Humana Honor (PPO)
H5216 - 256 - 0
(4.5 / 5)
Humana Honor (PPO) is a Medicare Advantage Plan by Humana.
This page features plan details for 2023 Humana Honor (PPO) H5216 – 256 – 0.
IMPORTANT: This page features the 2023 version of this plan. See the 2025 version using the link below:
No 2025 version found. You can use the location links below to find 2025 plans in your area.
Locations
Humana Honor (PPO) is offered in the following locations.
Plan Overview
Humana Honor (PPO) offers the following coverage and cost-sharing.
| Insurer: | Humana |
| Health Plan Deductible: | $0.00 |
| MOOP: | $6,700 In and Out-of-network $4,900 In-network |
| Drugs Covered: | No |
Ready to sign up for Humana Honor (PPO) ?
Get help from a licensed insurance agent.
Call 1-877-354-4611 / TTY 711.
M-F: 8:00 am – 10:00 pm EST
Sat-Sun: 8:00 am – 9:00 pm 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 $144.00.
| Premium Reduction: | $144.00 |
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 | $144.00 | $ |
- 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 copay (limits may apply) (authorization required) (referral not required) |
| Diagnostic services: | Out-of-Network: $0 copay (limits may apply) (authorization required) (referral not required) |
| Endodontics: | In-Network: $0 copay (limits may apply) (authorization required) (referral not required) |
| Endodontics: | Out-of-Network: $0 copay (limits may apply) (authorization required) (referral not required) |
| Extractions: | In-Network: $0 copay (limits may apply) (authorization required) (referral not required) |
| Extractions: | Out-of-Network: $0 copay (limits may apply) (authorization required) (referral not required) |
| Non-routine services: | In-Network: $0 copay (limits may apply) (authorization required) (referral not required) |
| Non-routine services: | Out-of-Network: $0 copay (limits may apply) (authorization required) (referral not required) |
| Periodontics: | In-Network: $0 copay (limits may apply) (authorization required) (referral not required) |
| Periodontics: | Out-of-Network: $0 copay (limits may apply) (authorization required) (referral not required) |
| Prosthodontics, other oral/maxillofacial surgery, other services: | In-Network: $0 copay (limits may apply) (authorization required) (referral not required) |
| Prosthodontics, other oral/maxillofacial surgery, other services: | Out-of-Network: $0 copay (limits may apply) (authorization required) (referral not required) |
| Restorative services: | In-Network: $0 copay (limits may apply) (authorization required) (referral not required) |
| Restorative services: | Out-of-Network: $0 copay (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: $0-225 copay (authorization required) (referral not required) |
| Diagnostic radiology services (e.g., MRI): | Out-of-Network: $65 copay or 50% coinsurance (authorization required) (referral not required) |
| Diagnostic tests and procedures: | In-Network: $0-200 copay or 20% coinsurance (authorization required) (referral not required) |
| Diagnostic tests and procedures: | Out-of-Network: $65 copay or 50% coinsurance (authorization required) (referral not required) |
| Lab services: | In-Network: $0-15 copay or 20% coinsurance (authorization required) (referral not required) |
| Lab services: | Out-of-Network: $65 copay or 50% coinsurance (authorization required) (referral not required) |
| Outpatient x-rays: | In-Network: $0-40 copay or 20% coinsurance (authorization required) (referral not required) |
| Outpatient x-rays: | Out-of-Network: $65 copay or 50% coinsurance (authorization required) (referral not required) |
Doctor visits
| Primary: | In-Network: $0 copay |
| Primary: | Out-of-Network: $65 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: | $90 copay per visit (always covered) |
| Urgent care: | $15 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: $240 copay | |
| Out-of-Network: $240 copay |
Health plan deductible
| $0.00 |
Health plan deductibles (other)
| In-Network: No |
Hearing
| Fitting/evaluation: | In-Network: $0 copay (limits may apply) (authorization required) (referral not required) |
| Fitting/evaluation: | Out-of-Network: 50% coinsurance (limits may apply) (authorization required) (referral not required) |
