HumanaChoice Value H2029-001 (PPO)

Not enough data available

^$46.00

Monthly Premium

HumanaChoice Value H2029-001 (PPO) is a PPO plan offered by Humana Inc.

Plan ID: H2029-001

HelpAdvisor Editorial Team analysis of data from the 2025 MA Landscape Source Files and carrier-provided plan data supplied by SunFire, Inc., a private company that creates software solutions for agents and brokers to compare Medicare plans. For more information, visit www.sunfireinc.com.

Medicare beneficiaries may find it helpful to review available Medicare Advantage plans in their area. Medicare Advantage plans are designed to combine the coverage offered from Original Medicare (Medicare Part A and Part B) while also offering additional benefits.

Many Medicare Advantage plans may cover prescription drug coverage as well as additional benefits such as Dental, Vision and Hearing.

Learn more about Medicare Advantage plans such as HumanaChoice Value H2029-001 (PPO) - H2029-001 by Humana Inc. as well as other Medicare Advantage plans available in your area.

^$46.00

Monthly Premium

Basic Costs and Coverage

Coverage	Cost
Monthly Deductible	$0
Out of Pocket Max	In-Network: $6700 Out-of-Network: N/A
Initial Coverage Limit	$0
Catastrophic Coverage Limit	$2000
Primary Care Doctor Visit	In-Network: Doctor Office Visit: Copayment for Primary Care Office Visit $0
Specialty Doctor Visit	In-Network: Doctor Specialty Visit: Copayment for Physician Specialist Office Visit $8
Inpatient Hospital Care	In-Network: Acute Hospital Services: Copayment for Acute Hospital Services per Stay $0 Prior Authorization Required for Acute Hospital Services
Urgent Care	Urgent Care: Copayment for Urgent Care $15 Worldwide Coverage: Copayment for Worldwide Urgent Coverage $75
Emergency Room Visit	Emergency Care: Copayment for Emergency Care $75 Copayment for Medicare Covered Emergency Care waived if you are admitted to the hospital with in 24 hours Worldwide Coverage: Copayment for Worldwide Emergency Coverage $75 Copayment for Worldwide Emergency Transportation $75
Ambulance Transportation	In-Network: Ground Ambulance: Copayment for Ground Ambulance Services $100 Air Ambulance: Coinsurance for Air Ambulance Services $20% Prior Authorization Required for Air Ambulance

Health Care Services and Medical Supplies

HumanaChoice Value H2029-001 (PPO) covers additional benefits and services, some of which may not be covered by Original Medicare (Medicare Part A and Part B).

Coverage	Cost
Chiropractic Services	In-Network: Chiropractic Services: Copayment for Medicare-covered Chiropractic Services $15 Out-of-Network: Medicare Covered Chiropractic Services: Coinsurance for Medicare Covered Chiropractic Services 50%
Diabetes Supplies, Training, Nutrition Therapy and Monitoring	Out-of-Network: Medicare Covered Diabetic Supplies and Services: Coinsurance for Medicare Covered Diabetic Supplies 50% Coinsurance for Medicare Covered Diabetic Therapeutic Shoes or Inserts 50%
Durable Medical Equipment (DME)	In-Network: Durable Medical Equipment: Copayment for Medicare-covered Durable Medical Equipment $0 Coinsurance for Medicare-covered Durable Medical Equipment 5% Prior Authorization Required for Durable Medical Equipment $0 Continuous Glucose Monitor - DME Prov$0 Continuous Glucose Monitor - Pharmacy$0 DME-All Other - DME Prov$0 DME-All Other - Pharmacy5% DME-High Cost - DME Prov5% DME-High Cost - Pharmacy
Diagnostic Tests, Lab and Radiology Services, and X-Rays	Out-of-Network: Medicare Covered Diagnostic Procedures/Tests Services: Coinsurance for Medicare Covered Diagnostic Procedures/Tests 50% Coinsurance for Medicare Covered Lab Services 50% Coinsurance for Medicare Covered Diagnostic Radiological Services 50% Coinsurance for Medicare Covered Therapeutic Radiological Services 50% Coinsurance for Medicare Covered Outpatient X-Ray Services 50% $50 OP Diag Proc & Tests - OPH$0 OP Diag Proc & Tests - PCP$8 OP Diag Proc & Tests - SPC$15 OP Diag Proc & Tests - UCC$50 Sleep Study (Fac Based) - OPH$8 Sleep Study (Fac Based) - SPC$0 Sleep Study (Home Based) - Mbr's Home
Home Health Care	Out-of-Network: Medicare Covered Home Health Services: Coinsurance for Medicare Covered Home Health 50%
Mental Health Inpatient Care	Out-of-Network: Psychiatric Hospital Services: Coinsurance for Psychiatric Hospital per Stay 50%
Mental Health Outpatient Care	Out-of-Network: Medicare Covered Mental Health Services: Coinsurance for Medicare Covered Individual Sessions 50% Coinsurance for Medicare Covered Group Sessions 50%
Outpatient Services / Surgery	In-Network: Outpatient Hospital Services: Copayment for Medicare Covered Outpatient Hospital Services $20 to $50 Prior Authorization Required for Outpatient Hospital Services $50 Diag Colonoscopy - OPH$50 Mental Health - OPH$50 Surgery Svcs - OPH$20 Wound Care - OPH Outpatient Observation Services: Copayment for Medicare Covered Observation Services - Per stay $0 Prior Authorization Required for Outpatient Observation Services Ambulatory Surgical Center Services: Copayment for Ambulatory Surgical Center Services $0 to $8 Prior Authorization Required for Ambulatory Surgical Center Services $8 Diag Colonoscopy - ASC$0 Surgery Svcs - ASC
Outpatient Substance Abuse Care	Out-of-Network: Medicare Covered Outpatient Substance Abuse Services: Coinsurance for Medicare Covered Individual Sessions 50% Coinsurance for Medicare Covered Group Sessions 50% $50 OP Substance Abuse Care - OPH$8 OP Substance Abuse Care - SPC In-Network: Outpatient Substance Abuse Services: Copayment for Medicare-covered Individual Sessions $8 to $50 Copayment for Medicare-covered Group Sessions $8 to $50 $50 OP Substance Abuse Care - OPH$8 OP Substance Abuse Care - SPC
Over-the-counter (OTC) Items	In-Network: Over-The-Counter (OTC) Items: Copayment for Over-The-Counter (OTC) Items $0 Maximum plan benefit of $15 every month for Over-The-Counter (OTC) Items Maximum Plan Benefit of $15 every month
Podiatry Services	Out-of-Network: Medicare Covered Podiatry Services: Coinsurance for Medicare Covered Podiatry Services 50% In-Network: Podiatry Services: Copayment for Medicare-Covered Podiatry Services $8
Skilled Nursing Facility Care	In-Network: Skilled Nursing Facility Services: $0 per day for days 1 to 20 $25 per day for days 21 to 100 Prior Authorization Required for Skilled Nursing Facility Services

