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HumanaChoice R0110-019 (Regional PPO)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for HumanaChoice R0110-019 (Regional PPO). The information on this page is a summary only.
For a complete listing of all available benefits and cost information on HumanaChoice R0110-019 (Regional PPO) in 2026, please refer to our full plan details page.
HumanaChoice R0110-019 (Regional PPO) is a Regional PPO plan offered by Humana Inc. available for enrollment in 2025 to people living in Georgia and South Carolina. This plan received an overall rating of 3.5 out of 5 stars in 2026.
It's important to know that HumanaChoice R0110-019 (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 R0110-019 (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 R0110-019 (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 $13900.00 (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 $13900.00 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 R0110-019 (Regional PPO).
Additional Benefits
The HumanaChoice R0110-019 (Regional PPO) offers comprehensive medical coverage with no copay and no coinsurance for primary care visits and preventive services. Specialist visits require a $40 copay, while emergency room visits have a $115 copay that is waived upon hospital admission. For inpatient hospital stays, there is a $300 daily copay for the first five to six days, with no copay required for subsequent days. Additionally, the plan provides routine dental, vision, and hearing care with no copays and no coinsurance up to set annual limits. Home health services also feature no copay, while skilled nursing facility stays require no copay for the first 20 days. For medical supplies and durable medical equipment, members will generally pay a 20% coinsurance with no copay.
Inpatient Hospital See details
HumanaChoice R0110-019 (Regional PPO) covers inpatient hospital services with no coinsurance, requiring a $300 copay for days 1 to 6 of acute stays and days 1 to 5 of psychiatric stays, with no copay for subsequent days. Additional days for acute stays are fully covered with no copay, but additional psychiatric days, upgrades, and non-Medicare-covered stays are not covered.
Outpatient Services See details
HumanaChoice R0110-019 (Regional PPO) covers outpatient services with no coinsurance, including outpatient hospital services with a $0 to $375 copay and observation services with a $300 copay per stay. Ambulatory surgical center and outpatient blood services have no copay or coinsurance, while individual and group outpatient substance abuse sessions require a $35 copay.
Partial Hospitalization See details
HumanaChoice R0110-019 (Regional PPO) covers partial hospitalization services with a $35.00 copay and no coinsurance. Prior authorization is required for these services.
Ambulance and Transportation Services See details
Ambulance services are covered by HumanaChoice R0110-019 (Regional PPO) with a $335 copay and no coinsurance for ground and air transports, which require prior authorization. Transportation services to plan-approved or other health-related locations are not covered.
Emergency Services See details
HumanaChoice R0110-019 (Regional PPO) covers emergency services with a $115 copay and no coinsurance, with the copay waived if you are admitted to the hospital within 24 hours. Urgently needed services require a $40 copay and no coinsurance, while worldwide emergency, urgent, and transportation services are covered with a $115 copay and no coinsurance.
Primary Care See details
HumanaChoice R0110-019 (Regional PPO) offers primary care physician services with no copay and no coinsurance, and specialist visits with a $40 copay and no coinsurance. Additional covered services like physical and occupational therapy ($25 copay), mental health sessions ($35 copay), and telehealth ($0 to $40 copay) also feature no coinsurance, while chiropractic and podiatry services are not covered.
Preventive Services See details
Preventive services are partially covered by HumanaChoice R0110-019 (Regional PPO) with no copay and no coinsurance for annual physical exams, kidney disease education, and memory fitness. Several supplemental options are not covered, including health education, weight management, personal emergency response systems, and in-home safety assessments.
Hearing Services See details
HumanaChoice R0110-019 (Regional PPO) covers hearing services with no coinsurance, offering routine exams, fitting evaluations, and OTC hearing aids with no copay, while Medicare-covered exams require a $40 copay. Prescription hearing aids are partially covered with a copay ranging from $99.00 to $699.00 for up to two devices per year, though inner ear, outer ear, and over the ear prescription hearing aids are not covered.
Vision Services See details
HumanaChoice R0110-019 (Regional PPO) offers partially covered vision services with no deductibles and no coinsurance, though prior authorization is required. Routine eye exams and select eyewear, such as one pair of contact lenses or eyeglasses per year up to a $350 combined limit, are available with no copay, while other eye exams, individual eyeglass lenses, individual frames, and upgrades are not covered.
Dental Services See details
HumanaChoice R0110-019 (Regional PPO) partially covers dental services, offering Medicare-covered dental with a $40 copay and no coinsurance, and other covered preventive and comprehensive services with no copay and no coinsurance up to a $2,000 annual maximum. Fluoride treatment, maxillofacial prosthetics, implant services, and orthodontics are not covered under this plan.
Home Infusion bundled Services See details
HumanaChoice R0110-019 (Regional PPO) covers Home Infusion bundled services with no copay, though prior authorization is required. Medicare Part B chemotherapy, radiation, and other drugs require no copay and a 0% to 20% coinsurance, while Medicare Part B insulin is covered with a $35 copay and 0% to 20% coinsurance.
Dialysis Services See details
Dialysis Services are covered by HumanaChoice R0110-019 (Regional PPO) with no copay and a 20% coinsurance. Prior authorization is required to receive these covered services.
Medical Equipment See details
HumanaChoice R0110-019 (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 require a $10 copay.
Diagnostic and Radiological Services See details
HumanaChoice R0110-019 (Regional PPO) covers diagnostic services with no coinsurance, featuring a $0 to $120 copay for diagnostic procedures and tests and no copay for lab services. Covered radiological services require prior authorization and include outpatient X-rays with no copay, diagnostic radiology with a $0 minimum copay, and therapeutic radiology with a minimum $40 copay and 20% coinsurance.
Home Health Services See details
HumanaChoice R0110-019 (Regional PPO) covers Home Health Services with no copay and no coinsurance, though prior authorization is required.
Cardiac Rehabilitation Services See details
HumanaChoice R0110-019 (Regional PPO) covers Cardiac Rehabilitation Services with no coinsurance, though prior authorization is required. While some services are covered, standard cardiac rehabilitation ($30 copay), intensive cardiac rehabilitation ($30 copay), pulmonary rehabilitation ($25 copay), and supervised exercise therapy for symptomatic peripheral artery disease ($20 copay) are not covered in practice.
Skilled Nursing Facility (SNF) See details
HumanaChoice R0110-019 (Regional PPO) partially covers Skilled Nursing Facility (SNF) services with no coinsurance, requiring prior authorization but no prior three-day hospital stay. There is no copay for days 1 through 20 and a $218 daily copay for days 21 through 100, though additional days beyond the standard Medicare-covered limit are not covered.
Other Services See details
HumanaChoice R0110-019 (Regional PPO) partially covers other services, as Other 1, Other 2, and Other 3 are not covered. Covered benefits include acupuncture for a $40 copay and no coinsurance, as well as over-the-counter items and meals with no copay and no coinsurance.
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