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HumanaChoice R0110-018 (Regional PPO)

Humana
by Humana
2026 Medicare Advantage plan available in Tennessee
Plan ID R0110-018-0
Additional coverage:
RxHearingVisionDental
Medicare Advantage PPO 3.5 Overall
Monthly plan premium $86 / mo
Annual deductible $450 / yr
Max out-of-pocket · in-network $6,500 / yr
Drug deductible $590 / yr
3.5 Overall Government Star Rating 2026 · out of 5 stars

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Plan Overview

HumanaChoice R0110-018 (Regional PPO) is a Medicare Advantage Plan With Part D Prescription Drug Coverage, which is available in Tennessee and offered by the health insurance company Humana. This plan's network type is PPO, which determines the in-network doctors who accept the plan and whether a referral is needed.

Plan Name HumanaChoice R0110-018 (Regional PPO)
Insurance Carrier Humana
Plan Type Medicare Advantage Plan With Part D Prescription Drug Coverage
Network Type PPO

Cost Summary

HumanaChoice R0110-018 (Regional PPO) has a monthly premium cost of $86 per month, with an annual deductible of $450 annual deductible and a maximum out-of-pocket cost sharing of $6,500. The most common costs people evaluate when choosing a plan are listed here; a full list of benefit costs is defined below.

Monthly Premium $86 / mo
Health portion of premium $0
Drug portion of premium $86
Annual Deductible $450 annual deductible / yr
Max Out-of-Pocket · in-network $6,500 / yr
Primary doctor visit $0 copay
Specialist visit $45 copay
ER visit $130 copay
Ambulance $335 copay

Additional Benefits and Coverage

HumanaChoice R0110-018 (Regional PPO) is a Medicare Advantage plan which includes Medicare Part D prescription drug coverage. Other common benefits included with Medicare Advantage plans are coverage for dental, vision, and hearing. HumanaChoice R0110-018 (Regional PPO) includes coverage for hearing, vision, dental.

Part D Prescription Drug Coverage Yes
Dental Yes
Vision Yes
Hearing Yes
Nationwide Coverage No

Other benefits

Fitness benefit Limited coverage
Over-the-counter drug benefits Not covered
In-home support services Limited coverage
Home & bathroom safety devices Not covered
Meals for short duration Limited coverage
Annual physical exams Limited coverage
Telehealth Limited coverage

Medical Benefits

Doctor Services

Primary doctor visit In-network: $0 copay
Out-of-network: 40% coinsurance
Specialist visit In-network: $45 copay
Out-of-network: 40% coinsurance

Tests, labs & imaging

Diagnostic tests & procedures In-network: $0-$125 copay
Out-of-network: 40% coinsurance
Lab services In-network: $0-$50 copay
Out-of-network: 40% coinsurance
Diagnostic radiology services (like MRI) In-network: $0-$335 copay
Out-of-network: $0 copay
Outpatient x-rays In-network: $0-$50 copay
Out-of-network: 40% coinsurance
Emergency care $130 copay
Urgent care $50 copay

Hospital Services

Inpatient hospital coverage In-network:
  Tier 1
  $325 per day for days 1-5
  $0 per day for days 6-90
  $0 per stay
Out-of-network:
  40% per stay
Outpatient hospital coverage In-network: $0-$325 copay
Out-of-network: $0 copay

Skilled nursing facility

Skilled nursing facility In-network:
  Tier 1
  $0 per day for days 1-20
  $218 per day for days 21-100
Out-of-network:
  40% per stay

Preventive services

Preventive services In-network: $0 copay
Out-of-network: $0 copay

Ambulance

Ground ambulance In-network: $335 copay
Out-of-network: $335 copay

Therapy services

Occupational therapy visit In-network: $20 copay
Out-of-network: 40% coinsurance
Physical therapy & speech & language therapy visit In-network: $20 copay
Out-of-network: 40% coinsurance

