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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 2025, 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 States of Georgia and South Carolina. This plan received an overall rating of 3.5 out of 5 stars in 2025.
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 $11300.00 (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 $11300.00 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) plan offers a variety of benefits with varying costs. Inpatient hospital stays have a copay of $300, while outpatient services may have copays ranging from $0 to $375. Emergency services have a $110 copay, and primary care visits are covered with no copay. Preventive services, including an annual physical exam, are covered with no copay. The plan also includes coverage for hearing, vision, and dental services. Hearing exams have a $40 copay, and vision services have a copay between $0 and $40. Dental services are covered with a $2,000 annual maximum benefit.
Inpatient Hospital See details
Inpatient Hospital coverage includes acute and psychiatric care. For acute care, you'll pay a $300 copay for days 1-6, and no copay for days 7-90, and for psychiatric care, you'll pay a $300 copay for days 1-5, and no copay for days 6-90.
Outpatient Services See details
Outpatient Services include coverage for Outpatient Hospital Services with a copay between $0 and $375, Observation Services with a $300 copay, Ambulatory Surgical Center (ASC) Services with no copay, Outpatient Substance Abuse Services with copays between $45 and $95 for individual and group sessions, and Outpatient Blood Services with no copay.
Partial Hospitalization See details
Partial Hospitalization is covered, but requires prior authorization. The copay for this benefit is $80.
Ambulance and Transportation Services See details
Ambulance and Transportation Services are covered by the HumanaChoice R0110-019 (Regional PPO) plan. Medicare-covered Ground and Air Ambulance Services have a $315 copay, and there is no coinsurance. Transportation Services to any health-related location is not covered.
Emergency Services See details
Emergency Services, Urgently Needed Services, and Worldwide Emergency Services are covered. Emergency Services and Worldwide Emergency Coverage, Worldwide Urgent Coverage, and Worldwide Emergency Transportation have a $110 copay, and Urgently Needed Services have a $45 copay; there is no coinsurance for any of these services.
Primary Care See details
The HumanaChoice R0110-019 (Regional PPO) plan covers primary care physician services with no copay, chiropractic services with a $15 copay, occupational therapy services with a $25 copay, and physician specialist services with a $40 copay. Mental health specialty services and psychiatric services have a $45 copay for individual and group sessions. Physical therapy and speech-language pathology services have a $25 copay, and additional telehealth benefits have a copay ranging from $0 to $45.
Preventive Services See details
Preventive Services include an annual physical exam with no copay, and other services with a copay that is not listed. Additional benefits include wigs for hair loss related to chemotherapy, kidney disease education services, and other preventive services such as glaucoma screening, diabetes self-management training, barium enemas, digital rectal exams, and EKG following a welcome visit, all with no copay. Health education, in-home safety assessments, personal emergency response systems, medical nutrition therapy, post-discharge in-home medication reconciliation, re-admission prevention, weight management programs, alternative therapies, therapeutic massage, adult day health services, nutritional/dietary benefits, home-based palliative care, in-home support services, support for caregivers of enrollees, additional sessions of smoking and tobacco cessation counseling, enhanced disease management, telemonitoring services, remote access technologies, home and bathroom safety devices, modifications, and counseling services are not covered. The Fitness Benefit includes Memory Fitness with no copay.
Hearing Services See details
Hearing Services include hearing exams, routine hearing exams, fitting/evaluation for hearing aids, prescription hearing aids, and OTC hearing aids. Hearing exams have a $40 copay, while routine hearing exams and fitting/evaluation for hearing aids have no copay. Prescription hearing aids (all types) have a copay between $699 and $999, and OTC hearing aids are covered up to $125 every three months.
Vision Services See details
The HumanaChoice R0110-019 (Regional PPO) plan covers vision services, including eye exams with a copay between $0 and $40, 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, including oral exams, dental x-rays, other diagnostic dental services, prophylaxis (cleaning), other preventive dental services, restorative services, adjunctive general services, endodontics, periodontics, prosthodontics (removable and fixed), and oral and maxillofacial surgery, with a $2,000 annual maximum benefit. However, fluoride treatment, maxillofacial prosthetics, implant services, and orthodontics are not covered. Medicare dental services have a $40 copay.
Home Infusion bundled Services See details
Home Infusion bundled Services are covered, with prior authorization required. For Medicare Part B Insulin Drugs, there is a $35 copay and a coinsurance between 0% and 20%.
Dialysis Services See details
Dialysis Services are covered under the HumanaChoice R0110-019 (Regional PPO) plan, but require prior authorization. You will pay a 20% coinsurance for these services.
Medical Equipment See details
The HumanaChoice R0110-019 (Regional PPO) plan covers medical equipment, including Durable Medical Equipment (DME) with a 15% coinsurance and Prosthetics/Medical Supplies with a 15% coinsurance; Diabetic Equipment is covered, with a 10% coinsurance for Diabetic Supplies and a $10 copay for Diabetic Therapeutic Shoes/Inserts. Durable Medical Equipment for use outside the home is not covered.
Diagnostic and Radiological Services See details
Diagnostic and Radiological Services include coverage for all diagnostic services, with a maximum copay of $120.00, and lab services with no copay. Diagnostic radiological services have a maximum copay of $325.00, therapeutic radiological services have a maximum copay of $45.00 and a minimum coinsurance of 20%, and outpatient X-ray services have no copay.
Home Health Services See details
Home Health Services are covered by the HumanaChoice R0110-019 (Regional PPO) plan with no copay and no coinsurance, but additional hours of care and personal care services are not covered. Authorization is required for this benefit.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are covered by HumanaChoice R0110-019 (Regional PPO), but the specific services of Cardiac Rehabilitation Services, Intensive Cardiac Rehabilitation Services, Pulmonary Rehabilitation Services, and SET for PAD Services are not covered. Prior authorization is required for this benefit.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) services are covered by the HumanaChoice R0110-019 (Regional PPO) plan, with prior authorization required. For days 1-20, there is no copay, and for days 21-100, the copay is $214.
Other Services See details
The HumanaChoice R0110-019 (Regional PPO) plan covers acupuncture with a $40 copay, over-the-counter items with a $125 maximum benefit every three months, and a meal benefit with no copay. Other services such as Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) Services, Private Duty Nursing Services, and others are not covered.
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