H5216805

4.5 out of 5 stars* for plan year 2024. HumanaChoice H5216-280 (PPO) is a PPO Medicare Advantage (Medicare Part C) plan offered by Humana Inc. Plan ID: H5216-280-001. * …

2024. H7323-011. Wellcare Mutual of Omaha No Premium Secure Open (PPO) 2024. H7323-012. Wellcare All Dual Assure (HMO D-SNP) 2024. H0174-022. Discover Medicare insurance plans accepted at our Arlington health center and find primary care doctors accepting Medicare near you.Mental health services. Inpatient hospital - psychiatric. In-Network: $295 per day for days 1 through 5 / $0 per day for days 6 through 90. Out-of-Network: 30% per stay. Outpatient group therapy ... 4.5 out of 5 stars* for plan year 2024. HumanaChoice H5216-027 (PPO) is a PPO Medicare Advantage (Medicare Part C) plan offered by Humana Inc. Plan ID: H5216-027-000. * Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system. $68.00 Monthly Premium. FreeHearingTest.org exists to help the 48 million Americans who suffer some level of hearing loss. Our free phone hearing screening test helps people …To do so, please complete and sign the form below. Humana Authorization to Share Personal Information. For more information regarding Humana call Customer Service at 888-700-2263. State Health Plan Medicare retirees have several options for health plan coverage. One of these options is the Humana Group Medicare Advantage PPO Base.

HumanaChoice H5216-318 (PPO) 4.5 out of 5 stars* for plan year 2024. HumanaChoice H5216-318 (PPO) is a PPO Medicare Advantage (Medicare Part C) plan offered by Humana Inc. Plan ID: H5216-318-001. * Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system. $0.00 Monthly Premium.Doctor Specialty Visit: Copayment for Physician Specialist Office Visit $35.00. Out-of-Network: Doctor Specialty Visit: Copayment for Medicare Covered Physician Specialist Office Visit $65.00. Inpatient Hospital Care. In-Network: Acute Hospital Services: $280.00 per day for days 1 to 7.HumanaChoice SNP-DE H5216-205 (PPO D-SNP) is a Coordinated Care plan LPPO with a Medicare contract and a contract with the Georgia Department of Community Health (DCH) (Medicaid) program. Enrollment in this Humana plan depends on contract renewal. The benefit information provided is a summary of what we cover and what you pay.Humana USAA Honor (PPO) covers additional benefits and services, some of which may not be covered by Original Medicare (Medicare Part A and Part B). Coverage. Cost. Chiropractic Services. In-Network: Copayment for Medicare-covered Chiropractic Services $15.00. Prior Authorization Required for Chiropractic Services.In addition, you may pay a higher co-pay for services received by non-contracted providers. Summary of Benefits. HumanaChoice Florida H5216-311 (PPO) Southeast Florida. 2023. Our service area includes the following county/counties in Florida: Brevard, Broward, Glades, Indian River, Martin, Miami-Dade, Okeechobee, Palm Beach, St. Lucie.LC2318ALL0919-A GHHKNA9EN Medicare Advantage and Dual Medicare-Medicaid Plans Preauthorization and Notification List. Effective Date: Jan. 1, 2020

H5216225000. Let's talk about Humana Honor (PPO) Find out more about the Humana Honor (PPO) plan -including the health and drug services it covers -in this easy-to-use guide. Humana Honor (PPO) is aMedicare Advantage PPO plan with aMedicare contract. Enrollment in this Humana plan depends on contract renewal.Highlights. Create your own custom rug with this style, contact your local store to order; 100% PureColor solution dyed BCF polyester; 15-year limited stain and soil warranty; 15-year limited wear and tear warrantyEffective July 1, 2023, cost sharing for covered Part B Insulin furnished through a covered item of durable medical equipment will be no more than $35 for a one-month (up to 30-day) supply and if your plan has a deductible, it does not apply to Part B Insulin. Part B Insulin is most commonly used through an insulin pump.Copayment for Physician Specialist Office Visit $40.00. Out-of-Network: Doctor Specialty Visit: Copayment for Medicare Covered Physician Specialist Office Visit $65.00. Inpatient Hospital Care. In-Network: Acute Hospital Services: $225.00 per day for days 1 to 8. $0.00 per day for days 9 to 90.Copayment for Medicare-covered Diagnostic Radiological Services $0.00 to $300.00. Copayment for Medicare-covered Therapeutic Radiological Services $45.00. Coinsurance for Medicare-covered Therapeutic Radiological Services 20%. Copayment for Medicare-covered X-Ray Services $10.00 to $125.00. Prior Authorization Required for Outpatient Diag ...

