2027 Medicare Advantage plan
Humana USAA Honor Giveback (PPO): 2027 benefits and costs
Humana PPO
CMS plan ID: H5216-348-0 · Plan year: 2027
Humana USAA Honor Giveback (PPO) is a 2027 Medicare Advantage plan offered by Humana. It is listed in Texas.
2027 plan costs at a glance
- Organization
- Humana
- Plan organization
- HUMANA INSURANCE COMPANY
- Parent company
- Humana Inc.
- Plan type
- PPO
- Part C premium
- $0.00
- Prescription drug coverage
- No
- 2027 CMS Star Rating
- Standard monthly Medicare Part B premium
- $209.50 (estimated)
- Monthly Part B premium after plan reduction
- $74.50 (estimated)$209.50 standard premium less $135.00 plan reduction.
You must continue to pay your Medicare Part B premium.
- Annual medical deductible
- None
- In-network medical maximum
- $7,900.00
Applies to certain in-network supplemental services.
- Combined in/out-of-network medical maximum
- $11,300.00
Applies to certain in-network supplemental services.
- Out-of-network medical maximum
- Not applicable
- Part B premium reduction
- $135.00
2027 benefit summary
Doctor visits and medical care
| Service | In-network | Out-of-network | What to know |
|---|---|---|---|
| Primary care doctor | $0.00 copay
| 40% coinsurance
| |
| Specialist visit | $40.00 copay
| 40% coinsurance
|
|
| Telehealth | $0.00 to $40.00 copay
| Not summarized. Check coverage with the plan. |
|
| Emergency care | $115.00 copay | Not summarized. Check coverage with the plan. | |
| Urgent care | $40.00 copay | Not summarized. Check coverage with the plan. | |
| Home health | $0.00 copay
| 50% coinsurance
|
|
| Dialysis | 20% coinsurance
| 20% coinsurance
|
|
| Part B chemotherapy and radiation drugs | 0% to 20% coinsurance
| 50% coinsurance
|
|
| Other Part B drugs | 0% to 20% coinsurance
| 50% coinsurance
|
|
| Kidney disease education services | $0.00 copay
| $0.00 copay
|
|
| Medicare-covered chiropractic | $15.00 copay
| 40% coinsurance
|
|
| Medicare-covered foot care | $40.00 copay
| 40% coinsurance
|
|
| Other health professionals | $0.00 to $40.00 copay
| 40% coinsurance
|
|
Hospital, outpatient surgery and observation care
Inpatient stays and skilled nursing care
| Care | Your share of the cost | What to know |
|---|---|---|
| Inpatient hospital stay | $0.00 copay per stay Days 1–6: $345.00 copay per day Days 7–90: $0.00 copay per day |
|
| Inpatient mental health care | $0.00 copay per stay Days 1–6: $335.00 copay per day Days 7–90: $0.00 copay per day |
|
| Skilled nursing facility | Days 1–20: $0.00 copay per day Days 21–100: $221.00 copay per day |
|
See plan documents for out-of-network hospital and skilled nursing costs.
| Service | In-network | Out-of-network | What to know |
|---|---|---|---|
| Outpatient hospital care | $0.00 to $400.00 copay
| $0.00 copay; 40% to 50% coinsurance
| |
| Hospital observation services | $345.00 copay
| $345.00 copay
| |
| Ambulatory surgical center | $0.00 to $325.00 copay
| $0.00 copay; 50% coinsurance
|
|
| Outpatient blood | $0.00 copay
| $0.00 copay
|
|
Tests, imaging and laboratory services
| Service | In-network | Out-of-network | What to know |
|---|---|---|---|
| Diagnostic procedures and tests | $0.00 to $175.00 copay
| $40.00 copay; 40% to 50% coinsurance
|
|
| Laboratory services | $0.00 copay
| $40.00 copay; 50% coinsurance
|
|
| Diagnostic radiology (CT, MRI) | $0.00 to $360.00 copay
| $0.00 copay; 50% coinsurance
|
|
| Therapeutic radiology | $40.00 copay; 20% coinsurance
| 40% to 50% coinsurance
|
|
| X-rays | $0.00 to $145.00 copay
| $40.00 copay; 40% to 50% coinsurance
|
|
Mental health and substance use treatment
| Service | In-network | Out-of-network | What to know |
|---|---|---|---|
| Partial hospitalization | $0.00 copay
