H5216 182

The HumanaChoice H5216-042 (PPO) plan offers the following prescription drug coverage, with an annual drug deductible of $200 (excludes Tiers 1, 2 and 3) per year. Coverage. Cost. 30 day supply 60 day supply 90 day supply. Coverage & Cost. 30 day supply 60 day supply 90 day supply.

H5216 182. HumanaChoice H5216-327 (PPO) 4.5 out of 5 stars* for plan year 2024. HumanaChoice H5216-327 (PPO) is a PPO Medicare Advantage (Medicare Part C) plan offered by Humana Inc. Plan ID: H5216-327-000. * Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system. $0.00 Monthly Premium.

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. For a complete list of …

HumanaChoice H5216-300 (PPO) 4.5 out of 5 stars* for plan year 2024. HumanaChoice H5216-300 (PPO) is a PPO Medicare Advantage (Medicare Part C) plan offered by Humana Inc. Plan ID: H5216-300-000. * Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system. $0.00 Monthly Premium.2021 HumanaChoice H5216-182 (PPO) in WV - H5216-182- in WV Plan Benefits ExplainedHumana Value Plus H5216-180 (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 $20.00. Copayment for Routine Care $20.00.2020 HumanaChoice H5216-182 (PPO) - H5216-182- in WV Plan Benefits Explained4.5 out of 5 stars* for plan year 2024. Humana Value Plus H5216-180 (PPO) is a PPO Medicare Advantage (Medicare Part C) plan offered by Humana Inc. Plan ID: H5216-180-000. * Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system. $41.40 Monthly Premium.Dec 17, 2017 ... H5216. H5217. H5218. H5219 H5220. H5221. T305 ... H182. H183. H184. H569. T926. T3221. H3016 ... H5216. H5217. H5218. H5219 H5220. H5221. T305. T645.2022 HumanaChoice H5216-182 (PPO) - H5216-182- in WV Plan Benefits Explained2024 Medicare Advantage Plan Benefit Details for the Humana Value Plus H5216-197 (PPO) Enter your ZIP Code and click "Show Available Medicare Advantage Plans". Or select your state below to browse the Medicare Advantage Plans (also known as Medicare Health Plans) available. Q1Medicare ®, Q1Rx ®, and Q1Group ® are registered Service Marks of ...

2020 HumanaChoice H5216-182 (PPO) - H5216-182-0 in WV Plan Benefits Explained2021 HumanaChoice H5216-182 (PPO) - H5216-182- in WV Plan Benefits DetailsLearn More about Humana Inc. HumanaChoice H5216-212 (PPO) Plan Details, including how much you can expect to pay for coinsurance, deductibles, premiums and copays for various services covered by the plan. Speak with a licensed insurance agent 1-855-298-6309 TTY 711, 24/7. 1-855-298-6309.Humana Honor (PPO) H5216-105-0 Humana Honor (PPO) H5216-128-0 . Humana Honor (PPO) H5216-140-0 . HumanaChoice H5216-152 (PPO) H5216-152-0 . HumanaChoice H5216-157 (PPO) H5216-157-0 . ... HumanaChoice H5216-182 (PPO) H5216-182-0 . Aetna Medicare Choice Plan (PPO) H3288-001-0 . Aetna Medicare Choice II Plan (PPO) …551 Avenida Buenos Aires, San Clemente CA, is a Single Family home that contains 3100 sq ft and was built in 1980.It contains 5 bedrooms and 3 bathrooms. The Zestimate for this Single Family is $1,961,500, which has increased by $51,529 in the last 30 days.The Rent Zestimate for this Single Family is $7,974/mo, which has increased by $484/mo in the last 30 days.2019 HumanaChoice H5216-182 (PPO) - H5216-182- in WV Plan Benefits Explained4.5 out of 5 stars* for plan year 2024. HumanaChoice - Diabetes and Heart (PPO C-SNP) is a PPO C-SNP Medicare Advantage (Medicare Part C) plan offered by Humana Inc. Plan ID: H5216-375-000. * Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system. $0.00 Monthly Premium.

