HumanaChoice R4182-004 (Regional PPO)

HUMANA INSURANCE COMPANY · 2027 plan year

Plan ID R4182-004-000

Regional PPO★ 3.5 CMS Stars
MOOP (in-network)
$8,200
MOOP (combined)
$14,800
Monthly premium
$46/mo
Part C $7.20 + Part D $38.80, before Extra Help
Prescription drugs
Included

This plan in 2026

Plan information

Contract / Plan / Segment
R4182-004-000
Medical deductible
$0 — no deductible
Part D premium
$38.80/mo (part of the monthly premium above)Before Extra Help, which can lower or remove it for people with limited income.
Part D deductible
$700/yr
Also owed
Your Medicare Part B premium, paid separately

More HUMANA INSURANCE COMPANY plans in TX

Benefits & cost sharing

Hospital

BenefitIn-network
Worldwide Urgent Care Coverage$40
Inpatient Hospital — Acute$400/day for days 1–6, $0 after
Inpatient Hospital — Additional Days (Acute)No charge
Inpatient Hospital — Psychiatric$340/day for days 1–6, $0 after

Pharmacy

BenefitIn-network
Part B DrugsSee plan details
Chemotherapy & Radiation Drugs (Part B)0%-20% coinsurance
Other Part B Drugs0%-20% coinsurance

Mental Health

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

Other

BenefitIn-network
Worldwide Emergency Transportation$325
Psychiatric ServicesSee plan details
Radiological ServicesSee plan details
Outpatient Substance Abuse ServicesSee plan details
Vision — Eyeglasses (Lenses & Frames)No charge
Hearing — ExamsSee plan details
Diagnostic Procedures & Tests$0-$175
Skilled Nursing Facility (SNF)$0/day for days 1–20, $221/day for days 21–100
Cardiac & Pulmonary RehabilitationSee plan details
Cardiac Rehabilitation — Additional Sessions$20
Diabetic Supplies & ServicesSee plan details
Intensive Cardiac Rehabilitation — Additional Sessions$20
Pulmonary Rehabilitation — Additional Sessions$20
Supervised Exercise Therapy (SET)$20
Emergency Services$115
Urgently Needed Services$40
Worldwide Emergency & Urgent CoverageSee plan details
Worldwide Emergency Coverage$115
Partial Hospitalization Program$20
Intensive Outpatient Program (IOP)$20
Home Health ServicesNo charge
Primary Care Physician ServicesNo charge
Chiropractic Services$15
Occupational Therapy Services$30
Physician Specialist Services$50
Medicare-Covered Preventive ServicesSee plan details
Podiatry Services$50
Other Health Care Professional Services$0-$50
Psychiatric Services — Individual Sessions$20
Psychiatric Services — Group Sessions$20
Physical Therapy & Speech-Language Pathology$30
Additional Telehealth Services (Part B)$0-$50
Opioid Treatment Program Services$20
Diagnostic Tests & Lab ServicesSee plan details
Laboratory ServicesNo charge
Diagnostic Radiology$0-$360
Therapeutic Radiology$50 copay + 20% coinsurance
X-Ray Services$0-$145
Outpatient Hospital Services$0-$400
Hospital Observation Services$400 per stay
Ambulatory Surgical Center (ASC)$0-$325
Substance Abuse — Individual Sessions$20
Substance Abuse — Group Sessions$20
Outpatient Blood ServicesNo charge
Ambulance ServicesSee plan details
Ground Ambulance$325
Air Ambulance20% coinsurance
Durable Medical Equipment (DME)16% coinsurance
Prosthetics & OrthoticsSee plan details
Prosthetic Devices16% coinsurance
Medical Supplies16% coinsurance
Diabetic Supplies10%-20% coinsurance
Diabetic Therapeutic Shoes & Inserts$10
Diabetic Monitors10%-20% coinsurance
Dialysis Services20% coinsurance
Acupuncture$50
Meal BenefitNo charge
Annual Physical ExamNo 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%-20% coinsurance (max $35)
Dental — Medicare-Covered Services$50
Dental — PreventiveSee plan details
Dental — Oral ExamsNo charge
Dental — X-RaysNo charge
Dental — Prophylaxis (Cleaning)No charge
Dental — ComprehensiveSee plan details
Dental — Periodontics (Gum Care)No charge
Dental — Adjunctive General ServicesNo charge
Vision — Eye Exams$0-$50
Vision — Eye ExamsSee plan details
Vision — Routine Eye ExamsNo charge
Vision — EyewearNo charge
Vision — EyewearSee plan details
Vision — Contact LensesNo charge
Hearing — Exams$50
Hearing — Routine ExamsNo charge
Hearing — Fitting & Evaluation for Hearing AidNo charge
Hearing — Prescription Hearing AidsSee plan details
Hearing — Hearing Aids (All Types)$575-$750

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