| 50% coinsurance
|
|
| Intensive outpatient program | $0.00 copay
| 50% coinsurance
|
|
| Substance use treatment, individual sessions | $0.00 copay
| 35% to 50% coinsurance
|
|
| Substance use treatment, group sessions | $0.00 copay
| 35% to 50% coinsurance
|
|
| Opioid treatment program | $0.00 copay
| 35% to 50% coinsurance
|
|
| Mental health, individual sessions | $0.00 copay
| 35% coinsurance
|
|
| Mental health, group sessions | $0.00 copay
| 35% coinsurance
|
|
| Psychiatry, individual sessions | $0.00 copay
| 35% coinsurance
|
|
| Psychiatry, group sessions | $0.00 copay
| 35% coinsurance
|
|
Therapy and rehabilitation
| Service | In-network | Out-of-network | What to know |
|---|---|---|---|
| Occupational therapy | $30.00 copay
| 35% coinsurance
|
|
| Physical and speech therapy | $30.00 copay
| 35% coinsurance
|
|
| Cardiac rehabilitation | $20.00 copay
| 50% coinsurance
|
|
| Intensive cardiac rehabilitation | $20.00 copay
| 50% coinsurance
|
|
| Pulmonary rehabilitation | $20.00 copay
| 50% coinsurance
|
|
| Supervised exercise for peripheral artery disease | $20.00 copay
| 50% coinsurance
|
|
Ambulance, medical equipment and supplies
| Service | In-network | Out-of-network | What to know |
|---|---|---|---|
| Ground ambulance | $325.00 copay
| $325.00 copay
|
|
| Air ambulance | 20% coinsurance
| 20% coinsurance
|
|
| Durable medical equipment | 15% coinsurance
| 50% coinsurance
|
|
| Prosthetic devices | 15% coinsurance
| 50% coinsurance
|
|
| Medical supplies | 15% coinsurance
| 50% coinsurance
|
|
| Diabetic supplies | $0.00 copay; 10% to 20% coinsurance
| 50% coinsurance
|
|
| Diabetic shoes and inserts | $10.00 copay
| 50% coinsurance
|
|
| Diabetic monitors | $0.00 copay; 10% to 20% coinsurance
| 50% coinsurance
|
|
Dental benefits
| Service | In-network | Out-of-network | What to know |
|---|---|---|---|
| Medicare-covered dental | $40.00 copay | 40% coinsurance
| |
| Oral examsAdditional plan benefit | $0.00 copay | $0.00 copay
| |
| Dental X-raysAdditional plan benefit | $0.00 copay | $0.00 copay
| |
| Dental cleaningAdditional plan benefit | $0.00 copay | $0.00 copay
| |
| Restorative dental careAdditional plan benefit | $0.00 copay | $0.00 copay
| |
| Root canal treatment (endodontics)Additional plan benefit | $0.00 copay | $0.00 copay
| |
| Gum treatment (periodontics)Additional plan benefit | $0.00 copay | $0.00 copay
| |
| Fixed dental restorations (prosthodontics)Additional plan benefit | $0.00 copay | $0.00 copay
| |
| Oral surgeryAdditional plan benefit | $0.00 copay | $0.00 copay
| |
| Other dental servicesAdditional plan benefit | $0.00 copay | $0.00 copay
|
Additional network details
These costs apply to the listed service categories and networks.
| Service | Network | Your share of the cost | What to know |
|---|---|---|---|
| Diagnostic and preventive dental (category)Additional plan benefit | Out-of-network | Confirm with the plan (copay); Confirm with the plan (coinsurance) |
|
| Comprehensive dental (category)Additional plan benefit | Out-of-network | Confirm with the plan (copay); Confirm with the plan (coinsurance) |
|
Vision benefits
| Service | In-network | Out-of-network | What to know |
|---|---|---|---|
| Medicare-covered eye exams | $0.00 to $40.00 copay
| $0.00 copay; 40% coinsurance
|
|
| Routine eye examsAdditional plan benefit | $0.00 copay | $0.00 copay
|
|
| Medicare-covered eyewear | $0.00 copay
| $0.00 copay
|
|
| Contact lensesAdditional plan benefit | $0.00 copay | $0.00 copay
|
|
| Eyeglasses, lenses and framesAdditional plan benefit | $0.00 copay | $0.00 copay
|
|
Additional network details
These costs apply to the listed service categories and networks.
