HumanaChoice R0110-013 (Regional PPO)

HUMANA INSURANCE COMPANY · 2026 plan year

Plan ID R0110-013-000

Regional PPO★ 3.5 CMS Stars
MOOP (in-network)
$6,550
MOOP (combined)
$6,550
Monthly premium
$0/mo
Prescription drugs
Not included

This plan in 2027

Plan information

Contract / Plan / Segment
R0110-013-000
Medical deductible
$0 — no deductible
Also owed
Your Medicare Part B premium, paid separately

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Benefits & cost sharing

Hospital

BenefitIn-network
Inpatient Hospital — Acute$295/day for days 1–6, $0 after
Inpatient Hospital — Additional Days (Acute)No charge
Inpatient Hospital — Psychiatric$295/day for days 1–5, $0 after
Worldwide Urgent Care Coverage$90

Pharmacy

BenefitIn-network
Part B DrugsSee plan details
Chemotherapy & Radiation Drugs (Part B)0%-19% coinsurance
Other Part B Drugs0%-19% coinsurance

Mental Health

BenefitIn-network
Mental Health Specialty ServicesSee plan details
Mental Health — Individual Sessions$20
Mental Health — Group Sessions$20
Supplemental Health BenefitsSee plan details

Other

BenefitIn-network
Skilled Nursing Facility (SNF)$0/day for days 1–20, $178/day for days 21–100
Cardiac & Pulmonary RehabilitationSee plan details
Cardiac Rehabilitation — Additional Sessions$10
Intensive Cardiac Rehabilitation — Additional Sessions$10
Pulmonary Rehabilitation — Additional Sessions$10
Supervised Exercise Therapy (SET)$10
Emergency Services$90
Urgently Needed Services$50
Worldwide Emergency & Urgent CoverageSee plan details
Worldwide Emergency Coverage$90
Worldwide Emergency Transportation$90
Partial Hospitalization Program$35
Intensive Outpatient Program (IOP)$35
Home Health ServicesNo charge
Primary Care Physician ServicesNo charge
Chiropractic ServicesNo charge
Occupational Therapy Services$10-$40
Physician Specialist Services$30
Podiatry Services$30
Other Health Care Professional Services$0-$30
Psychiatric ServicesSee plan details
Psychiatric Services — Individual Sessions$20
Psychiatric Services — Group Sessions$20
Physical Therapy & Speech-Language Pathology$10-$40
Additional Telehealth Services (Part B)$0-$50
Opioid Treatment Program Services$20-$35
Diagnostic Tests & Lab ServicesSee plan details
Diagnostic Procedures & Tests$0-$95
Laboratory Services$0-$50
Radiological ServicesSee plan details
Diagnostic Radiology$0-$780
Therapeutic Radiology20% coinsurance
X-Ray Services$0-$90
Outpatient Hospital Services$0-$270
Hospital Observation Services$295 per stay
Ambulatory Surgical Center (ASC)$0-$170
Outpatient Substance Abuse ServicesSee plan details
Substance Abuse — Individual Sessions$20-$35
Substance Abuse — Group Sessions$20-$35
Outpatient Blood ServicesNo charge
Ambulance ServicesSee plan details
Ground Ambulance$250
Air Ambulance$250
Durable Medical Equipment (DME)No charge
Prosthetics & OrthoticsSee plan details
Prosthetic Devices20% coinsurance
Medical Supplies19% coinsurance
Diabetic Supplies & ServicesSee plan details
Diabetic Therapeutic Shoes & InsertsNo charge
Dialysis Services20% coinsurance
Acupuncture$30
Meal BenefitNo charge
Medicare-Covered Preventive ServicesSee plan details
Annual Physical ExamNo charge
Fitness BenefitNo charge
Wigs for Chemotherapy Hair LossNo charge
Kidney Disease Education ServicesNo charge
Glaucoma ScreeningNo charge
Diabetes Self-Management TrainingNo charge
Digital Rectal ExamsNo charge
Welcome to Medicare EKGNo charge
Insulin (Part B)0%-19% coinsurance (max $35)
Dental — Medicare-Covered Services$30
Dental — PreventiveSee plan details
Dental — Oral ExamsNo charge
Dental — X-RaysNo charge
Dental — Diagnostic ServicesNo charge
Dental — Prophylaxis (Cleaning)No charge
Dental — Other Preventive ServicesNo charge
Dental — ComprehensiveSee plan details
Dental — Restorative ServicesNo charge
Dental — Endodontics (Root Canal)No charge
Dental — Periodontics (Gum Care)No charge
Dental — Fixed Prosthodontics (Bridges)No charge
Dental — Oral & Maxillofacial SurgeryNo charge
Dental — Adjunctive General ServicesNo charge
Vision — Eye Exams$0-$30
Vision — Eye ExamsSee plan details
Vision — Routine Eye ExamsNo charge
Vision — EyewearNo charge
Vision — EyewearSee plan details
Vision — Contact LensesNo charge
Vision — Eyeglasses (Lenses & Frames)No charge
Hearing — Exams$30
Hearing — ExamsSee plan details
Hearing — Routine ExamsNo charge
Hearing — Fitting & Evaluation for Hearing AidNo charge
Hearing — Prescription Hearing AidsSee plan details
Hearing — Hearing Aids (All Types)$399-$999
Diabetic Supplies10%-20% coinsurance

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