HumanaChoice H5216-182 (PPO) - H5216-182- in WV Plan Benefits ExplainedEnrollment in plans depends on contract renewal. Availability of benefits and plans varies by carrier and location. Not affiliated with or endorsed by any government agency. Every year, Medicare ...Get 2022 Medicare Advantage Part C/Part D Health and Prescription plan benefit details for any plan in any state, including premiums, deductibles, Rx cost-sharing and health benefits/cost-sharing. Sign-up for our free Medicare Part D Newsletter, Use the Online Calculators, FAQs or contact us through our Helpdesk -- Powered by Q1Group LLCThe HumanaChoice H5216-280 (PPO) has a monthly premium of $31.10. That is $373.20 for 12 months. There are a few factors that can increase or decrease this premium. If you qualify for full or partial extra help, your premium will be lower. If you have a premium penalty, your premium will be higher.TTY users 1-877-486-2048. or contact your local SHIP for assistance. Email a copy of the HumanaChoice H5216-186 (PPO) benefit details. — Medicare Plan Features —. Monthly Premium: $39.00 (see Plan Premium Details below) Annual Deductible: $505 (Tier 1 and 2 excluded from the Deductible.) Annual Initial Coverage Limit (ICL):

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For Nicholas County’s Medicare beneficiaries, private plans like Medicare Advantage plans offer an alternative to Original Medicare and Part D plans (PDP) can work alongside your Original Medicare benefits.Learn More about Humana Inc. HumanaChoice H5216-251 (PPO) Plan Details, including how much you can expect to pay for coinsurance, deductibles, premiums and copays for various services covered by the plan. Speak with a licensed insurance agent 1-855-298-6309 TTY 711, 24/7. 1-855-298-6309.2020 Medicare Advantage Plan Benefits explained in plain text. Plain text explanation available for any plan in any state. Sign-up for our free Medicare Part D Newsletter, Use the Online Calculators, FAQs or contact us through our Helpdesk -- Powered by Q1GROUP LLC and National Insurance Markets, Inc2021 HumanaChoice H5216-182 (PPO) - H5216-182- in WV Plan Benefits Explained2021 HumanaChoice H5216-182 (PPO) in WV - H5216-182- in WV Plan Benefits DetailsTo join HumanaChoice H5216-280 (PPO), you must be entitled to Medicare Part A, be enrolled in Medicare Part B and live in our service area. Plan name: HumanaChoice H5216-280 (PPO) How to reach us: If you're amember of this plan, call toll-free: 1-800-457-4708 (TTY: 711) . If you're not amember of this plan, call toll free: 1-800-833-2364 (TTY:

2021 HumanaChoice H5216-182 (PPO) - H5216-182-0 in WV Plan Benefits Explained2021 HumanaChoice H5216-182 (PPO) - H5216-182- in WV Plan Benefits DetailsGet 2020 Medicare Advantage Part C/Part D Health and Prescription plan benefit details for any plan in any state, including premiums, deductibles, Rx cost-sharing and health benefits/cost-sharing. Sign-up for our free Medicare Part D Newsletter, Use the Online Calculators, FAQs or contact us through our Helpdesk -- Powered by Q1Group LLCHumana Honor (PPO) H5216-278 Iowa/Nebraska Select Counties in IA, MN, MT, NE, ND, SD 2023 GNHH4HIEN_23_C Summary of Benefits H5216278002SB23 . Pre-Enrollment Checklist Before making an enrollment decision, it is important that you fully understand our benefits and rules. If you 2021 HumanaChoice H5216-182 (PPO) - H5216-182-0 in WV Plan Benefits Explained HumanaChoice Florida H5216-393 (PPO) qualifies for a monthly Medicare Give Back Benefit of $164.90. Premium Reduction: $164.90: Premium Breakdown HumanaChoice Florida H5216-393 (PPO) has a monthly premium of $0.00. This amount includes your Part C and D premiums but does not include your Part B premium. The following is a …H5216 - 180 - 0. (4.5 / 5) Humana Value Plus H5216-180 (PPO) is a Medicare Advantage (Part C) Plan by Humana. Premium: $41.40. Enroll Now. This page features plan details for 2024 Humana Value Plus H5216-180 (PPO) H5216 - 180 - 0 available in Tennessee Statewide. IMPORTANT: This page has been updated with plan and premium data for 2024.HumanaChoice H5216-207 (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 ...4.5 out of 5 stars* for plan year 2023. HumanaChoice H5216-021 (PPO) is a PPO Medicare Advantage (Medicare Part C) plan offered by Humana Inc. Plan ID: H5216-021-000. * Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system. $44.00 Monthly Premium.To join HumanaChoice H5216-280 (PPO), you must be entitled to Medicare Part A, be enrolled in Medicare Part B and live in our service area. Plan name: HumanaChoice H5216-280 (PPO) How to reach us: If you're amember of this plan, call toll-free: 1-800-457-4708 (TTY: 711) . If you're not amember of this plan, call toll free: 1-800-833-2364 (TTY:From arroz con gandules to spicy Indian dal, the pigeon pea shows up in cuisines all over the world. Here’s how it made its continent spanning journey. The story of the humble pige...Learn More about Humana Inc. HumanaChoice H5216-182 (PPO) Plan Details, including how much you can expect to pay for coinsurance, deductibles, premiums and copays for various services covered by the plan. Speak with a licensed insurance agent 1-855-298-6309 TTY 711, 24/7. 1-855-298-6309.