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Prior authorization required. Out-of-Network: Copayment for Medicare Covered Podiatry Services $65.00 Coinsurance for Non-Medicare Covered Podiatry Services 40%. Skilled Nursing Facility Care. In-Network: Skilled Nursing Facility Services: $10.00 per day for days 1 to 20. $203.00 per day for days 21 to 46.Humana USAA Honor (PPO) is a PPO Medicare Advantage (Medicare Part C) plan offered by Humana Inc. Plan ID: H5216-381-000HumanaChoice H5216-284 (PPO) covers additional benefits and services, some of which may not be covered by Original Medicare (Medicare Part A and Part B). Coverage. Cost. Chiropractic Services. In-Network: Copayment for Medicare-covered Chiropractic Services $15.00. Copayment for Routine Care $10.00.Tips & Disclaimers. Q1Medicare ®, Q1Rx ®, and Q1Group ® are registered Service Marks of Q1Group LLC and may not be used in any advertising, publicity, or for commercial purposes without the express authorization of Q1Group.; The Medicare Advantage and Medicare Part D prescription drug plan data on our site comes directly from Medicare and is subject to change.

2024. H4624-028. Zing Medicare-Medicaid Plan IL (MMP) (Medicare-Medicaid Plan) 2024. H7539-001. Zing Select Diabetes & Heart Complete IL (HMO C-SNP) 2024. H4624-027. Discover Medicare insurance plans accepted by Mark E. Pappadopoli, MD and find primary care doctors accepting Medicare near you.Please go to Medicare.gov or call 1-800-MEDICARE (1-800-633-4227) to get information on all of your options. TTY users 1-877-486-2048. or contact your local SHIP for assistance. Email a copy of the HumanaChoice H5216-179 (PPO) benefit details. — Medicare Plan Features —. Monthly Premium: $30.20 (see Plan Premium Details below) Annual ... HumanaChoice H5216-285 (PPO) is a PPO Medicare Advantage (Medicare Part C) plan offered by Humana Inc. Plan ID: H5216-285-000. * Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system. Ohio and Kentucky Medicare beneficiaries may want to consider reviewing their Medicare Advantage ... The Enhanced PPO Plan (80/20) is a Preferred Provider Organization (PPO) plan administered by Blue Cross and Blue Shield of North Carolina (Blue Cross NC). A PPO plan offers freedom of choice among in-network providers, lower out-of-pocket costs and a strong emphasis on preventive health. Preventive services and medications are covered at 100% ...Your plan covers up to 190 days in a lifetime for inpatient mental health care in a psychiatric hospital. $587 copay per day for days 1-3 $0 copay per day for days 4-90. 50% of the cost. Outpatient group and individual therapy visits. Cost share may vary depending on where service is provided.OMB Approval 0938-1051 (Expires: February 29, 2024) January 1 - December 31, 2024 Evidence of Coverage: Your Medicare Health Benefits and Services and Prescription Drug Coverage as a Member of HumanaChoiceIf you don't join another plan by December 7, 2023, you will stay in HumanaChoice H5216-269 (PPO). To change to a different plan , you can switch plans between October 15 and December 7. Your new coverage will start on January 1, 2024. This will end your enrollment with HumanaChoice H5216-269 (PPO).Your plan covers up to 190 days in a lifetime for inpatient mental health care in a psychiatric hospital. $350 copay per day for days 1-5 $0 copay per day for days 6-90. 30% of the cost. Outpatient group and individual therapy visits. Cost share may vary depending on where service is provided.4.5 out of 5 stars* for plan year 2024. HumanaChoice SNP-DE H5216-370 (PPO D-SNP) is a PPO D-SNP Medicare Advantage (Medicare Part C) plan offered by Humana Inc. Plan ID: H5216-370-000. * Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system. $0.00 Monthly Premium.2024. H1416-070. Wellcare No Premium (HMO) 2024. H1416-072. Wellcare All Dual Assure (HMO D-SNP) 2024. H1416-081. Discover Medicare insurance plans accepted at our Jackson West health center and find primary care doctors accepting Medicare near you.Wellcare No Premium Value (HMO-POS) 2024. H1416-082. Wellcare All Dual Assure (HMO D-SNP) 2024. H4073-003. 4.74. Discover Medicare insurance plans accepted at our East Charlotte health center and find primary care doctors accepting Medicare near you.2024. H5970-026. HumanaChoice SNP-DE H8087-003 (PPO D-SNP) 2024. H5216-385. Discover Humana Medicare Insurance Plans accepted at Oak Street Health centers and find primary care doctors accepting Humana near you.

