HumanaChoice R5826-018 (Regional PPO)
Health Insurance Company: Humana
Medicare Advantage Plan Details
- Dental
- Vision
- Hearing
General Plan Details
Additional Benefits
Doctor & Hospital Coverage
Out-of-network: $45 copay per visit
Out-of-network: $45 copay per visit
Out-of-network: $0 copay or 50% coinsurance
Emergency Room
$110 copay per visit (always covered)
Ambulance Coverage
In-network: $120-240 copay
Out-of-network: $120-240 copay
Lab, X-Ray, Radiology Coverage
Outpatient diag procs/tests/lab services:
Medicare-covered diagnostic procedures/tests: In-network: $0-100 copay
Out-of-network: $45 copay or 30-50% coinsurance
Medicare-covered lab services: In-network: $0-50 copay
Out-of-network: $45 copay or 30% coinsurance
Outpatient diag/therapeutic rad services:
Medicare-covered diagnostic radiological services (e.g., CT, MRI, etc): In-network: $0-125 copay
Out-of-network: $45-75 copay or 30% coinsurance
Medicare-covered x-ray services: In-network: $5-100 copay
Out-of-network: $45 copay or 30% coinsurance
Outpatient Surgery Coverage
Outpatient hospital:
Medicare-covered outpatient hospital services: In-network: $0-100 copay per visit
Out-of-network: $45 copay or 30% coinsurance per visit
Hospitalization Coverage
Inpatient hospital-acute:
In-network: $275 per day for days 1 through 7
$0 per day for days 8 through 90
$0 per day for days 91 and beyond
Out-of-network: $315 per day for days 1 through 7
$0 per day for days 8 through 90
Inpatient hospital psychiatric:
In-network: $195 per day for days 1 through 9
$0 per day for days 10 through 90
Out-of-network: $245 per day for days 1 through 10
$0 per day for days 11 through 90
Rehabilitation Coverage
Occupational therapy services:
In-network: $25-35 copay
Out-of-network: $45 copay or 30% coinsurance
Physical therapy and speech and language therapy services:
In-network: $25-35 copay
Out-of-network: $45 copay or 30% coinsurance
Urgent Care Coverage
$25 copay per visit (always covered)
Skilled Nursing Facility (SNF)
In-network: $0 per day for days 1 through 20
$150 per day for days 21 through 100
Out-of-network: $250 per day for days 1 through 58
$0 per day for days 59 through 100
Mental Health Coverage
Medicare-covered individual sessions: In-network: $30 copay
Out-of-network: $45 copay
Medicare-covered group sessions: In-network: $30 copay
Out-of-network: $45 copay
Dental, Vision, Hearing Benefits
Dental Services
Oral exams:
In-network: $0 copay
Out-of-network: $0 copay
Prophylaxis (cleaning):
In-network: $0 copay
Out-of-network: $0 copay
Dental x-rays:
In-network: $0 copay
Out-of-network: $0 copay
Vision Benefits
Eye exams:
Routine eye exams: In-network: $0 copay
Out-of-network: $0 copay
Eyewear:
Contact Lenses: In-network: $0 copay
Out-of-network: $0 copay
Eyeglasses: In-network: $0 copay
Out-of-network: $0 copay
Hearing Benefits
Hearing exams:
Routine hearing exams: In-network: $30 copay
Out-of-network: $45 copay
Hearing aids:
Hearing aids (all types): In-network: $0 copay
Out-of-network: 25% coinsurance
More Additional Benefits
Plan Links
Ready to Enroll Online?
Or call and get free advice from licensed insurance agents
Looking for other plans in your area?