Humana USAA Honor Giveback (PPO)
New York Medicare Advantage Plan (2025 Plan)
Monthly Premium
Additional Coverage
Overall Government Star Rating
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Plan Overview
Humana USAA Honor Giveback (PPO) is a Medicare Advantage Plan Without Prescription Drugs, which is available in New York and offered by the health insurance company Humana. This plan’s network type is PPO which determines in-network doctors who accept the health plan and whether a referral is needed.
Cost Summary
Humana USAA Honor Giveback (PPO) has a monthly premium cost of $0 per month, with an annual deductible of $0 and a maximum out of pocket cost sharing of $8,950 In and Out-of-network $4,950 In-network. The most common benefit costs which people evaluate when choosing a plan are costs for a primary doctor visit, specialist doctor visit, emergency room visit, and ambulance. These costs are listed in this summary section and a full list of benefit costs for Humana USAA Honor Giveback (PPO) are defined below.
Additional Benefits and Coverage
Humana USAA Honor Giveback (PPO) is a Medicare Advantage plan which does not include Medicare Part D Prescription Drug coverage. Other common benefits included with Medicare Advantage plans are coverage for dental, vision, and hearing. Humana USAA Honor Giveback (PPO) includes coverage for hearing, vision, dental.
Medicare Advantage health plans can offer even more additional benefits. Humana USAA Honor Giveback (PPO) includes coverage for the following additional benefits:
Other benefits
Plan Benefits and Coverage Details
$4,950 In-network
Medical Benefits
Doctor Services
Out-of-network: $10 copay per visit
Out-of-network: $50 copay per visit
Tests, labs, & imaging
Out-of-network: $10-55 copay or 30% coinsurance
Out-of-network: $10-55 copay or 30% coinsurance
Out-of-network: $50 copay or 30% coinsurance
Out-of-network: $10-55 copay or 30% coinsurance
Hospital Services
$0 per day for days 6 through 90
$0 per day for days 91 and beyond
Out-of-network: $495 per day for days 1 through 7
$0 per day for days 8 through 90
Out-of-network: $50 copay or 30% coinsurance per visit
Skilled nursing facility
$196 per day for days 21 through 100
Out-of-network: 30% per stay
Preventive services
Out-of-network: $0 copay
Ambulance
Out-of-network: $315 copay
Therapy services
Out-of-network: 30% coinsurance
Out-of-network: 30% coinsurance
Mental health services
Out-of-network: 30% coinsurance
Out-of-network: 30% coinsurance
Out-of-network: 30% coinsurance
Out-of-network: 30% coinsurance
Opioid treatment services
Other services
Out-of-network: 16% coinsurance per item
Out-of-network: 30% coinsurance per item
Out-of-network: 30% coinsurance per item
Prescription Drug Benefits
Tier drug costs for: Standard retail pharmacy drug cost for 1-month
Part B Drugs
Out-of-network: 30% coinsurance
Out-of-network: 30% coinsurance
Extra Benefits
Hearing
Out-of-network: $50 copay
Out-of-network: $0 copay
Out-of-network: $399-699 copay
Preventive Dental
Out-of-network: $0 copay
Out-of-network: $0 copay
Out-of-network: $0 copay
Comprehensive dental
Out-of-network: $0 copay
Out-of-network: $0 copay
Out-of-network: $0 copay
Out-of-network: $0 copay
Out-of-network: $0 copay
Out-of-network: $0 copay
Vision
Out-of-network: $0 copay
Out-of-network: $0 copay
Out-of-network: $0 copay
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