HumanaChoice H5216-043 (PPO) is a Medicare Advantage PPO plan with a Medicare contract. Enrollment in this Humana plan depends on contract renewal. The benefit information provided is a summary of what we cover and what you pay. It doesn't list every service that we cover or list every limitation or exclusion. For a complete list of services we ...

Except in an emergency, your doctor must tell the plan that you are going to be admitted to the hospital. $160 copay per day for days 1-10. $0 copay starting with day 11. $160 copay per day for days 1-10. $0 copay starting with day 11. OUTPATIENT HOSPITAL COVERAGE. Outpatient hospital visits. $0 to $250 copay.4.5 out of 5 stars* for plan year 2024. HumanaChoice H5216-063 (PPO) is a PPO Medicare Advantage (Medicare Part C) plan offered by Humana Inc. Plan ID: H5216-063-000. * Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system. $99.00 Monthly Premium.TTY users 1-877-486-2048. or contact your local SHIP for assistance. Email a copy of the HumanaChoice H5216-058 (PPO) benefit details. — Medicare Plan Features —. Monthly Premium: $0.00 (see Plan Premium Details below) Annual Deductible: $300 (Tier 1, 2 and 3 excluded from the Deductible.) Annual Initial Coverage Limit (ICL):Medicare-covered eyewear (post-cataract) $0 copay. $0 copay. Routine vision. $40 copay for routine exam up to 1 per year. $40 copay for routine exam up to 1 per year. Benefits received out-of-network are subject to any in-network benefit maximums, limitations, and/or exclusions. MENTAL HEALTH SERVICES.Receiving Your Benefits. Marital Status/Beneficiary Change. Reemployment After Retirement. Insurance.In addition, you may pay a higher co-pay for services received by non-contracted providers. Summary of Benefits. HumanaChoice Florida H5216-062 (PPO) Treasure Coast Select Counties in Florida. 2023. Our service area includes the following county/counties in Florida: Brevard, Glades, Indian River, Martin, Okeechobee, St. Lucie.HumanaChoice H5216-058 (PPO) is a Medicare Advantage PPO plan with a Medicare contract. Enrollment in this Humana plan depends on contract renewal. The benefit information provided is a summary of what we cover and what you pay. It doesn't list every service that we cover or list every limitation or exclusion.2021 - 5 - Summary of Benefits Let's talk about HumanaChoice H5216017000 H5216-017 (PPO) Find out more about the HumanaChoice H5216-017 (PPO) plan -including the health

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TTY users 1-877-486-2048. or contact your local SHIP for assistance. Email a copy of the HumanaChoice H5216-043 (PPO) benefit details. — Medicare Plan Features —. Monthly Premium: $18.00 (see Plan Premium Details below) Annual Deductible: $295 (Tier 1, 2 and 3 excluded from the Deductible.) Annual Initial Coverage Limit (ICL):Humana USAA Honor (PPO) 4.5 out of 5 stars* for plan year 2024. Humana USAA Honor (PPO) is a PPO Medicare Advantage (Medicare Part C) plan offered by Humana Inc. Plan ID: H5216-105-000. * Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system. $0.00 Monthly Premium.4.5 out of 5 stars* for plan year 2024. HumanaChoice H5216-078 (PPO) is a PPO Medicare Advantage (Medicare Part C) plan offered by Humana Inc. Plan ID: H5216-078-001. * Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system. $66.00 Monthly Premium.Twitter's former security head testified that the FBI warned Twitter it had a Chinese spy on staff. A ticking bomb of security vulnerabilities. Covering up security failures. Dupin...The Office of Superintendent of Insurance (OSI) is the state agency that regulates the insurance industry in New Mexico. OSI provides consumer protection, education, and assistance, as well as oversight of insurance companies, agents, and brokers. Visit OSI's website to learn more about their services, programs, and resources.Zing Elite Select IN (HMO) 2024. H4624-026. Discover Medicare insurance plans accepted