| Hearing aids: | In-Network: $0 copay (limits may apply) (authorization not required) (referral not required) |
| Hearing aids: | Out-of-Network: $0 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: $225 per day for days 1 through 8 $0 per day for days 9 through 90 $0 per day for days 91 and beyond (authorization required) (referral not required) | |
| Out-of-Network: $225 per day for days 1 through 8 $0 per day for days 9 through 90 (authorization required) (referral not required) |
Hospital coverage (outpatient)
| In-Network: $0-225 copay or 20% coinsurance per visit (authorization required) (referral not required) | |
| Out-of-Network: $65 copay or 50% coinsurance per visit (authorization required) (referral not required) |
Maximum out-of-pocket enrollee responsibility (does not include prescription drugs)
| $6,700 In and Out-of-network $4,900 In-network |
Medical equipment/supplies
| Diabetes supplies: | In-Network: $0 copay or 20% coinsurance per item (authorization required) |
| Diabetes supplies: | Out-of-Network: 50% 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: 30% 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: 25% coinsurance per item (authorization required) |
Medicare Part B drugs
| Chemotherapy: | In-Network: 20% coinsurance (authorization required) |
| Chemotherapy: | Out-of-Network: 20-50% coinsurance (authorization required) |
| Other Part B drugs: | In-Network: 20% coinsurance (authorization required) |
| Other Part B drugs: | Out-of-Network: 20-50% coinsurance (authorization required) |
Mental health services
| Inpatient hospital – psychiatric: | In-Network: $225 per day for days 1 through 8 $0 per day for days 9 through 90 (authorization required) (referral not required) |
| Inpatient hospital – psychiatric: | Out-of-Network: $225 per day for days 1 through 8 $0 per day for days 9 through 90 (authorization required) (referral not required) |
| Outpatient group therapy visit: | In-Network: $30 copay (authorization required) (referral not required) |
| Outpatient group therapy visit: | Out-of-Network: $65 copay (authorization required) (referral not required) |
| Outpatient group therapy visit with a psychiatrist: | In-Network: $30 copay (authorization required) (referral not required) |
| Outpatient group therapy visit with a psychiatrist: | Out-of-Network: $65 copay (authorization required) (referral not required) |
| Outpatient individual therapy visit: | In-Network: $30 copay (authorization required) (referral not required) |
| Outpatient individual therapy visit: | Out-of-Network: $65 copay (authorization required) (referral not required) |
| Outpatient individual therapy visit with a psychiatrist: | In-Network: $30 copay (authorization required) (referral not required) |
| Outpatient individual therapy visit with a psychiatrist: | Out-of-Network: $65 copay (authorization required) (referral not required) |
Optional supplemental benefits
| No |
Preventive care
| In-Network: $0 copay (authorization not required) (referral not required) | |
| Out-of-Network: $0 copay or 50% coinsurance (authorization not required) (referral not required) |
Rehabilitation services
| Occupational therapy visit: | In-Network: $10-40 copay (authorization required) (referral not required) |
| Occupational therapy visit: | Out-of-Network: $65 copay or 50% coinsurance (authorization required) (referral not required) |
| Physical therapy and speech and language therapy visit: | In-Network: $10-40 copay (authorization required) (referral not required) |
| Physical therapy and speech and language therapy visit: | Out-of-Network: $65 copay or 50% coinsurance (authorization required) (referral not required) |
Skilled Nursing Facility
| In-Network: $0 per day for days 1 through 20 $160 per day for days 21 through 100 (authorization required) (referral not required) | |
| Out-of-Network: $250 per day for days 1 through 58 $0 per day for days 59 through 100 (authorization required) (referral not required) |
Transportation
| Not covered |
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) |
Ready to sign up for Humana Honor (PPO) ?
Get help from a licensed insurance agent.
Call 1-877-354-4611 / TTY 711.
M-F: 8:00 am – 10:00 pm EST
Sat-Sun: 8:00 am – 9:00 pm EST