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Humana Honor (PPO)

H5216 - 059 - 0
4.5 out of 5 stars (4.5 / 5)

humana medicare provider logo

Humana Honor (PPO) is a Medicare Advantage (Part C) Plan by Humana.

This page features plan details for 2023 Humana Honor (PPO) H5216 – 059 – 0 available in ME and NH. Select Counties in CT, MA, and VT.

IMPORTANT: This page has been updated with plan and premium data for 2023.

Locations

Humana Honor (PPO) is offered in the following locations.

Androscoggin County, Maine
Aroostook County, Maine
Belknap County, New Hampshire

Click to see more locations

Plan Overview

Humana Honor (PPO) offers the following coverage and cost-sharing.

Insurer:Humana
Health Plan Deductible:$0.00
MOOP:$8,950 In and Out-of-network
$4,500 In-network
Drugs Covered:No

Ready to sign up for Humana Honor (PPO) ?

Get help from a licensed insurance agent.

Click to Call 1-877-354-4611 TTY 711.
Mon-Fri 8am-9pm EST | Sat 8am-8pm EST.

Medicare Part B Give Back Benefit

The Part B Premium Reduction (Medicare Part B Give Back Benefit) lowers the cost of some Medicare Advantage plans. 

Humana Honor (PPO) qualifies for a monthly Medicare Give Back Benefit of $70.00.

Premium Reduction:$70.00

Premium Breakdown

Humana Honor (PPO) has a monthly premium of $0.00. This amount includes your Part C premium but does not include your Part B premium.
Part B Part C Part B Give Back Total
$164.90 $0.00 $70.00 $94.90
Please Note:
  • Your Part B premium may differ based on factors including late enrollment, income, and disability status.

Additional Benefits

Humana Honor (PPO) also provides the following benefits.

Additional benefits and/or reduced cost-sharing for enrollees with certain health conditions?

In-Network: No

Dental (comprehensive)

Diagnostic services:In-Network: 0% coinsurance (limits may apply) (authorization required) (referral not required)
Diagnostic services:Out-of-Network: $25 copay or 0-50% coinsurance (limits may apply) (authorization required) (referral not required)
Endodontics:In-Network: 50% coinsurance (limits may apply) (authorization required) (referral not required)
Endodontics:Out-of-Network: $25 copay or 0-50% coinsurance (limits may apply) (authorization required) (referral not required)
Extractions:In-Network: $25 copay (limits may apply) (authorization required) (referral not required)
Extractions:Out-of-Network: $25 copay or 0-50% coinsurance (limits may apply) (authorization required) (referral not required)
Non-routine services:In-Network: $25 copay (limits may apply) (authorization required) (referral not required)
Non-routine services:Out-of-Network: $25 copay or 0-50% coinsurance (limits may apply) (authorization required) (referral not required)
Periodontics:In-Network: $25 copay (limits may apply) (authorization required) (referral not required)
Periodontics:Out-of-Network: $25 copay or 0-50% coinsurance (limits may apply) (authorization required) (referral not required)
Prosthodontics, other oral/maxillofacial surgery, other services:In-Network: 50% coinsurance (limits may apply) (authorization required) (referral not required)
Prosthodontics, other oral/maxillofacial surgery, other services:Out-of-Network: $25 copay or 0-50% coinsurance (limits may apply) (authorization required) (referral not required)
Restorative services:In-Network: $25 copay or 50% coinsurance (limits may apply) (authorization required) (referral not required)
Restorative services:Out-of-Network: $25 copay or 0-50% coinsurance (limits may apply) (authorization required) (referral not required)

Dental (preventive)

