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HumanaChoice R7220-001 (Regional PPO)
Benefits Summary and Overview
This page is a benefits summary and overview of key plan information for HumanaChoice R7220-001 (Regional PPO). The information on this page is a summary only.
For a complete listing of all available benefits and cost information on HumanaChoice R7220-001 (Regional PPO) in 2025, please refer to our full plan details page.
HumanaChoice R7220-001 (Regional PPO) is a Regional PPO plan offered by Humana Inc. available for enrollment in 2025 to people living in State of Arizona. This plan received an overall rating of 3.5 out of 5 stars in 2025.
It's important to know that HumanaChoice R7220-001 (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 R7220-001 (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 R7220-001 (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.
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 $100.00 health deductible. This means, every calendar year, you pay this amount towards covered services before your insurance coverage kicks in.
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 $8550.00 (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 $8550.00 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 R7220-001 (Regional PPO).
Additional Benefits
The HumanaChoice R7220-001 (Regional PPO) plan offers a range of benefits, including inpatient hospital stays with varying copays, outpatient services with copays between $0 and $400, and coverage for ambulance and emergency services with copays. Primary care visits have no copay, while specialist visits incur a $70 copay. Preventive services, such as an annual physical exam, are covered with no copay. This plan also covers hearing exams with a $70 copay, and eyewear with no copay, as well as dental services with no copay for preventive services, and a $70 copay for Medicare dental services, up to a $1000 annual benefit. It includes home infusion, dialysis, and medical equipment coverage with varying copays and coinsurance, and home health services with no copay. Additionally, the plan offers an OTC benefit of up to $30 every three months, and covers acupuncture and a meal benefit with a copay.
Inpatient Hospital See details
Inpatient Hospital coverage includes Inpatient Hospital-Acute, with a copay of $365 for days 1-5, and no copay for days 6-90, and Inpatient Hospital Psychiatric, with a copay of $325 for days 1-7, and no copay for days 8-90. Additional Days for Inpatient Hospital-Acute has no copay for days 91-999. Non-Medicare-covered stay and Upgrades for Inpatient Hospital-Acute, and Additional Days and Non-Medicare-covered Stay for Inpatient Hospital Psychiatric are not covered.
Outpatient Services See details
Outpatient services include coverage for Outpatient Hospital Services with a copay between $0 and $400, Observation Services with a $365 copay, Ambulatory Surgical Center (ASC) Services with no copay, Outpatient Substance Abuse Services with a $20 copay for both Individual and Group Sessions, and Outpatient Blood Services with no copay. All services require prior authorization.
Partial Hospitalization See details
Partial Hospitalization is covered under the HumanaChoice R7220-001 (Regional PPO) plan, with a $20 copay. Prior authorization is required.
Ambulance and Transportation Services See details
For HumanaChoice R7220-001 (Regional PPO), Ambulance Services are covered with a $315 copay for ground ambulance and a $1250 copay for air ambulance, but Transportation Services to any health-related location are not covered. There is no coinsurance for Ambulance Services.
Emergency Services See details
Emergency Services, Urgently Needed Services, and Worldwide Emergency Services are covered by the HumanaChoice R7220-001 (Regional PPO) plan. Emergency Services and Worldwide Emergency Coverage, Worldwide Urgent Coverage, and Worldwide Emergency Transportation have a $125 copay, while Urgently Needed Services have a $25 copay; all have no coinsurance.
Primary Care See details
The HumanaChoice R7220-001 (Regional PPO) plan covers primary care physician services with no copay. Chiropractic services have a $20 copay, while occupational therapy services have a $40 copay. Physician Specialist Services have a $70 copay. Individual and group mental health sessions have a $20 copay. Physical therapy and speech-language pathology services have a $40 copay. Additional telehealth benefits have a copay between $0 and $70. Opioid treatment program services have a $20 copay.
Preventive Services See details
Preventive Services are covered by the HumanaChoice R7220-001 (Regional PPO) plan, including an annual physical exam with no copay, and additional preventive services with varying copays. This plan does not cover health education, in-home safety assessments, personal emergency response systems, medical nutrition therapy, post-discharge in-home medication reconciliation, re-admission prevention, wigs for hair loss related to chemotherapy, 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 and modifications, and counseling services.
