Humana Together in Health (PPO I-SNP)

Texas Institutional Special Needs I-SNP Plan (2025 Plan)


Monthly Premium

Your Cost
$0
by Humana

Additional Coverage

HearingVisionDental

Overall Government Star Rating

 3.5
out of 5 stars

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Plan Name
Humana Together in Health (PPO I-SNP)
Insurance Carrier
Humana
Plan Type
Institutional Special Needs Plan (I-SNP)
Network Type
PPO

Humana Together in Health (PPO I-SNP) is a Institutional Special Needs Plan (I-SNP), which is available in Texas 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.

Monthly Premium
$0
Annual Deductible
Coming soon
Max Out-of-Pocket
$9,350
Primary doctor visit
$0 copay
Specialist visit
20% coinsurance per visit
ER visit
$110 copay per visit (always covered)
Ambulance
20% coinsurance

Humana Together in Health (PPO I-SNP) has a monthly premium cost of $0 per month, with an annual deductible of Coming soon and a maximum out of pocket cost sharing of $14,000 In and Out-of-network $9,350 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 Together in Health (PPO I-SNP) are defined below.

Yes
Part D Prescription Drug Coverage
Yes
Dental
Yes
Vision
Yes
Hearing

Humana Together in Health (PPO I-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 Together in Health (PPO I-SNP) includes coverage for hearing, vision, dental.

Medicare Advantage health plans can offer even more additional benefits. Humana Together in Health (PPO I-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
Not covered
Annual physical exams
Limited coverage
Telehealth
Limited coverage

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 2025, Humana Together in Health (PPO I-SNP) received an overall government quality rating of 3.5 stars out of 5 stars.

Humana Together in Health (PPO I-SNP) performed worse than Texas’s State average overall quality score of 3.9 stars.

This Plan’s 5-star Gov’t Quality Score
Texas State Average Score
Overall Government 5 Star Quality Rating
 3.5
 3.9
Summary rating of health plan quality
 3.5
 3.8
Staying healthy: screenings, tests, & vaccines
 4
 3.9
Managing chronic (long term) conditions
 4
 3.5
Member experience with health plan
 4
 3.8
Member complaints & changes in the health plan's performance
 4
 3.9
Health plan customer service
 4
 4.2
Summary rating of drug plan quality
 3.5
 3.8
Drug plan customer service
 4
 4.0
Member complaints & changes in the drug plan's performance
 3
 3.8
Member experience with the drug plan
 4
 4.0
Drug safety & accuracy of drug pricing
 3
 3.3

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 Together in Health (PPO I-SNP) received 3.5 stars for its health plan quality score which is worse than the Texas State average health plan quality score of 3.8 stars.

Humana Together in Health (PPO I-SNP) received 3.5 stars for its drug plan quality score which is worse than the Texas State average drug plan quality score of 3.8 stars.


Monthly Premium
$0
Health Portion of Premium
$0
Drug Portion of Premium
$0
Health Plan Deductible
Coming soon
Health Plan Max Out-of-Pocket
$14,000 In and Out-of-network
$9,350 In-network
Nationwide Coverage included
No
Hearing Coverage included
Yes
Vision Coverage included
Yes
Dental Coverage included
Yes

Doctor Services

Primary doctor visit
In-network: $0 copay
Out-of-network: $0 copay
Specialist visit
In-network: 20% coinsurance per visit
Out-of-network: 20% coinsurance per visit

Tests, labs, & imaging

Diagnostic tests & procedures
In-network: $0 copay or 20% coinsurance
Out-of-network: $0 copay or 20% coinsurance
Lab services
In-network: $0 copay or 20% coinsurance
Out-of-network: $0 copay or 20% coinsurance
Diagnostic radiology services (like MRI)
In-network: 20% coinsurance
Out-of-network: 20% coinsurance
Outpatient x-rays
In-network: $0 copay or 20% coinsurance
Out-of-network: $0 copay or 20% coinsurance
Emergency care
$110 copay per visit (always covered)
Urgent care
20% coinsurance per visit (always covered)

Hospital Services

Inpatient hospital coverage
In-network: $598 per day for days 1 through 4
$0 per day for days 5 through 90
$0 per day for days 91 and beyond
Out-of-network: $598 per day for days 1 through 4
$0 per day for days 5 through 90
Outpatient hospital coverage
In-network: 20% coinsurance per visit
Out-of-network: 20% coinsurance per visit

Skilled nursing facility

Skilled nursing facility
In-network: $0 per day for days 1 through 100
Out-of-network: $0 per day for days 1 through 100

Preventive services

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

Ambulance

Ground ambulance
In-network: 20% coinsurance
Out-of-network: 20% coinsurance

Therapy services

Occupational therapy visit
In-network: $0 copay
Out-of-network: $0 copay
Physical therapy & speech & language therapy visit
In-network: $0 copay
Out-of-network: $0 copay

Mental health services

Outpatient group therapy with a psychiatrist
In-network: 20% coinsurance
Out-of-network: 20% coinsurance
Outpatient individual therapy with a psychiatrist
In-network: 20% coinsurance
Out-of-network: 20% coinsurance
Outpatient group therapy visit
In-network: 20% coinsurance
Out-of-network: 20% coinsurance
Outpatient individual therapy visit
In-network: 20% coinsurance
Out-of-network: 20% coinsurance

Opioid treatment services

Opioid treatment services
Covered

Other services

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

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

TiersInitial coverage phaseCatastrophic coverage phase
Preferred Generic0% coinsurance$0 copay
Generic25% coinsurance$0 copay
Preferred Brand25% coinsurance$0 copay
Non-Preferred Drug27% coinsurance$0 copay
Specialty Tier26% coinsurance$0 copay

Part B Drugs

Chemotherapy drugs
In-network: 0-20% coinsurance
Out-of-network: 20% coinsurance
Other Part B drugs
In-network: $0 copay or 0-20% coinsurance
Out-of-network: $0 copay or 20% coinsurance

Hearing

Hearing exam
In-network: 20% coinsurance
Out-of-network: 20% coinsurance
Fitting/evaluation
In-network: $0 copay
Out-of-network: $0 copay
Hearing aids - All types
In-network: $99-699 copay
Out-of-network: $99-699 copay

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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