Mental health services

Outpatient group therapy with a psychiatrist In-network: $35 copay
Out-of-network: 40% coinsurance
Outpatient individual therapy with a psychiatrist In-network: $35 copay
Out-of-network: 40% coinsurance
Outpatient group therapy visit In-network: $35 copay
Out-of-network: 40% coinsurance
Outpatient individual therapy visit In-network: $35 copay
Out-of-network: 40% coinsurance

Opioid treatment services

Opioid treatment services Covered

Other services

Durable medical equipment (like wheelchairs & oxygen) In-network: $0 copay
Out-of-network: $0 copay
Prosthetics (like braces, artificial limbs) In-network: 20% coinsurance
Out-of-network: 25% coinsurance
Diabetes supplies In-network: $0 copay
Out-of-network: 20% coinsurance

Prescription drugs (Part D benefits)

Drug tier standard retail · 1-month supply Initial coverage Catastrophic
Preferred Generic $0.00 copay $0 copay
Generic $5.00 copay $0 copay
Preferred Brand $47.00 copay $0 copay
Non-Preferred Drug 35% coinsurance $0 copay
Specialty Tier 26% coinsurance $0 copay

Part B drugs

Chemotherapy drugs In-network: 0%-20% coinsurance
Out-of-network: 40% coinsurance
Other Part B drugs In-network: 0%-20% coinsurance
Out-of-network: 20% coinsurance

Medicare star rating

Each year the federal government rates Medicare Advantage and Part D plans on a 5-star system covering quality of care, chronic-condition management, member experience, and customer service. For 2026, HumanaChoice (Regional PPO) earned an overall rating of 3.5 stars — worse than Tennessee's state average of 3.7 stars.

Rating category This plan State average
Overall star rating ★ 3.5 3.7
Health plan quality
Summary rating of health plan quality ★ 3.5 3.7
Staying healthy: screenings, tests & vaccines ★ 3.0 3.4
Managing chronic (long-term) conditions ★ 3.0 3.5
Member experience with health plan ★ 4.0 4.0
Member complaints & changes in performance ★ 4.0 3.4
Health plan customer service ★ 4.0 4.3
Drug plan quality
Summary rating of drug plan quality ★ 3.5 3.5
Drug plan customer service ★ 5.0 4.8
Member complaints & changes in performance ★ 4.0 3.4
Member experience with the drug plan ★ 4.0 3.9
Drug safety & accuracy of drug pricing ★ 3.0 3.5

Extra Benefits

Hearing

Hearing exam In-network: $0 copay
Out-of-network: $0 copay
Fitting/evaluation In-network: $0 copay
Out-of-network: $0 copay
Hearing aids - prescription In-network: $399-$699 copay
Out-of-network: $399-$699 copay
Hearing aids - over the counter Not covered

Preventive dental

Oral exam In-network: $0 copay
Out-of-network: $0 copay
Cleaning In-network: $0 copay
Out-of-network: $0 copay
Fluoride treatment Not covered
Dental x-rays In-network: $0 copay
Out-of-network: $0 copay

Comprehensive dental

Restorative services In-network: $0 copay
Out-of-network: $0 copay
Endodontics In-network: $0 copay
Out-of-network: $0 copay
Periodontics In-network: $0 copay
Out-of-network: $0 copay
Prosthodontics, removable In-network: $0 copay
Out-of-network: $0 copay
Prosthodontics, fixed In-network: $0 copay
Out-of-network: $0 copay
Maxillofacial prosthetics Not covered
Implant services Not covered
Oral and maxillofacial surgery In-network: $0 copay
Out-of-network: $0 copay
Orthodontics Not covered
Adjunctive general services In-network: $0 copay
Out-of-network: $0 copay

Vision

Routine eye exam In-network: $0 copay
Out-of-network: $0 copay
Contact lenses In-network: $0 copay
Out-of-network: $0 copay
Eyeglasses (frames & lenses) In-network: $0 copay
Out-of-network: $0 copay
Eyeglass frames (only) Not covered
Eyeglass lenses (only) Not covered
Upgrades Not covered

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