| Service | Network | Your share of the cost | What to know |
|---|---|---|---|
| Eye exams (category)Additional plan benefit | Out-of-network | Confirm with the plan (copay); Confirm with the plan (coinsurance) |
|
| Eyewear (category)Additional plan benefit | Out-of-network | Confirm with the plan (copay); Confirm with the plan (coinsurance) |
|
Hearing benefits
| Service | In-network | Out-of-network | What to know |
|---|---|---|---|
| Medicare-covered hearing exams | $40.00 copay
| 40% coinsurance
|
|
| Routine hearing examsAdditional plan benefit | $0.00 copay | 95% coinsurance
|
|
| Hearing aid fitting and evaluationAdditional plan benefit | $0.00 copay | 95% coinsurance
|
|
| Prescription hearing aids (all types)Additional plan benefit | $575.00 to $750.00 copay
| 95% coinsurance
|
|
Additional network details
These costs apply to the listed service categories and networks.
| Service | Network | Your share of the cost | What to know |
|---|---|---|---|
| Hearing exams (category)Additional plan benefit | Out-of-network | Confirm with the plan (copay); Confirm with the plan (coinsurance) |
|
| Prescription hearing aids (category)Additional plan benefit | Out-of-network | Confirm with the plan (copay); Confirm with the plan (coinsurance) |
|
Extra benefits
| Service | In-network | Out-of-network | What to know |
|---|---|---|---|
| Supplemental acupunctureAdditional plan benefit | $40.00 copay
| $40.00 copay
|
|
| Limited-duration mealsAdditional plan benefit | $0.00 copay
| 95% coinsurance
|
|
| Annual physical examAdditional plan benefit | $0.00 copay
| $0.00 copay
|
|
| Fitness benefitAdditional plan benefit | $0.00 copay
| 95% coinsurance
|
|
Additional services and network costs
Additional network details
These costs apply to the listed service categories and networks.
| Service | Network | Your share of the cost | What to know |
|---|---|---|---|
| Medicare-covered preventive servicesMedicare-covered care | Out-of-network | $0.00 copay
| |
| Glaucoma ScreeningMedicare-covered care | Out-of-network | $0.00 copay
| |
| Diabetes Self-Management TrainingMedicare-covered care | Out-of-network | $0.00 copay
| |
| Digital Rectal ExamsMedicare-covered care | Out-of-network | $0.00 copay
| |
| EKG after a Welcome to Medicare visitMedicare-covered care | Out-of-network | $0.00 copay
| |
| Medicare Part B insulinMedicare-covered care | Out-of-network | 50% coinsurance
|
Allowances and optional benefits
Benefits for qualifying members
Nutritional Benefit
The plan must confirm eligibility, including any qualifying condition.
- Qualifying conditions
- Congestive Heart Failure (CHF)
- Included services
- Meal Benefit; Nutritional/Dietary Benefit
- Applies to out-of-network or point-of-service care
- Yes
- Some package benefits are exempt from the deductible
- No
Virtual Cardiac Recovery Program
The plan must confirm eligibility, including any qualifying condition.
- Qualifying conditions
- Congestive Heart Failure (CHF); Hypertension; Other 1; Other 2
- Qualifying conditions
- Pneumonia
- Qualifying conditions
- Respiratory Illnesses
- All listed conditions required
- No
- Combination of conditions required
- No
- Included services
- Other 1
- Applies to out-of-network or point-of-service care
- Yes
- Some package benefits are exempt from the deductible
- No
Prescription drug coverage
This plan does not include a Part D prescription drug benefit.
Where this plan is offered
CMS lists this plan in 1 state or territory. Availability can vary by county and ZIP code.