Dental Benefits

The following dental services are covered from in-network providers.

Coverage	Cost
Dental Care	0% coinsurance for bitewing x-rays up to 1 set(s) every 2 years. 0% coinsurance for periodontal surgery up to 1 per quadrant every 3 years. 0% coinsurance for amalgam or composite filling up to 1 per tooth every 3 years. 0% coinsurance for comprehensive oral exam, cone beam CT imaging, panoramic film up to 1 every 3 years. 0% coinsurance for crown, implant supported prosthetics up to 1 per tooth every 5 years. 0% coinsurance for bridges, complete dentures, complete or partial denture reline, partial dentures up to 1 every 5 years. 0% coinsurance for implant services, other restorative services - core buildup and prefabricated post and core up to 1 per tooth per lifetime. 0% coinsurance for scaling and root planing (deep cleaning) up to 1 per quadrant per year. 0% coinsurance for periodontal debridement up to 1 per year. 0% coinsurance for pulp vitality test up to 2 per quadrant per year. 0% coinsurance for periodic oral exam, periodontal maintenance, prophylaxis (cleaning) up to 2 per year. 0% coinsurance for complete or partial denture repair up to 3 per year. 0% coinsurance for intraoral x-rays up to 6 per year. 0% coinsurance for adjustments to dentures, extractions, root canal up to unlimited per year. $1,500 combined maximum benefit coverage amount per year for adjustments to dentures, bridges, complete dentures, complete or partial denture reline, complete or partial denture repair, crown, implant services, implant supported prosthetics, other restorative services - core buildup and prefabricated post and core, partial dentures comprehensive benefits. Out of Network 50% coinsurance for bitewing x-rays up to 1 set(s) every 2 years. 50% coinsurance for periodontal surgery up to 1 per quadrant every 3 years. 50% coinsurance for amalgam or composite filling up to 1 per tooth every 3 years. 50% coinsurance for comprehensive oral exam, cone beam CT imaging, panoramic film up to 1 every 3 years. 50% coinsurance for crown, implant supported prosthetics up to 1 per tooth every 5 years. 50% coinsurance for bridges, complete dentures, complete or partial denture reline, partial dentures up to 1 every 5 years. 50% coinsurance for implant services, other restorative services - core buildup and prefabricated post and core up to 1 per tooth per lifetime. 50% coinsurance for scaling and root planing (deep cleaning) up to 1 per quadrant per year. 50% coinsurance for periodontal debridement up to 1 per year. 50% coinsurance for pulp vitality test up to 2 per quadrant per year. 50% coinsurance for periodic oral exam, periodontal maintenance, prophylaxis (cleaning) up to 2 per year. 50% coinsurance for complete or partial denture repair up to 3 per year. 50% coinsurance for intraoral x-rays up to 6 per year. 50% coinsurance for adjustments to dentures, extractions, root canal up to unlimited per year. $1,500 combined maximum benefit coverage amount per year for adjustments to dentures, bridges, complete dentures, complete or partial denture reline, complete or partial denture repair, crown, implant services, implant supported prosthetics, other restorative services - core buildup and prefabricated post and core, partial dentures comprehensive benefits. Benefits received out-of-network are subject to any in-network benefit maximums, limitations, and/or exclusions.