Cleaning:In-Network: $0 copay (limits may apply) (authorization not required) (referral not required)
Cleaning:Out-of-Network: $0 copay (limits may apply) (authorization not required) (referral not required)
Dental x-ray(s):In-Network: $0 copay (limits may apply) (authorization not required) (referral not required)
Dental x-ray(s):Out-of-Network: $0 copay (limits may apply) (authorization not required) (referral not required)
Fluoride treatment:In-Network: $0 copay (limits may apply) (authorization not required) (referral not required)
Fluoride treatment:Out-of-Network: $0 copay (limits may apply) (authorization not required) (referral not required)
Oral exam:In-Network: $0 copay (limits may apply) (authorization not required) (referral not required)
Oral exam:Out-of-Network: $0 copay (limits may apply) (authorization not required) (referral not required)

Diagnostic procedures/lab services/imaging

Diagnostic radiology services (e.g., MRI):In-Network: $0-350 copay (authorization required) (referral not required)
Diagnostic radiology services (e.g., MRI):Out-of-Network: $20-65 copay or 30% coinsurance (authorization required) (referral not required)
Diagnostic tests and procedures:In-Network: $0-90 copay (authorization required) (referral not required)
Diagnostic tests and procedures:Out-of-Network: $20-65 copay or 20-30% coinsurance (authorization required) (referral not required)
Lab services:In-Network: $0-40 copay (authorization required) (referral not required)
Lab services:Out-of-Network: $20-65 copay or 20-30% coinsurance (authorization required) (referral not required)
Outpatient x-rays:In-Network: $0-90 copay (authorization required) (referral not required)
Outpatient x-rays:Out-of-Network: $20-65 copay or 20-30% coinsurance (authorization required) (referral not required)

Doctor visits

Primary:In-Network: $0 copay
Primary:Out-of-Network: $20 copay per visit
Specialist:In-Network: $40 copay per visit (authorization not required) (referral not required)
Specialist:Out-of-Network: $65 copay per visit (authorization not required) (referral not required)

Emergency care/Urgent care

Emergency: $95 copay per visit (always covered)
Urgent care: $20 copay per visit (always covered)

Foot care (podiatry services)

Foot exams and treatment:In-Network: $40 copay (authorization required) (referral not required)
Foot exams and treatment:Out-of-Network: $65 copay (authorization required) (referral not required)
Routine foot care: Not covered

Ground ambulance

In-Network: $290 copay
Out-of-Network: $290 copay

Health plan deductible

$0.00

Health plan deductibles (other)

In-Network: No

Hearing

Fitting/evaluation:In-Network: $0 copay (no limits) (authorization required) (referral not required)
Fitting/evaluation:Out-of-Network: $0 copay (no limits) (authorization required) (referral not required)
Hearing aids:In-Network: $199-499 copay (limits may apply) (authorization not required) (referral not required)
Hearing aids:Out-of-Network: $199-499 copay (limits may apply) (authorization not required) (referral not required)
Hearing exam:In-Network: $40 copay (authorization required) (referral not required)
Hearing exam:Out-of-Network: $65 copay (authorization required) (referral not required)

Hospital coverage (inpatient)

In-Network: $350 per day for days 1 through 5
$0 per day for days 6 through 90
$0 per day for days 91 and beyond (authorization required) (referral not required)
Out-of-Network: $550 per stay (authorization required) (referral not required)

Hospital coverage (outpatient)

In-Network: $40-350 copay per visit (authorization required) (referral not required)
Out-of-Network: $65 copay or 30% coinsurance per visit (authorization required) (referral not required)

Maximum out-of-pocket enrollee responsibility (does not include prescription drugs)

$8,950 In and Out-of-network
$4,500 In-network

Medical equipment/supplies

Diabetes supplies:In-Network: $0 copay or 10-20% coinsurance per item (authorization required)
Diabetes supplies:Out-of-Network: 30% coinsurance per item (authorization required)
Durable medical equipment (e.g., wheelchairs, oxygen):In-Network: 20% coinsurance per item (authorization required)
Durable medical equipment (e.g., wheelchairs, oxygen):Out-of-Network: 20% coinsurance per item (authorization required)
Prosthetics (e.g., braces, artificial limbs):In-Network: 20% coinsurance per item (authorization required)
Prosthetics (e.g., braces, artificial limbs):Out-of-Network: 30% coinsurance per item (authorization required)

