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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 2026, 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 2.5 out of 5 stars in 2026.
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 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 $9000.00 (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 $9000.00 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 comprehensive coverage for essential medical services with no coinsurance for many key benefits. Members enjoy no copay for primary care physician visits, routine preventive care, and home health services, while specialist visits require a $60 copay. For inpatient hospital stays, patients pay a $325 daily copay for the first five days with no copay for subsequent days, while outpatient hospital services feature copays ranging from no copay up to $400. Everyday health services like dental, vision, and hearing are covered with no coinsurance, featuring no copay for routine dental cleanings, annual eye exams, and over-the-counter hearing aids. However, specialized treatments like prescription hearing aids require copays, and medical equipment such as durable medical equipment carries a 15% coinsurance with no copay. Diagnostic lab tests and outpatient X-rays are also fully covered with no copay or coinsurance, ensuring affordable access to routine diagnostics.
Inpatient Hospital See details
HumanaChoice R7220-001 (Regional PPO) partially covers inpatient hospital benefits with no coinsurance, requiring a $325 daily copay for days 1 to 5 of acute stays and days 1 to 7 of psychiatric stays, with no copay for subsequent days. Prior authorization is required, and upgrades, non-Medicare-covered stays, and additional days for psychiatric stays are not covered.
Outpatient Services See details
HumanaChoice R7220-001 (Regional PPO) covers outpatient services with no coinsurance, although copays vary depending on the specific service. Patients will pay a copay of $0 to $400 for outpatient hospital services, $325 per stay for observation services, and $25 to $35 for outpatient substance abuse sessions, while ambulatory surgical center and outpatient blood services have no copay.
Partial Hospitalization See details
Partial hospitalization benefits are covered by the HumanaChoice R7220-001 (Regional PPO) plan with a $35 copay and no coinsurance. Prior authorization is required for these services.
Ambulance and Transportation Services See details
HumanaChoice R7220-001 (Regional PPO) covers ambulance services with no coinsurance, requiring a $335 copay for ground transport and a $1,250 copay for air transport. Transportation services to plan-approved or health-related locations are not covered.
Emergency Services See details
HumanaChoice R7220-001 (Regional PPO) covers emergency services with a $130 copay and no coinsurance, with the copay waived if you are admitted to the hospital within 24 hours. Urgently needed services require a $50 copay and no coinsurance, while worldwide emergency, urgent, and transportation services are covered for a $130 copay and no coinsurance.
Primary Care See details
Primary Care benefits are partially covered by HumanaChoice R7220-001 (Regional PPO) with no coinsurance, as routine chiropractic care is not covered. Covered services feature no copay for primary care physician visits, a $60 copay for specialists, and copays ranging from $0 to $60 for therapy, psychiatric, podiatry, and telehealth services.
Preventive Services See details
Preventive services are covered by HumanaChoice R7220-001 (Regional PPO) with no copays and no coinsurance, including annual physical exams, kidney disease education, and glaucoma screenings. Additional preventive services are partially covered, offering a memory fitness benefit with no copay, but sub-services like health education, weight management, and in-home safety assessments are not covered.
Hearing Services See details
Hearing services are covered under HumanaChoice R7220-001 (Regional PPO) with no coinsurance or deductibles. Routine exams, fitting evaluations, and OTC hearing aids are available with no copay, while other exams require a $60 copay, and prescription hearing aids are partially covered with copays from $699 to $999 (inner ear, outer ear, and over the ear models are not covered).
Vision Services See details
Vision services are partially covered by HumanaChoice R7220-001 (Regional PPO), requiring prior authorization for exams and eyewear with no deductibles or coinsurance. Routine eye exams, contact lenses, and eyeglasses (lenses and frames) feature no copay, while other eye exams require a copay of up to $60; however, individual eyeglass lenses, eyeglass frames, and upgrades are not covered.
Dental Services See details
Dental services are partially covered by HumanaChoice R7220-001 (Regional PPO) up to a $1,000 annual limit, featuring no copay or coinsurance for cleanings, exams, and most restorative services. Medicare-covered dental services require a $60 copay and no coinsurance, while fluoride treatment, maxillofacial prosthetics, implant services, and orthodontics are not covered.
Home Infusion bundled Services See details
HumanaChoice R7220-001 (Regional PPO) covers Home Infusion bundled Services with prior authorization, featuring no copay and no coinsurance to 20% coinsurance for chemotherapy, radiation, and other Part B drugs. Medicare Part B insulin drugs are covered under this benefit with a $35 copay and no coinsurance to 20% coinsurance.
Dialysis Services See details
Dialysis Services are covered by HumanaChoice R7220-001 (Regional PPO) with no copay and a 20% coinsurance. Prior authorization is required to receive these covered services.
Medical Equipment See details
HumanaChoice R7220-001 (Regional PPO) covers medical equipment, including durable medical equipment (DME) with a 15% coinsurance and no copay, and prosthetics with a 20% coinsurance. 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 R7220-001 (Regional PPO) covers diagnostic and radiological services, with prior authorization required for most procedures. Members pay no copay or coinsurance for lab services and outpatient X-rays, while diagnostic procedures and radiological services incur copays of up to $60 and $300 respectively with no coinsurance. Therapeutic radiological services require a copay of up to $40 and a 20% coinsurance.
Home Health Services See details
Home Health Services are covered by HumanaChoice R7220-001 (Regional PPO) with no copay and no coinsurance, though prior authorization is required.
Cardiac Rehabilitation Services See details
Cardiac Rehabilitation Services are not covered under the HumanaChoice R7220-001 (Regional PPO) plan, meaning there is no copay or coinsurance coverage, as all sub-services—including cardiac, intensive cardiac, pulmonary, and SET for PAD rehabilitation—are not covered.
Skilled Nursing Facility (SNF) See details
Skilled Nursing Facility (SNF) services are partially covered by HumanaChoice R7220-001 (Regional PPO) and require prior authorization, with a $10 copay for days 1-20, a $218 copay for days 21-100, and no coinsurance. Additional days beyond Medicare-covered SNF stays are not covered.
Other Services See details
Other Services are partially covered by HumanaChoice R7220-001 (Regional PPO), including acupuncture with a $60 copay and no coinsurance, alongside meal benefits and over-the-counter items with no copay and no coinsurance. Dual Eligible SNPs with Highly Integrated Services are not covered.
Get Personalized Help from a licensed insurance agent
1-877-649-2073 / TTY 711. 8am-11pm EST. 7 days a week
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