at our Glendale health center and find primary care doctors accepting Medicare near you.4.5 out of 5 stars* for plan year 2024. HumanaChoice H5216-023 (PPO) is a PPO Medicare Advantage (Medicare Part C) plan offered by Humana Inc. Plan ID: H5216-023-000. * Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system. $36.00 Monthly Premium. Ohio, Pennsylvania, Indiana and Kentucky ...NCHumana USAA Honor (PPO) 4.5 out of 5 stars* for plan year 2024. Humana USAA Honor (PPO) is a PPO Medicare Advantage (Medicare Part C) plan offered by Humana Inc. Plan ID: H5216-315-000. * Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system. $0.00 Monthly Premium. Montana, Utah, Idaho ...Learn more about HumanaChoice H5216-320 (PPO) benefits, some of which may not be covered by Original Medicare (Part A and Part B). Coverage. Details. Chiropractic services. In-Network: Chiropractic Services: Copayment for Medicare-covered Chiropractic Services $15.00. Copayment for Routine Care $15.00. Maximum 12 Routine Care every year. ….

Mental health services. Inpatient hospital - psychiatric. In-Network: $295 per day for days 1 through 5 / $0 per day for days 6 through 90. Out-of-Network: 30% per stay. Outpatient group therapy ...Your plan covers up to 190 days in a lifetime for inpatient mental health care in a psychiatric hospital. $305 copay per day for days 1-6 $0 copay per day for days 7-90. 40% of the cost. Outpatient group and individual therapy visits. $20 copay. 40% of the cost.Humana USAA Honor (PPO) 4.5 out of 5 stars* for plan year 2024. Humana USAA Honor (PPO) is a PPO Medicare Advantage (Medicare Part C) plan offered by Humana Inc. Plan ID: H5216-355-000. * Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system. $0.00 Monthly Premium.4.5 out of 5 stars* for plan year 2024. HumanaChoice H5216-019 (PPO) is a PPO Medicare Advantage (Medicare Part C) plan offered by Humana Inc. Plan ID: H5216-019-000. * Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system. $41.00 Monthly Premium.HumanaChoice H5216-345 (PPO) is a PPO Medicare Advantage (Medicare Part C) plan offered by Humana Inc. Plan ID: H5216-345-000. * Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system. Georgia and South Carolina Medicare beneficiaries may want to consider reviewing their Medicare Advantage ...HumanaChoice H5216-080 (PPO) is a Medicare Advantage (Part C) Plan by Humana. Premium: $49.5. Enroll Now. This page features plan details for 2022 HumanaChoice …Receiving Your Benefits. Marital Status/Beneficiary Change. Reemployment After Retirement. Insurance.4.5 out of 5 stars* for plan year 2024. HumanaChoice H5216-185 (PPO) is a PPO Medicare Advantage (Medicare Part C) plan offered by Humana Inc. Plan ID: H5216-185-000. * Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system. $0.00 Monthly Premium.H4624-028. Zing Select Diabetes & Heart Complete IN (HMO C-SNP) 2024. H4624-024. Zing ESRD Select IN (HMO C-SNP) 2024. H4624-025. Discover Medicare insurance plans accepted by Bambi Meyer, LCSW and find primary care doctors accepting Medicare near you. H5216805, Gap Coverage Phase. After the total drug costs paid by you and the plan reach $5,030, up to the out-of-pocket threshold of $6,350. Prescription Drug Tier Name. Generic drugs. 25% coinsurance ..., 4.5 out of 5 stars* for plan year 2024. HumanaChoice H5216-042 (PPO) is a PPO Medicare Advantage (Medicare Part C) plan offered by Humana Inc. Plan ID: H5216-042-000. * Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system. $65.00 Monthly Premium., In-Network: Doctor Specialty Visit: Copayment for Physician Specialist Office Visit $25.00. Inpatient hospital care. In-Network: Acute Hospital Services: $325.00 per day for days 1 to 7. $0.00 per day for days 8 to 90. Prior Authorization Required for Acute Hospital Services., HumanaChoice H5216-318 (PPO) 4.5 out of 5 stars* for plan year 2024. HumanaChoice H5216-318 (PPO) is a PPO Medicare Advantage (Medicare Part