Medicare Part B drugs

Chemotherapy:In-Network: 20% coinsurance (authorization required)
Chemotherapy:Out-of-Network: 30% coinsurance (authorization required)
Other Part B drugs:In-Network: 20% coinsurance (authorization required)
Other Part B drugs:Out-of-Network: 30% coinsurance (authorization required)

Mental health services

Inpatient hospital – psychiatric:In-Network: $324 per day for days 1 through 5
$0 per day for days 6 through 90 (authorization required) (referral not required)
Inpatient hospital – psychiatric:Out-of-Network: $550 per stay (authorization required) (referral not required)
Outpatient group therapy visit:In-Network: $40 copay (authorization required) (referral not required)
Outpatient group therapy visit:Out-of-Network: 30% coinsurance (authorization required) (referral not required)
Outpatient group therapy visit with a psychiatrist:In-Network: $40 copay (authorization required) (referral not required)
Outpatient group therapy visit with a psychiatrist:Out-of-Network: 30% coinsurance (authorization required) (referral not required)
Outpatient individual therapy visit:In-Network: $40 copay (authorization required) (referral not required)
Outpatient individual therapy visit:Out-of-Network: 30% coinsurance (authorization required) (referral not required)
Outpatient individual therapy visit with a psychiatrist:In-Network: $40 copay (authorization required) (referral not required)
Outpatient individual therapy visit with a psychiatrist:Out-of-Network: 30% coinsurance (authorization required) (referral not required)

Optional supplemental benefits

Yes

Preventive care

In-Network: $0 copay (authorization not required) (referral not required)
Out-of-Network: $0 copay (authorization not required) (referral not required)

Rehabilitation services

Occupational therapy visit:In-Network: $40 copay (authorization required) (referral not required)
Occupational therapy visit:Out-of-Network: 30% coinsurance (authorization required) (referral not required)
Physical therapy and speech and language therapy visit:In-Network: $40 copay (authorization required) (referral not required)
Physical therapy and speech and language therapy visit:Out-of-Network: 30% coinsurance (authorization required) (referral not required)

Skilled Nursing Facility

In-Network: $0 per day for days 1 through 20
$196 per day for days 21 through 100 (authorization required) (referral not required)
Out-of-Network: 30% per stay (authorization required) (referral not required)

Transportation

In-Network: $0 copay (no limits) (authorization required) (referral not required)
Out-of-Network: 50% coinsurance (no limits) (authorization required) (referral not required)

Vision

Contact lenses:In-Network: $0 copay (limits may apply) (authorization required) (referral not required)
Contact lenses:Out-of-Network: $0 copay (limits may apply) (authorization required) (referral not required)
Eyeglass frames: Not covered (no limits)
Eyeglass lenses: Not covered (no limits)
Eyeglasses (frames and lenses):In-Network: $0 copay (limits may apply) (authorization required) (referral not required)
Eyeglasses (frames and lenses):Out-of-Network: $0 copay (limits may apply) (authorization required) (referral not required)
Other: Not covered (no limits)
Routine eye exam:In-Network: $0 copay (limits may apply) (authorization required) (referral not required)
Routine eye exam:Out-of-Network: $0 copay (limits may apply) (authorization required) (referral not required)
Upgrades: Not covered

Wellness programs (e.g., fitness, nursing hotline)

Covered (authorization not required) (referral not required)

Optional Benefits

Package #1

Preventive dental:Monthly Premium:$39.70
Preventive dental:Deductible:N/A
Comprehensive dental:Monthly Premium:$39.70
Comprehensive dental:Deductible:N/A

Ready to sign up for Humana Honor (PPO) ?

Get help from a licensed insurance agent.

Click to Call 1-877-354-4611 TTY 711.
Mon-Fri 8am-9pm EST | Sat 8am-8pm EST.

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