H5216805

2024 Anthem Bronze HRA SBC_ES (PDF, 263.45 KB) 2024 Anthem HMO SBC_ES (PDF, 206.86 KB) 2024 Kaiser HMO SBC_ES. 2024 UHC HDHP SBC_ES (PDF, 242.96 KB) 2024 UHC HMO SBC_ES (PDF, 202.72 KB) 2023 Summary of Benefits and Coverage Archive. Downloadable documents available now in English and Spanish.

Covered Medical and Hospital Benefits. IN-NETWORK. OUT-OF-NETWORK. ACUTE INPATIENT HOSPITAL CARE. N/A. $290 copay per day for days 1-5 $0 copay per day for days 6-90 Your plan covers an unlimited number of days for an inpatient stay. $475 copay per day for days 1-25 $0 copay per day for days 26-90. OUTPATIENT HOSPITAL COVERAGE.HumanaChoice SNP-DE H5216-388 (PPO D-SNP) 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: Copayment for Medicare-covered Chiropractic Services $0.00. Copayment for Routine Care $0.00.HumanaChoice SNP-DE H5216-206 (PPO D-SNP) is a PPO D-SNP Medicare Advantage (Medicare Part C) plan offered by Humana Inc. Plan ID: H5216-206-000. * Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system. Georgia Medicare beneficiaries may want to consider reviewing their Medicare Advantage ...Call 1-888-204-4062 (TTY: 711) Monday - Friday, 8 a.m. - 8 p.m. 2024 Medicare Advantage (Part C) plans include all the coverage of Medicare Parts A and B, plus extra benefits, like dental, vision and hearing care. See plans in your area.HumanaChoice H5216-254 (PPO) is a Medicare Advantage PPO plan with a Medicare contract. Enrollment in this Humana plan depends on contract renewal. The benefit information provided is a summary of what we cover and what you pay. It doesn't list every service that we cover or list every limitation or exclusion. For a complete list of services we ...

HumanaChoice H5216-380 (PPO) is a PPO Medicare Advantage (Medicare Part C) plan offered by Humana Inc. Plan ID: H5216-380-000. * Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system. $19.00 Monthly Premium. Michigan Medicare beneficiaries may want to consider reviewing their Medicare ... 4.5 out of 5 stars* for plan year 2023. HumanaChoice H5216-021 (PPO) is a PPO Medicare Advantage (Medicare Part C) plan offered by Humana Inc. Plan ID: H5216-021-000. * Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system. $44.00 Monthly Premium.Get 2022 Medicare Advantage Part C/Part D Health and Prescription plan benefit details for any plan in any state, including premiums, deductibles, Rx cost-sharing and health benefits/cost-sharing. Sign-up for our free Medicare Part D Newsletter, Use the Online Calculators, FAQs or contact us through our Helpdesk -- Powered by Q1Group LLCNCFlex 2024 Benefits Summary. NCFlex 2023 Benefits Summary. NCFlex 2022 Benefits Summary.pdf. These documents provide a summary of benefits available to state employees. A new benefits summary is released annually.Your plan covers up to 190 days in a lifetime for inpatient mental health care in a psychiatric hospital. $587 copay per day for days 1-3 $0 copay per day for days 4-90. 50% of the cost. Outpatient group and individual therapy visits. Cost share may vary depending on where service is provided.2024. H7330-003. Zing Elite Diabetes & Heart IL (HMO C-SNP) 2024. H4624-028. Zing Select Diabetes & Heart Complete IL (HMO C-SNP) 2024. H7330-007. Discover Medicare insurance plans accepted by Elliott Kroger, MD and find primary care doctors accepting Medicare near you.Advertisement In 1777, a committee of Irishmen drew up the dueling code that would come to be used widely throughout Europe and America. The 1777 Irish code was called the Code Due...

In Network: $0 copayment for scaling and root planing (deep cleaning) up to 1 per quadrant every 3 years. $0 copayment for comprehensive oral evaluation or periodontal exam, occlusal adjustment, scaling for moderate inflammation up to 1 every 3 years.$0 copayment for bridge recementation, bridges-pontic, crown recementation, panoramic film or diagnostic x-rays up to 1 every 5 years.Adequate accommodations are made for resident privacy, • Environment is homelike, comfortable and attractive; including bed curtains. accommodations are made for resident personal items andAARP endorses the AARP Medicare Supplement Insurance Plans insured by UnitedHealthcare Insurance Company, 185 Asylum Street, Hartford, CT 06103. Policy form No. GRP 79171 GPS-1 (G-36000-4). Plan A may be available to persons under age 65 who are eligible for Medicare by reason of disability or End-Stage Renal Disease.In-Network: Doctor Specialty Visit: Copayment for Physician Specialist Office Visit $20.00. Inpatient hospital care. In-Network: Acute Hospital Services: $295.00 per day for days 1 to 6. $0.00 per day for days 7 to 90. Prior Authorization Required for Acute Hospital Services.4.5 out of 5 stars* for plan year 2024. HumanaChoice H5216-223 (PPO) is a PPO Medicare Advantage (Medicare Part C) plan offered by Humana Inc. Plan ID: H5216-223-000. * Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system. $34.00 Monthly Premium.

