Ohio Medicare-Medicaid Dual Eligible D-SNP Plan (2026 Plan)
Monthly Premium
Your Cost
$31
by Humana
Additional Coverage
HearingVisionDental
Overall Government Star Rating
3.5
out of 5 stars
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Plan Overview
Plan Name
Humana Dual Select H5525-046 (PPO D-SNP)
Insurance Carrier
Humana
Plan Type
Medicare-Medicaid Dual Eligible Medicare Advantage Plan (D-SNP)
Network Type
PPO
Humana Dual Select H5525-046 (PPO D-SNP) is a Medicare-Medicaid Dual Eligible Medicare Advantage Plan (D-SNP), which is available in Ohio 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
Monthly Premium
$31
Annual Deductible
Coming soon
Max Out-of-Pocket
$9,250
Primary doctor visit
20% coinsurance
Specialist visit
20% coinsurance
ER visit
$115 copay
Ambulance
$335 copay
Humana Dual Select H5525-046 (PPO D-SNP) has a monthly premium cost of $31 per month, with an annual deductible of Coming soon and a maximum out of pocket cost sharing of $13,900 In and Out-of-network
$9,250 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 Dual Select H5525-046 (PPO D-SNP) are defined below.
Additional Benefits and Coverage
Yes
Part D Prescription Drug Coverage
Yes
Dental
Yes
Vision
Yes
Hearing
Humana Dual Select H5525-046 (PPO D-SNP) is a Medicare Advantage plan which does include Medicare Part D Prescription Drug coverage. Other common benefits included with Medicare Advantage plans are coverage for dental, vision, and hearing. Humana Dual Select H5525-046 (PPO D-SNP) includes coverage for hearing, vision, dental.
Medicare Advantage health plans can offer even more additional benefits. Humana Dual Select H5525-046 (PPO D-SNP) includes coverage for the following additional benefits:
Other benefits
Fitness benefit
Not covered
Over the counter drug benefits
Limited coverage
In-home support services
Not covered
Home and bathroom safety devices
Not covered
Meals for short duration
Limited coverage
Annual physical exams
Limited coverage
Telehealth
Limited coverage
Comparing the Quality Score of Humana Dual Select (PPO D-SNP) to Other Plans in Ohio
Each year the federal government evaluates the quality of Medicare Advantage and Part D Prescription Drug plans based on a 5-star scoring system. For 2026, Humana Dual Select (PPO D-SNP) received an overall government quality rating of 3.5 stars out of 5 stars.
Humana Dual Select (PPO D-SNP) performed worse than Ohio’s State average overall quality score of 3.6 stars.
This Plan’s 5-star Gov’t Quality Score
Ohio State Average Score
Overall Government 5 Star Quality Rating
3.5
3.6
Summary rating of health plan quality
3.5
3.5
Staying healthy: screenings, tests, & vaccines
3
2.9
Managing chronic (long term) conditions
3
3.4
Member experience with health plan
4
3.4
Member complaints & changes in the health plan's performance
3
3.2
Health plan customer service
4
4.1
Summary rating of drug plan quality
3.5
3.4
Drug plan customer service
5
4.9
Member complaints & changes in the drug plan's performance
3
3.3
Member experience with the drug plan
4
4.1
Drug safety & accuracy of drug pricing
3
3.5
The government calculates an “Overall star rating” based on ratings for sub components including “Health plan star rating” and “Drug plan star rating”, which includes further subcomponents of each.
Humana Dual Select (PPO D-SNP) received 3.5 stars for its health plan quality score which is the same as the Ohio State average health plan quality score of 3.5 stars.
Humana Dual Select (PPO D-SNP) received 3.5 stars for its drug plan quality score which is better than the Ohio State average drug plan quality score of 3.4 stars.
In-network:
Tier 1
$0 per day for days 1-20
$218 per day for days 21-100
Out-of-network:
$0 per day for days 1-20
$218 per day for days 21-100
$0 per stay
In this article we rank Ohio Medicare Advantage plans based on our evaluation of government 5-star quality scores. Each year the government rates the quality of Medicare Advantage health insurance plans with a 5-star quality score. An overall quality score is assigned to each plan which is based on the scores of various quality metrics.
The Medicare landscape in Ohio is constantly changing. In this article we show a summary of new and returning health insurance companies offering Medicare Advantage Plans (Part C) and Medicare Prescription Drug Plans (Part D) in Ohio.
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