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Humana Full Access R0110-020 (Regional PPO)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for Humana Full Access R0110-020 (Regional PPO). The information on this page is a summary only.
For a complete listing of all available benefits and cost information on Humana Full Access R0110-020 (Regional PPO) in 2026, please refer to our full plan details page.
Humana Full Access R0110-020 (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 2026.
It's important to know that Humana Full Access R0110-020 (Regional PPO) is a Medicare Advantage (MA) Plan with drug coverage. That means that this plan covers both medical services and prescription drugs.
Key Plan Facts
Below are a few key facts and commonly-asked questions about Humana Full Access R0110-020 (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 Humana Full Access R0110-020 (Regional PPO), the main costs are as follows:
Monthly Premium
The Monthly Premium for this plan is $100.00. 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 does not have a health deductible. Your insurance coverage on covered health services will start immediately.
This plan has a $615.00 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 $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
The Humana Full Access R0110-020 (Regional PPO) Medicare plan features an annual prescription drug deductible of $615. For Tier 1 preferred generic drugs, you will pay no copay for a 1-month or 3-month supply at standard pharmacies and through preferred mail order. Tier 2 generic drugs are also highly affordable, costing as little as a $5 copay for a 1-month supply, or no copay for a 3-month supply when using preferred mail order. Tier 3 preferred brand drugs require a $47 copay for a 1-month supply across standard pharmacies and mail-order options. Higher-tier medications are subject to coinsurance, with Tier 4 non-preferred drugs requiring a 33% coinsurance and Tier 5 specialty drugs requiring a 25% coinsurance. Choosing preferred mail-order services can help reduce your out-of-pocket costs for select prescription tiers under this plan.
Additional Benefits
The Humana Full Access R0110-020 (Regional PPO) plan offers comprehensive medical coverage with no copay for primary care visits, annual physicals, and home health services. For specialized care, members pay a $45 copay for specialist visits and a $25 copay for physical, occupational, and speech therapy. Inpatient hospital stays require a $375 daily copay for the first few days with no copay for subsequent days, while emergency room visits carry a $115 copay that is waived if admitted. This plan also includes key supplemental benefits, such as dental coverage up to a $1,000 annual limit with no copay for preventive care and a $25 copay for restorative services. Routine vision and hearing exams are available with no copay, and prescription hearing aids are partially covered with copays ranging from $699 to $999. For medical needs, durable medical equipment and dialysis services generally require a 20% coinsurance, while lab services and outpatient X-rays are covered with no copay.
Inpatient Hospital See details
Humana Full Access R0110-020 (Regional PPO) covers inpatient hospital services with no coinsurance, requiring a $375 daily copay for days 1-7 of acute stays and days 1-5 of psychiatric stays, with no copay for subsequent days. Unlimited additional acute days are covered at no copay, but psychiatric additional days, upgrades, and non-Medicare-covered stays are not covered.
Outpatient Services See details
Humana Full Access R0110-020 (Regional PPO) covers outpatient services with no coinsurance, including no copay for ambulatory surgical center and outpatient blood services. Outpatient hospital services carry a copay of $0 to $450, while observation services cost a $375 copay per stay and outpatient substance abuse sessions require a $35 copay.
Partial Hospitalization See details
Humana Full Access R0110-020 (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
Humana Full Access R0110-020 (Regional PPO) covers ground and air ambulance services with a $335 copay and no coinsurance, though prior authorization is required. Additional transportation services to health-related locations are not covered under this plan.
Emergency Services See details
Humana Full Access R0110-020 (Regional PPO) covers emergency services with a $115 copay and no coinsurance, which is 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 care, and emergency transportation services are covered with a $115 copay and no coinsurance.
Primary Care See details
Humana Full Access R0110-020 (Regional PPO) covers primary care physician services with no copay and no coinsurance, while specialist visits require a $45 copay and no coinsurance. Physical, occupational, and speech therapy are covered with a $25 copay and no coinsurance, but podiatry and routine chiropractic services are not covered.
Preventive Services See details
Preventive services are partially covered by Humana Full Access R0110-020 (Regional PPO), offering key benefits like annual physical exams, kidney disease education, and diabetes self-management with no copay and no coinsurance. However, additional preventive services such as fitness benefits, weight management programs, nutritional therapy, and in-home safety assessments are not covered.
Hearing Services See details
Humana Full Access R0110-020 (Regional PPO) covers Medicare-covered hearing exams for a $45 copay and routine exams or fitting evaluations with no copay and no coinsurance. Prescription hearing aids are partially covered for up to two devices per year with copays ranging from $699 to $999 and no coinsurance, while inner ear, outer ear, over the ear, and OTC hearing aids are not covered.
Vision Services See details
Humana Full Access R0110-020 (Regional PPO) partially covers vision services with no coinsurance and no deductibles, featuring no copay for annual routine eye exams and covered eyewear, though other eye exams can carry a copay up to $45. Covered eyewear is limited to one pair of contact lenses or eyeglasses per year, while other eye exam services, separate eyeglass lenses, separate eyeglass frames, and upgrades are not covered.
Dental Services See details
Humana Full Access R0110-020 (Regional PPO) offers partially covered dental services with a $1,000 annual maximum benefit, featuring no copay and no coinsurance for preventive care, a $25 copay and no coinsurance for restorative services, and a $45 copay and no coinsurance for Medicare-covered dental. Fluoride treatments, maxillofacial prosthetics, implant services, and orthodontics are not covered.
Home Infusion bundled Services See details
Humana Full Access R0110-020 (Regional PPO) covers Home Infusion bundled Services with no copay, though prior authorization is required. Associated Medicare Part B drugs, including chemotherapy and insulin, carry a coinsurance ranging from no coinsurance to 20%, with insulin also requiring a $35 copay.
Dialysis Services See details
Humana Full Access R0110-020 (Regional PPO) covers Dialysis Services with no copay and a 20% coinsurance. Prior authorization is required for these services.
Medical Equipment See details
Humana Full Access R0110-020 (Regional PPO) covers durable medical equipment, prosthetics, and medical supplies with a 20% coinsurance and no copay. Diabetic supplies from specified manufacturers have a 10% to 20% coinsurance and no copay, while diabetic shoes and inserts require a $10 copay and coinsurance; prior authorization is required.
Diagnostic and Radiological Services See details
Humana Full Access R0110-020 (Regional PPO) covers diagnostic and radiological services, requiring prior authorization for these benefits. Members pay no copay and no coinsurance for lab services, no copay for outpatient X-rays, a $0 to $120 copay with no coinsurance for diagnostic procedures, a minimum $0 copay for diagnostic radiological services, and a minimum $45 copay and minimum 20% coinsurance for therapeutic radiological services.
Home Health Services See details
Home Health Services are covered by the Humana Full Access R0110-020 (Regional PPO) plan with no copay and no coinsurance, though prior authorization is required.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are not covered under the Humana Full Access R0110-020 (Regional PPO) plan, as cardiac, intensive cardiac, pulmonary, and SET for PAD rehabilitation services are all not covered in practice.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) services are covered by Humana Full Access R0110-020 (Regional PPO) with no coinsurance, featuring no copay for days 1 through 20 and a $218 daily copay for days 21 through 100. Prior authorization is required, a prior three-day hospital stay is not required, and additional days beyond the Medicare-covered 100 days are not covered.
Other Services See details
Humana Full Access R0110-020 (Regional PPO) partially covers other services, offering acupuncture with a $45 copay, no coinsurance, and a limit of 20 treatments per year with prior authorization required. Other supplemental options, including over-the-counter items and meal benefits, are not covered.
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