HumanaChoice Florida H7284-011 (PPO)

HUMANA HEALTH INSURANCE COMPANY OF FLORIDA, INC. · 2027 plan year

Plan ID H7284-011-000

Local PPO★ 3.5 CMS StarsNew for 2027
MOOP (in-network)
$7,150
MOOP (combined)
$10,750
Monthly premium
$0/mo
Part C $0 + Part D $0
Prescription drugs
Included

Plan information

Contract / Plan / Segment
H7284-011-000
Medical deductible
$0 — no deductible
Part D premium
$0/mo (part of the monthly premium above)
Part D deductible
$700/yr
Also owed
Your Medicare Part B premium, paid separately

More HUMANA HEALTH INSURANCE COMPANY OF FLORIDA, INC. plans in FL

Benefits & cost sharing

Hospital

BenefitIn-network
Inpatient Hospital — Acute$459/day for days 1–6, $0 after
Inpatient Hospital — Additional Days (Acute)No charge
Inpatient Hospital — Psychiatric$459/day for days 1–5, $0 after
Worldwide Urgent Care Coverage$15

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 Specialty ServicesSee plan details
Supplemental Health BenefitsSee plan details
Mental Health — Group Sessions$30
Mental Health — Individual Sessions$30

Other

BenefitIn-network
Medicare-Covered Preventive ServicesSee plan details
Cardiac & Pulmonary RehabilitationSee plan details
Worldwide Emergency & Urgent CoverageSee plan details
Ambulance ServicesSee plan details
Prosthetics & OrthoticsSee plan details
Hearing — ExamsSee plan details
Diagnostic Tests & Lab ServicesSee plan details
Outpatient Substance Abuse ServicesSee plan details
Skilled Nursing Facility (SNF)$0/day for days 1–20, $160/day for days 21–100
Cardiac Rehabilitation — Additional Sessions$15
Intensive Cardiac Rehabilitation — Additional Sessions$15
Pulmonary Rehabilitation — Additional Sessions$15
Supervised Exercise Therapy (SET)$15
Emergency Services$130
Urgently Needed Services$15
Worldwide Emergency Coverage$130
Worldwide Emergency Transportation$325
Partial Hospitalization Program$35
Intensive Outpatient Program (IOP)$35
Home Health ServicesNo charge
Primary Care Physician ServicesNo charge
Chiropractic Services$15
Occupational Therapy Services$50
Physician Specialist Services$55
Podiatry Services$55
Other Health Care Professional Services$0-$55
Psychiatric ServicesSee plan details
Psychiatric Services — Individual Sessions$30
Psychiatric Services — Group Sessions$30
Physical Therapy & Speech-Language Pathology$50
Additional Telehealth Services (Part B)$0-$55
Opioid Treatment Program Services$30
Diagnostic Procedures & Tests$0-$185 copay + 20% coinsurance
Laboratory ServicesNo charge
Radiological ServicesSee plan details
Diagnostic Radiology$0-$335
Therapeutic Radiology$45-$50 copay + 20% coinsurance
X-Ray Services$0-$50 copay + 20% coinsurance
Outpatient Hospital Services$0-$400
Hospital Observation Services$459 per stay
Ambulatory Surgical Center (ASC)$0-$300
Substance Abuse — Individual Sessions$30
Substance Abuse — Group Sessions$30
Outpatient Blood ServicesNo charge
Ground Ambulance$120-$325
Air Ambulance20% coinsurance
Durable Medical Equipment (DME)20% coinsurance
Prosthetic Devices20% coinsurance
Medical Supplies20% coinsurance
Diabetic Supplies & ServicesSee plan details
Diabetic Supplies20% coinsurance
Diabetic Therapeutic Shoes & Inserts$5
Diabetic Monitors20% coinsurance
Dialysis Services20% coinsurance
Acupuncture$55
Insulin (Part B)0%-20% coinsurance (max $35)
Annual Physical ExamNo charge
Fitness BenefitNo charge
Kidney Disease Education ServicesNo charge
Glaucoma ScreeningNo charge
Diabetes Self-Management TrainingNo charge
Vision — Eye ExamsSee plan details
Digital Rectal ExamsNo charge
Welcome to Medicare EKGNo charge
Dental — Medicare-Covered Services$55
Dental — PreventiveSee plan details
Dental — Oral ExamsNo charge
Dental — X-RaysNo charge
Dental — Prophylaxis (Cleaning)No charge
Dental — ComprehensiveSee plan details
Dental — Restorative Services$25
Dental — Periodontics (Gum Care)No charge
Dental — Adjunctive General ServicesNo charge
Vision — Eye Exams$0-$55
Vision — Routine Eye ExamsNo charge
Vision — EyewearNo charge
Vision — EyewearSee plan details
Vision — Contact LensesNo charge
Vision — Eyeglasses (Lenses & Frames)No charge
Hearing — Exams$55
Hearing — Routine ExamsNo charge
Hearing — Fitting & Evaluation for Hearing AidNo charge
Hearing — Prescription Hearing AidsSee plan details
Hearing — Hearing Aids (All Types)$499-$725

Service area

  • FL: 7 counties

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