Coverage

Cost

Dental Care

0% coinsurance for bitewing x-rays up to 1 set(s) every 2 years.
0% coinsurance for periodontal surgery up to 1 per quadrant every 3 years.
0% coinsurance for amalgam or composite filling up to 1 per tooth every 3 years.
0% coinsurance for comprehensive oral exam, cone beam CT imaging, panoramic film up to 1 every 3 years.
0% coinsurance for crown, implant supported prosthetics up to 1 per tooth every 5 years.
0% coinsurance for bridges, complete dentures, complete or partial denture reline, partial dentures up to 1 every 5 years.
0% coinsurance for implant services, other restorative services - core buildup and prefabricated post and core up to 1 per tooth per lifetime.
0% coinsurance for scaling and root planing (deep cleaning) up to 1 per quadrant per year.
0% coinsurance for periodontal debridement up to 1 per year.
0% coinsurance for pulp vitality test up to 2 per quadrant per year.
0% coinsurance for periodic oral exam, periodontal maintenance, prophylaxis (cleaning) up to 2 per year.
0% coinsurance for complete or partial denture repair up to 3 per year.
0% coinsurance for intraoral x-rays up to 6 per year.
0% coinsurance for adjustments to dentures, extractions, root canal up to unlimited per year.
$1,500 combined maximum benefit coverage amount per year for adjustments to dentures, bridges, complete dentures, complete or partial denture reline, complete or partial denture repair, crown, implant services, implant supported prosthetics, other restorative services - core buildup and prefabricated post and core, partial dentures comprehensive benefits.
Out of Network
50% coinsurance for bitewing x-rays up to 1 set(s) every 2 years.
50% coinsurance for periodontal surgery up to 1 per quadrant every 3 years.
50% coinsurance for amalgam or composite filling up to 1 per tooth every 3 years.
50% coinsurance for comprehensive oral exam, cone beam CT imaging, panoramic film up to 1 every 3 years.
50% coinsurance for crown, implant supported prosthetics up to 1 per tooth every 5 years.
50% coinsurance for bridges, complete dentures, complete or partial denture reline, partial dentures up to 1 every 5 years.
50% coinsurance for implant services, other restorative services - core buildup and prefabricated post and core up to 1 per tooth per lifetime.
50% coinsurance for scaling and root planing (deep cleaning) up to 1 per quadrant per year.
50% coinsurance for periodontal debridement up to 1 per year.
50% coinsurance for pulp vitality test up to 2 per quadrant per year.
50% coinsurance for periodic oral exam, periodontal maintenance, prophylaxis (cleaning) up to 2 per year.
50% coinsurance for complete or partial denture repair up to 3 per year.
50% coinsurance for intraoral x-rays up to 6 per year.
50% coinsurance for adjustments to dentures, extractions, root canal up to unlimited per year.
$1,500 combined maximum benefit coverage amount per year for adjustments to dentures, bridges, complete dentures, complete or partial denture reline, complete or partial denture repair, crown, implant services, implant supported prosthetics, other restorative services - core buildup and prefabricated post and core, partial dentures comprehensive benefits.
Benefits received out-of-network are subject to any in-network benefit maximums, limitations, and/or exclusions.

Vision Benefits

The following vision services are covered from in-network providers.

Coverage	Cost
Vision Benefits	Out-of-Network: Medicare Covered Eye Exams Services: Coinsurance for Medicare Covered Eye Exams 50% Copayment for Medicare Covered Eyewear $0

Hearing Benefits

The following hearing services are covered from in-network providers.

Coverage	Cost
Hearing Benefits	In-Network: Hearing Exams: Copayment for Medicare Covered Benefits $8 Copayment for Routine Hearing Exams $0 Maximum 1 visit every year Copayment for Fitting/Evaluation for Hearing Aid $0 Maximum 1 visit every year Hearing Aids: Copayment for Hearing Aids $0 Maximum 2 Hearing Aids every year Maximum Plan Benefit of $500 every year

Preventive Services and Health/Wellness Education Programs

The following services are covered from in-network providers.

Coverage	Cost
Preventive Services and Health/Wellness Education Programs	Out-of-Network: Medicare Covered Medicare-covered Preventive Services: Copayment for Medicare Covered Medicare-covered Preventive Services $0 Coinsurance for Medicare Covered Medicare-covered Preventive Services 50%

Back to Plans in Puerto Rico