HumanaChoice R3392-001 (Regional PPO)


Medicare Plan Details

2020 Plan
Monthly Premium
(select county for price)

 

by Humana
Additional Coverage
Hearing Vision Dental
Overall Government Star Rating
 4.0
out of 5 stars

State: Georgia

Select your county to view the price for this plan

 


Plan Type

Medicare Advantage (Part C)

Medicare Advantage combines Part A and Part B. This plan = Part A + Part B

 

$0
$0
$0
$500 annual deductible
$10,000 In and Out-of-network
$6,700 In-network
No
Yes
Yes
Yes

Medical Benefits

Doctor Services

In-network: $15 per visit
Out-of-network: 30% per visit
In-network: $50 per visit
Out-of-network: 30% per visit

Tests, labs, & imaging

In-network: $0-100
Out-of-network: 30%
In-network: $0-50
Out-of-network: 30%
In-network: $50-245
Out-of-network: 30%
In-network: $15-100
Out-of-network: 30%
$90 per visit (always covered)
$15-50 or 30% per visit (always covered)

Hospital Services

In-network: $245 per day for days 1 through 6
$0 per day for days 7 through 90
$0 per day for days 91 and beyond
Out-of-network: 30% per stay
In-network: $50-245 per visit
Out-of-network: 30% per visit

Skilled nursing facility

In-network: $0 per day for days 1 through 20
$172 per day for days 21 through 100
Out-of-network: 30% per stay

Preventive services

In-network: $0 copay
Out-of-network: $0 or 30%

Ambulance

In-network: $265
Out-of-network: $265

Therapy services

In-network: $15-40
Out-of-network: 30%
In-network: $15-40
Out-of-network: 30%

Mental health services

In-network: $40
Out-of-network: 30%
In-network: $40
Out-of-network: 30%
In-network: $40
Out-of-network: 30%
In-network: $40
Out-of-network: 30%

Opioid treatment services

Covered

Other services

In-network: 15% per item
Out-of-network: 20% per item
In-network: 15% per item
Out-of-network: 20% per item
In-network: $0 or 10-20% per item
Out-of-network: 30% per item

Prescription Drug Benefits

Tier drug costs for: Standard retail pharmacy drug cost for 1-month

Part B Drugs

In-network: 20%
Out-of-network: 30%
In-network: 20%
Out-of-network: 30%

Extra Benefits

Hearing

In-network: $50
Out-of-network: 30%
In-network: $0 copay
Out-of-network: $0 copay
In-network: $699-999
Out-of-network: $699-999

Preventive Dental

In-network: $0 copay
Out-of-network: 50%
In-network: $0 copay
Out-of-network: 50%
Not covered
In-network: $0 copay
Out-of-network: 50%

Comprehensive dental

Not covered
Not covered
In-network: 50%
Out-of-network: 55%
Not covered
Not covered
In-network: 50%
Out-of-network: 55%
Not covered

Vision

In-network: $0 copay
Out-of-network: $0 copay
In-network: $0 copay
Out-of-network: $0 copay
In-network: $0 copay
Out-of-network: $0 copay
Not covered
Not covered
Not covered

Other benefits

Limited coverage
Limited coverage
Not covered
Not covered
Limited coverage
Limited coverage
Limited coverage
 3.5
 3
 3
 3
 4
 4

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