C) plan offered by Humana Inc. Plan ID: H5216-318-001. * Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system. $0.00 Monthly Premium., 4.5 out of 5 stars* for plan year 2024. HumanaChoice H5216-269 (PPO) is a PPO Medicare Advantage (Medicare Part C) plan offered by Humana Inc. Plan ID: H5216-269-000. * Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system. $0.00 Monthly Premium. , Sep 22, 2022 · Covered Medical and Hospital Benefits. IN-NETWORK. OUT-OF-NETWORK. ACUTE INPATIENT HOSPITAL CARE. N/A. $290 copay per day for days 1-5 $0 copay per day for days 6-90 Your plan covers an unlimited number of days for an inpatient stay. $475 copay per day for days 1-25 $0 copay per day for days 26-90. OUTPATIENT HOSPITAL COVERAGE. , 4.5 out of 5 stars* for plan year 2024. HumanaChoice SNP-DE H5216-205 (PPO D-SNP) is a PPO D-SNP Medicare Advantage (Medicare Part C) plan offered by Humana Inc. Plan …, Humana USAA Honor (PPO) 4.5 out of 5 stars* for plan year 2024. Humana USAA Honor (PPO) is a PPO Medicare Advantage (Medicare Part C) plan offered by Humana Inc. Plan ID: H5216-218-000. * Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system. $0.00 Monthly Premium. Ohio and Indiana ... , HumanaChoice H5216-255 (PPO) is a Medicare Advantage PPO plan with a Medicare contract. Enrollment in this Humana plan depends on contract renewal. The benefit information provided is a summary of what we cover and what you pay. It doesn't list every service that we cover or list every limitation or exclusion. For a complete list of services we ..., Medicare Supplement Insurance. Medicare is the federal health insurance program for people who are 65 or older, certain younger people with disabilities, and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD)., Diagnostic Tests, Lab and Radiology Services, and X-Rays. In-Network: Outpatient Diag Procs/Tests/Lab Services: Copayment for Medicare-covered Diagnostic Procedures/Tests $0.00 to $105.00. Copayment for Medicare-covered Lab Services $0.00 to $60.00. Prior Authorization Required for Outpatient Diag Procs/Tests/Lab Services., Your plan covers up to 190 days in a lifetime for inpatient mental health care in a psychiatric hospital. $318 copay per day for days 1-5 $0 copay per day for days 6-90. 50% of the cost. Outpatient group and individual therapy visits. Cost share may vary depending on where service is provided., 2021 - 5 - Summary of Benefits Let's talk about HumanaChoice H5216211000 H5216-211 (PPO) Find out more about the HumanaChoice H5216-211 (PPO) plan -including the health, Ribbon Health, Inpatient hospital coverage. • In-network: $295 per day for days 1 through 6. $0 per day for days 7 through 90. $0 per day for days 91 and beyond (authorization required) • Out-of …, Providing 2020 Medicare Plan Star Rating Details and detailed information on the Medicare Part D prescription drug and Medicare Advantage plans for every state, including Medicare Part D plan features and costs., Covered Medical and Hospital Benefits. IN-NETWORK. OUT-OF-NETWORK. ACUTE INPATIENT HOSPITAL CARE. N/A. $290 copay per day for days 1-5 $0 copay per day for days 6-90 Your plan covers an unlimited number of days for an inpatient stay. $475 copay per day for days 1-25 $0 copay per day for days 26-90. OUTPATIENT HOSPITAL COVERAGE., Providing 2020 Medicare Plan Star Rating Details and detailed information on the Medicare Part D prescription drug and Medicare Advantage plans for every state, including Medicare Part D plan features and costs., Plan Overview. HumanaChoice H5216-251 (PPO) offers the following coverage and cost-sharing. Insurer: Humana. Health Plan Deductible: $0.00. MOOP: $5,750 In and Out-of-network. $3,700 In-network., 2022 Summary of Benefits Optional Supplemental Benefits GNHH4HGEN_22_C H5216158000SB22 SBOSB035 HumanaChoice H5216-158 (PPO) Jackson Select Counties in Mississippi, In addition, you may pay a higher co-pay for services received by non-contracted providers. Summary of Benefits. HumanaChoice Florida H5216-062 (PPO) Treasure Coast Select Counties in Florida. 