HumanaChoice R0110-012 (Regional PPO)

HUMANA INSURANCE COMPANY · 2026 plan year

Plan ID R0110-012-000

Showing IN · also offered in: KY

Regional PPO★ 3.5 CMS Stars
MOOP (in-network)
$9,150
MOOP (combined)
$13,900
Monthly premium
$20/mo
Part C $0 + Part D $20, before Extra Help
Prescription drugs
Included

This plan in 2027

Plan information

Contract / Plan / Segment
R0110-012-000
Medical deductible
$0 — no deductible
Part D premium
$20/mo (part of the monthly premium above)Before Extra Help, which can lower or remove it for people with limited income.
Part D deductible
$350/yr
Also owed
Your Medicare Part B premium, paid separately

More HUMANA INSURANCE COMPANY plans in IN

Benefits & cost sharing

Hospital

BenefitIn-network
Worldwide Urgent Care Coverage$115
Inpatient Hospital — Acute$470/day for days 1–5, $0 after
Inpatient Hospital — Additional Days (Acute)No charge
Inpatient Hospital — Psychiatric$470/day for days 1–4, $0 after

Pharmacy

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

Mental Health

BenefitIn-network
Mental Health — Individual Sessions$35
Mental Health — Group Sessions$35
Mental Health Specialty ServicesSee plan details
Supplemental Health BenefitsSee plan details

Other

BenefitIn-network
Skilled Nursing Facility (SNF)$0/day for days 1–20, $218/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$115
Urgently Needed Services$40
Worldwide Emergency & Urgent CoverageSee plan details
Worldwide Emergency Coverage$115
Partial Hospitalization Program$35
Intensive Outpatient Program (IOP)$35
Home Health ServicesNo charge
Primary Care Physician ServicesNo charge
Chiropractic Services$15
Occupational Therapy Services$35
Physician Specialist Services$55
Podiatry Services$45
Other Health Care Professional Services$0-$55
Psychiatric ServicesSee plan details
Psychiatric Services — Individual Sessions$35
Psychiatric Services — Group Sessions$35
Physical Therapy & Speech-Language Pathology$35
Additional Telehealth Services (Part B)$0-$55
Opioid Treatment Program Services$35
Diagnostic Procedures & Tests$0-$105
Laboratory Services$0-$40
Diagnostic Radiology$0-$780
Therapeutic Radiology$40 copay + 20% coinsurance
X-Ray Services$0-$130
Outpatient Hospital Services$0-$470
Hospital Observation Services$470 per stay
Ambulatory Surgical Center (ASC)$0-$370
Substance Abuse — Individual Sessions$35
Substance Abuse — Group Sessions$35
Outpatient Blood ServicesNo charge
Ambulance ServicesSee plan details
Ground Ambulance$335
Air Ambulance$335
Durable Medical Equipment (DME)20% coinsurance
Prosthetic Devices20% coinsurance
Medical Supplies20% coinsurance
Diabetic Supplies & ServicesSee plan details
Diabetic Supplies10%-20% coinsurance
Diabetic Therapeutic Shoes & Inserts$10
Dialysis Services20% coinsurance
Acupuncture$55
Over-the-Counter (OTC) ItemsNo charge
Meal BenefitNo charge
Medicare-Covered Preventive ServicesSee plan details
Annual Physical ExamNo charge
Fitness BenefitNo 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$55
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 Services$25
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)$599-$899
Hearing — OTC Hearing AidsNo charge
Worldwide Emergency Transportation$115
Cardiac & Pulmonary RehabilitationSee plan details
Diagnostic Tests & Lab ServicesSee plan details
Radiological ServicesSee plan details
Outpatient Substance Abuse ServicesSee plan details
Prosthetics & OrthoticsSee plan details
Vision — Eye ExamsSee plan details
Hearing — ExamsSee plan details

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