2024 Evidence of Coverage for HumanaChoice H5216-318 (PPO) 10 Chapter 1 Getting started as a member SECTION 1 Introduction Section 1.1 You are enrolled in HumanaChoice H5216-318 (PPO), which is a Medicare PPO You are covered by Medicare, and you have chosen to get your Medicare health care and your prescription drug

Outpatient Diag/Therapeutic Rad Services: Copayment for Medicare-covered Diagnostic Radiological Services $0.00 to $325.00. Copayment for Medicare-covered Therapeutic Radiological Services $45.00. Coinsurance for Medicare-covered Therapeutic Radiological Services 20%. Copayment for Medicare-covered X-Ray Services $0.00 to $125.00.Learn More about Humana Inc. HumanaChoice H5216-261 (PPO) Plan Details, including how much you can expect to pay for coinsurance, deductibles, premiums and copays for various services covered by the plan. Speak with a licensed insurance agent 1-855-298-6309 TTY 711, 24/7. 1-855-298-6309.Learn More about Humana Inc. HumanaChoice H5216-320 (PPO) Plan Details, including how much you can expect to pay for coinsurance, deductibles, premiums and copays for various services covered by the plan. Speak with a licensed insurance agent 1-855-298-6309 TTY 711, 24/7. 1-855-298-6309.2021 HumanaChoice H5216-182 (PPO) - H5216-182- in WV Plan Benefits Explained2020 HumanaChoice H5216-182 (PPO) - H5216-182- in WV Plan Benefits Explained2021 HumanaChoice H5216-182 (PPO) - H5216-182- in WV Plan Benefits ExplainedDec 17, 2017 ... H5216. H5217. H5218. H5219 H5220. H5221. T305 ... H182. H183. H184. H569. T926. T3221. H3016 ... H5216. H5217. H5218. H5219 H5220. H5221. T305. T645.FAX (304) 410-0574. Dr. John Tabit, a Fayetteville native, is proud to return to southern West Virginia and establish WV Orthopedic Trauma. Broken bones and joint injuries can happen to anyone at any age requiring highly specialized orthopedic care. Currently, Dr. Tabit is the only fellowship-trained orthopedic traumatologist in all of southern ...2021 Medicare Advantage Plan Benefits explained in plain text. Plain text explanation available for any plan in any state. Sign-up for our free Medicare Part D Newsletter, Use the Online Calculators, FAQs or contact us through our Helpdesk -- Powered by Q1GROUP LLC and National Insurance Markets, Inc

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HumanaChoice H5216-186 (PPO) is a PPO Medicare Advantage (Medicare Part C) plan offered by Humana Inc. Plan ID: H5216-186-000. * Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system. $39.00 Monthly Premium. New Jersey Medicare beneficiaries may want to consider reviewing their Medicare ...2021 HumanaChoice H5216-182 (PPO) in WV - H5216-182- in WV Plan Benefits ExplainedCopayment for Medicare-covered Diagnostic Radiological Services $0.00 to $350.00. Copayment for Medicare-covered Therapeutic Radiological Services $45.00. Coinsurance for Medicare-covered Therapeutic Radiological Services 20%. Copayment for Medicare-covered X-Ray Services $0.00 to $125.00. Prior Authorization Required for Outpatient Diag ...4.5 out of 5 stars* for plan year 2024. Humana Value Plus H5216-180 (PPO) is a PPO Medicare Advantage (Medicare Part C) plan offered by Humana Inc. Plan ID: H5216-180-000. * Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system. $41.40 Monthly Premium.Learn More about Humana Inc. HumanaChoice H5216-212 (PPO) Plan Details, including how much you can expect to pay for coinsurance, deductibles, premiums and copays for various services covered by the plan. Speak with a licensed insurance agent 1-855-298-6309 TTY 711, 24/7. 1-855-298-6309.HumanaChoice H5216-182 (PPO) - H5216-182- in WV Plan Benefits ExplainedTrump’s speech lands in the vast middle: a handful of topics covered in some depth. Immediately after Donald Trump finished his State of the Union Address last week, the media star...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. ….

