R0110-018 (Regional PPO) with no coinsurance, featuring no copay for ambulatory surgical center and outpatient blood services. Other covered services require copays, including $35 per session for outpatient substance abuse, $325 per stay for observation services, and between $0 and $325 for outpatient hospital services.
Partial hospitalization benefits are covered under the HumanaChoice R0110-018 (Regional PPO) plan with a $35 copay and no coinsurance. Prior authorization is required to receive these covered services.
Ambulance and Transportation Services are partially covered by HumanaChoice R0110-018 (Regional PPO), with ground ambulance services requiring a $335 copay (no coinsurance) and air ambulance services requiring 20% coinsurance (no copay). Prior authorization is required for ambulance services, while transportation services to plan-approved or any health-related locations are not covered.
HumanaChoice R0110-018 (Regional PPO) covers emergency services with a $130 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 each require a $130 copay and no coinsurance.
Primary Care is partially covered by HumanaChoice R0110-018 (Regional PPO), featuring no copay and no coinsurance for primary care doctor visits, and copays ranging from $15 to $45 with no coinsurance for specialist, therapy, and mental health services. Podiatry services and routine chiropractic care are not covered under this plan.
HumanaChoice R0110-018 (Regional PPO) covers key preventive services, such as annual physical exams and kidney disease education, with no copay and no coinsurance. Additional supplemental benefits are only partially covered, offering fitness and in-home support at no cost, while services like health education, weight management, and personal emergency response systems are not covered.
HumanaChoice R0110-018 (Regional PPO) partially covers hearing services, excluding OTC hearing aids as well as inner-ear, outer-ear, and over-the-ear prescription hearing aids. Routine hearing exams and fitting evaluations have no copay or coinsurance, while Medicare-covered exams require a $45 copay and covered prescription hearing aids require a $399 to $699 copay, both with no coinsurance.
HumanaChoice R0110-018 (Regional PPO) covers routine eye exams with no copay and other exams with a copay up to $45, with no coinsurance and a $75 annual limit. Eyewear is partially covered with no copay or coinsurance up to a combined $150 yearly limit for contact lenses and complete eyeglasses, while individual lenses, frames, and upgrades are not covered.
Dental services are partially covered by HumanaChoice R0110-018 (Regional PPO), excluding fluoride treatment, maxillofacial prosthetics, implant services, and orthodontics. Medicare-covered dental services require a $45 copay and no coinsurance, whereas other covered services have no copay and either no coinsurance (for exams, cleanings, and endodontics) or 30% to 40% coinsurance (for restorative and prosthodontics) up to a $1,250 annual limit.
HumanaChoice R0110-018 (Regional PPO) covers Home Infusion bundled Services, including chemotherapy, insulin, and other Medicare Part B drugs, subject to prior authorization. Covered Part B insulin drugs require a $35 copay and a coinsurance ranging from no coinsurance to 20%, while chemotherapy and other Part B drugs have no copay and a coinsurance ranging from no coinsurance to 20%.
Dialysis services are covered by HumanaChoice R0110-018 (Regional PPO) with no copay and a 20% coinsurance. Prior authorization is required for these services.
HumanaChoice R0110-018 (Regional PPO) covers durable medical equipment and prosthetic devices 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.
HumanaChoice R0110-018 (Regional PPO) covers diagnostic and radiological services, offering no copay for lab services and outpatient X-rays. Diagnostic procedures feature a copay between $0 and $125, diagnostic radiology has a copay up to $335, and therapeutic radiology requires a $45 copay and 20% coinsurance.
HumanaChoice R0110-018 (Regional PPO) covers Home Health Services with no copay and no coinsurance, though prior authorization is required.
Cardiac Rehabilitation Services are technically offered under the HumanaChoice R0110-018 (Regional PPO) plan, which states that some services are covered with prior authorization. However, because Cardiac Rehabilitation, Intensive Cardiac Rehabilitation, Pulmonary Rehabilitation, and SET for PAD services are not covered in practice, there is no copay or coinsurance coverage available for these treatments.
HumanaChoice R0110-018 (Regional PPO) partially covers Skilled Nursing Facility (SNF) services with no coinsurance and requires prior authorization. Under this benefit, there is no copay for days 1 to 20 and a $218 copay per day for days 21 to 100, but additional days beyond the Medicare-covered limit are not covered.
HumanaChoice R0110-018 (Regional PPO) partially covers other services, excluding over-the-counter (OTC) items and dual eligible SNPs with highly integrated services. Covered acupuncture requires a $45 copay and no coinsurance for up to 20 treatments per year, while chronic illness meal benefits are provided with no copay and no coinsurance.
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* 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.
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