Hearing Services See details
Hearing Services include Hearing Exams with a $70 copay, Routine Hearing Exams with no copay, Fitting/Evaluation for Hearing Aid with no copay, and OTC Hearing Aids with a maximum benefit of $30 every three months. Prescription Hearing Aids are partially covered, with Prescription Hearing Aids (all types) having a copay between $599 and $899, while Prescription Hearing Aids - Inner Ear, Outer Ear, and Over the Ear are not covered.
Vision Services See details
The HumanaChoice R7220-001 (Regional PPO) plan covers eye exams with a copay between $0 and $70, and eyewear with no copay. This plan does not cover eyeglass lenses, eyeglass frames, or upgrades.
Dental Services See details
Dental Services include coverage for Medicare Dental Services with a $70 copay, Oral Exams, Dental X-Rays, Other Diagnostic Dental Services, Prophylaxis (Cleaning), and Other Preventive Dental Services with no copay. The plan has a maximum benefit of $1000 per year for both in and out-of-network services. Fluoride Treatment, Endodontics, Prosthodontics (removable), Maxillofacial Prosthetics, Implant Services, Prosthodontics (fixed), Oral and Maxillofacial Surgery, and Orthodontics are not covered.
Home Infusion bundled Services See details
Home Infusion bundled Services are covered, including Medicare Part B Insulin Drugs with a $35 copay, and coinsurance between 0% and 20% for Medicare Part B Insulin Drugs, Chemotherapy/Radiation Drugs, and Other Medicare Part B Drugs. Prior authorization is required.
Dialysis Services See details
Dialysis Services are covered under the HumanaChoice R7220-001 (Regional PPO) plan, but require prior authorization. You will pay 20% coinsurance for these services.
Medical Equipment See details
Medical Equipment benefits include Durable Medical Equipment (DME) with an 18% coinsurance, Prosthetics/Medical Supplies with an 18% coinsurance, and Diabetic Equipment. Diabetic Supplies have a coinsurance between 10% and 20% with no copay, while Diabetic Therapeutic Shoes/Inserts have no copay.
Diagnostic and Radiological Services See details
Diagnostic and Radiological Services are covered, including diagnostic procedures/tests with a copay between $0 and $50, lab services with no copay, diagnostic radiological services with a copay up to $250, therapeutic radiological services with a copay up to $40 and 20% coinsurance, and outpatient X-ray services with no copay. All services require prior authorization.
Home Health Services See details
Home Health Services are covered by the HumanaChoice R7220-001 (Regional PPO) plan with no copay and no coinsurance. Additional hours of care and personal care services are not covered.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are covered, but the plan does not cover any of the specific services, including Intensive Cardiac Rehabilitation Services, Pulmonary Rehabilitation Services, and SET for PAD Services. Prior authorization is required.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) services are covered by the HumanaChoice R7220-001 (Regional PPO) plan, requiring prior authorization. For days 1-20, the copay is $10, and for days 21-100, the copay is $203. Additional days beyond Medicare-covered and non-Medicare-covered stays for SNF are not covered.
Other Services See details
Under "Other Services", this HumanaChoice R7220-001 (Regional PPO) plan covers acupuncture with a $70 copay, and also covers a meal benefit with no copay. The plan also provides an Over-the-Counter (OTC) Items benefit, offering up to $30 every three months, and the amount carries over if unused. However, Dual Eligible SNPs with Highly Integrated Services, Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) Services, Private Duty Nursing Services, Case Management (Long Term Care), Institution for Mental Disease Services for Individuals 65 or Older, Services in an Intermediate Care Facility for Individuals with Intellectual Disabilities, Case Management, Tobacco Cessation Counseling for Pregnant Women, Freestanding Birth Center Services, Respiratory Care Services, Family Planning Services, Nursing Home Services, Home and Community Based Services, Personal Care Services, and Self-Directed Personal Assistance Services are not covered.
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