2021 HumanaChoice H5216-182 (PPO) - H5216-182- in WV Plan Benefits Details2021 HumanaChoice H5216-182 (PPO) - H5216-182- in WV Plan Benefits Explained4.5 out of 5 stars* for plan year 2024. HumanaChoice H5216-112 (PPO) is a PPO Medicare Advantage (Medicare Part C) plan offered by Humana Inc. Plan ID: H5216-112-000. * Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system. $0.00 Monthly Premium.Get 2021 Medicare Advantage Part C/Part D Health and Prescription plan benefit details for any plan in any state, including premiums, deductibles, Rx cost-sharing and health benefits/cost-sharing. Sign-up for our free Medicare Part D Newsletter, Use the Online Calculators, FAQs or contact us through our Helpdesk -- Powered by Q1Group LLCHumanaChoice H5216-384 (PPO) is a PPO Medicare Advantage (Medicare Part C) plan offered by Humana Inc. Plan ID: H5216-384-000. * Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system. $0.00 Monthly Premium. Michigan Medicare beneficiaries may want to consider reviewing their …About HumanaChoice H5216-182 (PPO) •HumanaChoice H5216-182 (PPO) is a Medicare Advantage PPO plan with a Medicare contract. Enrollment in this Humana plan depends on contract renewal. •When this document says "we," "us," or "our", it means Humana Insurance Company. When it says "plan" or "our plan," it means HumanaChoice H5216-182 (PPO).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.HumanaChoice H5216-182 (WV) HumanaChoice H5216-188. HumanaChoice H5216-196 (NM) HumanaChoice H5216-226 (KY) HumanaChoice H5216-285 (OH) HumanaChoice H5216-327 (WV) HumanaChoice H5216-328 (WV) HumanaChoice H5525-034. HumanaChoice H5525-035 (NC) HumanaChoice R0110-001. HumanaChoice R0110-003.2021 HumanaChoice H5216-182 (PPO) - H5216-182- in WV Plan Benefits Details H5216 182, 2020 HumanaChoice H5216-182 (PPO) - H5216-182- in WV Plan Benefits Explained, 2020 HumanaChoice H5216-182 (PPO) - H5216-182- in WV Plan Benefits Details, 2021 HumanaChoice H5216-182 (PPO) - H5216-182- in WV Plan Benefits Details, H5216 - 280 - 2. (4.5 / 5) HumanaChoice H5216-280 (PPO) is a Medicare Advantage (Part C) Plan by Humana. Premium: $45.70. Enroll Now. This page features plan details for 2024 HumanaChoice H5216-280 (PPO) H5216 – 280 – 2 available in South Carolina. IMPORTANT: This page has been updated with plan and premium data for 2024., To join HumanaChoice H5216-231 (PPO), you must be entitled to Medicare Part A, be enrolled in Medicare Part B and live in our service area. Plan name: HumanaChoice H5216-231 (PPO) How to reach us: If you're amember of this plan, call toll-free: 1-800-457-4708 (TTY: 711) . If you're . not . amember of this plan, call toll free: 1 …, 4.5 out of 5 stars* for plan year 2024. Humana Value Plus H5216-180 (PPO) is a PPO Medicare Advantage (Medicare Part C) plan offered by Humana Inc. Plan ID: H5216-180 …, To join HumanaChoice H5216-284 (PPO), you must be entitled to Medicare Part A, be enrolled in Medicare Part B and live in our service area. Plan name: HumanaChoice H5216-284 (PPO) How to reach us: If you're amember of this plan, call toll-free: 1-800-457-4708 (TTY: 711) . If you're not amember of this plan, call toll free: 1-800-833-2364 (TTY:, 2021 HumanaChoice H5216-182 (PPO) - H5216-182- in WV Plan Benefits Explained, 2023 HumanaChoice H5216-182 (PPO) - H5216-182- in WV Plan Benefits Explained, Providing 2023 Medicare Advantage Plan (MAPD) Drug Cost-Sharing 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. Free Medicare Part D Newsletter, Use the Online Caculators, FAQs or contact us through our Helpdesk -- Powered by Q1GROUP LLC, Providing 2022 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. Free Medicare Part D Newsletter, Use the Online Caculators, FAQs or contact us through our Helpdesk -- Powered by Q1GROUP LLC, HumanaChoice H5216-322 (PPO) qualifies for a monthly Medicare Give Back Benefit of $102.00. Premium Reduction: $102.00: Premium Breakdown HumanaChoice H5216-322 (PPO) has a monthly premium of $0.00. This amount includes your Part C and D premiums but does not include your Part B premium. The following is a breakdown of your monthly premium with ..., Get 2019 Medicare Advantage Part C/Part D Health and Prescription