View all locations 198 county listings across 1 state or territory
Texas
- Anderson, Texas
- Andrews, Texas
- Angelina, Texas
- Aransas, Texas
- Archer, Texas
- Armstrong, Texas
- Atascosa, Texas
- Austin, Texas
- Bandera, Texas
- Bastrop, Texas
- Baylor, Texas
- Bee, Texas
- Bell, Texas
- Bexar, Texas
- Blanco, Texas
- Bowie, Texas
- Brazoria, Texas
- Brazos, Texas
- Brooks, Texas
- Brown, Texas
- Burleson, Texas
- Burnet, Texas
- Caldwell, Texas
- Calhoun, Texas
- Callahan, Texas
- Cameron, Texas
- Camp, Texas
- Carson, Texas
- Cass, Texas
- Chambers, Texas
- Cherokee, Texas
- Clay, Texas
- Coke, Texas
- Coleman, Texas
- Collin, Texas
- Colorado, Texas
- Comal, Texas
- Comanche, Texas
- Concho, Texas
- Cooke, Texas
- Coryell, Texas
- Crosby, Texas
- Dallas, Texas
- Dawson, Texas
- Deaf Smith, Texas
- Delta, Texas
- Denton, Texas
- DeWitt, Texas
- Dickens, Texas
- Dimmit, Texas
- Duval, Texas
- Eastland, Texas
- Ector, Texas
- Edwards, Texas
- El Paso, Texas
- Ellis, Texas
- Erath, Texas
- Falls, Texas
- Fannin, Texas
- Fayette, Texas
- Franklin, Texas
- Freestone, Texas
- Frio, Texas
- Galveston, Texas
- Garza, Texas
- Gillespie, Texas
- Goliad, Texas
- Gonzales, Texas
- Gray, Texas
- Grayson, Texas
- Gregg, Texas
- Grimes, Texas
- Guadalupe, Texas
- Hale, Texas
- Hall, Texas
- Hamilton, Texas
- Hardin, Texas
- Harris, Texas
- Harrison, Texas
- Hartley, Texas
- Haskell, Texas
- Hays, Texas
- Henderson, Texas
- Hidalgo, Texas
- Hill, Texas
- Hockley, Texas
- Hopkins, Texas
- Houston, Texas
- Howard, Texas
- Hudspeth, Texas
- Hunt, Texas
- Hutchinson, Texas
- Irion, Texas
- Jack, Texas
- Jackson, Texas
- Jasper, Texas
- Jefferson, Texas
- Jim Hogg, Texas
- Jim Wells, Texas
- Johnson, Texas
- Jones, Texas
- Karnes, Texas
- Kaufman, Texas
- Kendall, Texas
- Kenedy, Texas
- Kerr, Texas
- Kinney, Texas
- Kleberg, Texas
- Lamar, Texas
- Lamb, Texas
- Lampasas, Texas
- Lavaca, Texas
- Lee, Texas
- Leon, Texas
- Liberty, Texas
- Limestone, Texas
- Live Oak, Texas
- Llano, Texas
- Lubbock, Texas
- Lynn, Texas
- Madison, Texas
- Marion, Texas
- Martin, Texas
- Matagorda, Texas
- Maverick, Texas
- McCulloch, Texas
- McLennan, Texas
- Medina, Texas
- Midland, Texas
- Milam, Texas
- Montague, Texas
- Montgomery, Texas
- Moore, Texas
- Morris, Texas
- Nacogdoches, Texas
- Navarro, Texas
- Newton, Texas
- Nolan, Texas
- Nueces, Texas
- Orange, Texas
- Palo Pinto, Texas
- Panola, Texas
- Parker, Texas
- Pecos, Texas
- Polk, Texas
- Potter, Texas
- Rains, Texas
- Randall, Texas
- Real, Texas
- Red River, Texas
- Reeves, Texas
- Refugio, Texas
- Robertson, Texas
- Rockwall, Texas
- Runnels, Texas
- Rusk, Texas
- Sabine, Texas
- San Augustine, Texas
- San Jacinto, Texas
- San Patricio, Texas
- San Saba, Texas
- Schleicher, Texas
- Shackelford, Texas
- Shelby, Texas
- Smith, Texas
- Somervell, Texas
- Starr, Texas
- Stephens, Texas
- Tarrant, Texas
- Taylor, Texas
- Terry, Texas
- Throckmorton, Texas
- Titus, Texas
- Tom Green, Texas
- Travis, Texas
- Trinity, Texas
- Tyler, Texas
- Upshur, Texas
- Uvalde, Texas
- Val Verde, Texas
- Van Zandt, Texas
- Victoria, Texas
- Walker, Texas
- Waller, Texas
- Ward, Texas
- Washington, Texas
- Webb, Texas
- Wharton, Texas
- Wichita, Texas
- Wilbarger, Texas
- Willacy, Texas
- Williamson, Texas
- Wilson, Texas
- Wise, Texas
- Wood, Texas
- Young, Texas
- Zapata, Texas
- Zavala, Texas