2023. Our service area includes the following county/counties in Florida: Brevard, Glades, Indian River, Martin, Okeechobee, St. Lucie., Covered Medical and Hospital Benefits. (cont.) IN-NETWORK OUT-OF-NETWORK Routine hearing. HER941 • $0 copay for routine hearing exams up to 1per year. • $699 copay for each Advanced level hearing aid up to 1per ear per year. • $999 copay for each Premium level hearing aid up to 1per ear per year., Humana USAA Honor (PPO) 4.5 out of 5 stars* for plan year 2024. Humana USAA Honor (PPO) is a PPO Medicare Advantage (Medicare Part C) plan offered by Humana Inc. Plan ID: H5216-348-000. * Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system. $0.00 Monthly Premium., 4.5 out of 5 stars* for plan year 2024. HumanaChoice H5216-138 (PPO) is a PPO Medicare Advantage (Medicare Part C) plan offered by Humana Inc. Plan ID: H5216-138-000. * Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system. $0.00 Monthly Premium., Our customizable Group Medicare plans combine Medicare Part A (hospital insurance) and Part B (medical insurance) for your retirees. Our Medicare Advantage plans include the option to add dental, vision, hearing and prescription drug coverage. A licensed Humana sales agent can walk you through our Group Medicare options., HumanaChoice H5216-280 (PPO) is a Medicare Advantage PPO plan with a Medicare contract. Enrollment in this Humana plan depends on contract renewal. The benefit information provided is a summary of what we cover and what you pay. It doesn't list every service that we cover or list every limitation or exclusion. For a complete list of services we ..., HumanaChoice H5216-058 (PPO) covers additional benefits and services, some of which may not be covered by Original Medicare (Medicare Part A and Part B). Coverage. Cost. Chiropractic Services. In-Network: Copayment for Medicare-covered Chiropractic Services $15.00. Copayment for Routine Care $15.00., Coverage Details; Dental care: In Network: $0 copayment for scaling and root planing (deep cleaning) up to 1 per quadrant every 3 years. $0 copayment for comprehensive oral evaluation or periodontal exam, occlusal adjustment, scaling for moderate inflammation up to 1 every 3 years. $0 copayment for complete dentures, crown recementation, panoramic film or diagnostic x-rays, partial dentures up ..., HumanaChoice H5216-318 (PPO) HumanaChoice H5216-318 (PPO) is a Medicare Advantage (Part C) Plan by Humana. This page features plan details for 2024 HumanaChoice H5216-318 (PPO) H5216 – 318 – 3 available in Select Counties in Wichita. IMPORTANT: This page has been updated with plan and premium data for 2024., Covered Medical and Hospital Benefits. IN-NETWORK. OUT-OF-NETWORK. ACUTE INPATIENT HOSPITAL CARE. N/A. $320 copay per day for days 1-5 $0 copay per day for days 6-90 Your plan covers an unlimited number of days for an inpatient stay. $475 copay per day for days 1-25 $0 copay per day for days 26-90. OUTPATIENT HOSPITAL COVERAGE., Your plan covers up to 190 days in a lifetime for inpatient mental health care in a psychiatric hospital. $325 copay per day for days 1-5 $0 copay per day for days 6-90. 30% of the cost. Outpatient group and individual therapy visits. Cost share may vary depending on where service is provided., Doctor Specialty Visit: Copayment for Physician Specialist Office Visit $45.00. Out-of-Network: Doctor Specialty Visit: Copayment for Medicare Covered Physician Specialist Office Visit $65.00. Inpatient Hospital Care. In-Network: Acute Hospital Services: $340.00 per day for days 1 to 6., 4.5 out of 5 stars* for plan year 2024. HumanaChoice SNP-DE H5216-370 (PPO D-SNP) is a PPO D-SNP Medicare Advantage (Medicare Part C) plan offered by Humana Inc. Plan ID: H5216-370-000. * Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system. $0.00 Monthly Premium.