plan benefit details for any plan in any state, including premiums, deductibles, Rx cost-sharing and health benefits/cost-sharing. Sign-up for our free Medicare Part D Newsletter, Use the Online Calculators, FAQs or contact us through our Helpdesk -- Powered by Q1Group LLC, 4.5 out of 5 stars* for plan year 2024. HumanaChoice Florida H5216-393 (PPO) is a PPO Medicare Advantage (Medicare Part C) plan offered by Humana Inc. Plan ID: H5216-393-000. * 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 SNP-DE H5216-267 (PPO D-SNP) is a PPO D-SNP Medicare Advantage (Medicare Part C) plan offered by Humana Inc. Plan ID: H5216-267-000. * Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system. $0.00 Monthly Premium., 2020 HumanaChoice H5216-182 (PPO) - H5216-182- in WV Plan Benefits Details, Nov 7, 2022 · To join HumanaChoice H5216-182 (PPO), you must be entitled to Medicare Part A, be enrolled in Medicare Part B and live in our service area. Plan name: HumanaChoice H5216-182 (PPO) How to reach us: If you're amember of this plan, call toll-free: 1-800-457-4708 (TTY: 711) . If you're not amember of this plan, call toll free: 1-800-833-2364 (TTY: , Get 2020 Medicare Advantage Part C/Part D Health and Prescription plan benefit details for any plan in any state, including premiums, deductibles, Rx cost-sharing and health benefits/cost-sharing. Sign-up for our free Medicare Part D Newsletter, Use the Online Calculators, FAQs or contact us through our Helpdesk -- Powered by Q1Group LLC, What is Wellness Wednesday? Find out what it is so you can start inspiring your workforce to start living well and adopt a healthy lifestyle. Wellness Wednesday is a popular weekly..., 2020 HumanaChoice H5216-182 (PPO) - H5216-182- in WV Plan Benefits Details, Dec 17, 2017 ... H5216. H5217. H5218. H5219 H5220. H5221. T305 ... H182. H183. H184. H569. T926. T3221. H3016 ... H5216. H5217. H5218. H5219 H5220. H5221. T305. T645., 2024 Medicare Advantage Plan Benefit Details for the Humana Value Plus H5216-197 (PPO) Enter your ZIP Code and click "Show Available Medicare Advantage Plans". Or select your state below to browse the Medicare Advantage Plans (also known as Medicare Health Plans) available. Q1Medicare ®, Q1Rx ®, and Q1Group ® are registered Service Marks of ..., 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 ..., 4.5 out of 5 stars* for plan year 2024. HumanaChoice SNP-DE H5216-267 (PPO D-SNP) is a PPO D-SNP Medicare Advantage (Medicare Part C) plan offered by Humana Inc. Plan ID: H5216-267-000. * 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 H5216-223 (PPO) is a PPO Medicare Advantage (Medicare Part C) plan offered by Humana Inc. Plan ID: H5216-223-000. * Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system. $34.00 Monthly Premium., 2022 HumanaChoice H5216-182 (PPO) - H5216-182- in WV Plan Benefits Explained, 2020 HumanaChoice H5216-182 (PPO) - H5216-182- in WV Plan Benefits Details, 2020 HumanaChoice H5216-182 (PPO) - H5216-182-0 in WV Plan Benefits Explained, Do you have Medicare and Medi-Cal?Get the extra health care benefits you need at no extra cost.https://mkgenterprisescorp-client.com/annual-enrollment-period..., 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. Texas Medicare beneficiaries may want to consider reviewing their Medicare ..., Learn More about Humana Inc. HumanaChoice H5216-152 (PPO) Plan Details, including how much you can expect to pay for coinsurance, deductibles, premiums and copays for various services covered by the plan. Speak with a licensed insurance agent 1-855-298-6309 TTY 711, 24/7. 1-855-298-6309., 2024 Evidence of Coverage for HumanaChoice H5216-043 (PPO) 10 Chapter 1 Getting started as a member SECTION 1 Introduction Section 1.1 You are enrolled in HumanaChoice H5216-043 (PPO), which is a Medicare PPO You are covered by Medicare, and you have chosen to get your Medicare health care and your prescription drug, Out-of-Network: Doctor Specialty Visit: Copayment for Medicare Covered Physician Specialist Office Visit $45.00. Inpatient hospital care. In-Network: Acute Hospital Services: $295.00 per day for days 1 to 7. $0.00 per day for days 8 to 90. Prior Authorization Required for Acute Hospital Services.