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What is the Hobby Lobby return policy? We have the answers inside, including exclusions (like whether you can return fabric) and returns without a receipt. Most items purchased at ...4.5 out of 5 stars* for plan year 2024. HumanaChoice H5216-232 (PPO) is a PPO Medicare Advantage (Medicare Part C) plan offered by Humana Inc. Plan ID: H5216-232-002. * Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system. $58.00 Monthly Premium.4.5 out of 5 stars* for plan year 2024. HumanaChoice H5216-006 (PPO) is a PPO Medicare Advantage (Medicare Part C) plan offered by Humana Inc. Plan ID: H5216-006-000. * Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system. $40.00 Monthly Premium.HumanaChoice H5216-203 (PPO) is a PPO Medicare Advantage (Medicare Part C) plan offered by Humana Inc. Plan ID: H5216-203-001. * Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system. $0.00 Monthly Premium.

The Enhanced PPO Plan (80/20) is a Preferred Provider Organization (PPO) plan administered by Blue Cross and Blue Shield of North Carolina (Blue Cross NC). A PPO plan offers freedom of choice among in-network providers, lower out-of-pocket costs and a strong emphasis on preventive health. Preventive services and medications are covered at 100% ... Prescription Drug Costs and Coverage. The HumanaChoice H5216-358 (PPO) offers prescription drug coverage, with an annual drug deductible of $395.00 (excludes Tiers 1 and 2) When reviewing Texas Medicare plans, be sure to find out if your doctors are part of the plan network. Diagnostic Tests, Lab and Radiology Services, and X-Rays. In-Network: Outpatient Diag Procs/Tests/Lab Services: Copayment for Medicare-covered Diagnostic Procedures/Tests $0.00 to $100.00. Copayment for Medicare-covered Lab Services $0.00 to $55.00. Coinsurance for Medicare-covered Lab Services 20%. Prior Authorization Required for Outpatient ...In-Network: Yes, contact plan for further details. Inpatient hospital coverage. In-Network: $320 per day for days 1 through 6 / $0 per day for days 7 through 90 / $0 per day for days 90 and beyond ...Your plan covers up to 190 days in a lifetime for inpatient mental health care in a psychiatric hospital. $375 copay per day for days 1-4 $0 copay per day for days 5-90. 40% of the …4.5 out of 5 stars* for plan year 2024. HumanaChoice H5216-223 (PPO) is a PPO Medicare Advantage (Medicare Part C) plan offered by Humana Inc. Plan ID: H5216-223-000. * Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system. $34.00 Monthly Premium.There are 3,959 Medicare Advantage plans nationwide in 2024, which means the average Medicare beneficiary has access to 43 different Medicare Advantage plans. 2. Get help comparing Medicare Advantage plans available in your state by calling to speak with a licensed insurance agent or by comparing plans online. Visit MedicareAdvantage.com.4.5 out of 5 stars* for plan year 2024. HumanaChoice - Diabetes and Heart (PPO C-SNP) is a PPO C-SNP Medicare Advantage (Medicare Part C) plan offered by Humana Inc. Plan ID: H5216-375-000. * Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system. $0.00 Monthly Premium.Covered Medical and Hospital Benefits. IN-NETWORK. OUT-OF-NETWORK. ACUTE INPATIENT HOSPITAL CARE. N/A. $375 copay per day for days 1-5 $0 copay per day for days 6-90 Your plan covers an unlimited number of days for an inpatient stay. $375 copay per day for days 1-5 $0 copay per day for days 6-90. OUTPATIENT HOSPITAL COVERAGE.

HumanaChoice H5216-255 (PPO) is a Medicare Advantage PPO plan with a Medicare contract. Enrollment in this Humana plan depends on contract renewal. The benefit information provided is a summary of what we cover and what you pay. It doesn't list every service that we cover or list every limitation or exclusion. For a complete list of services we ...

Except in an emergency, your doctor must tell the plan that you are going to be admitted to the hospital. $160 copay per day for days 1-10. $0 copay starting with day 11. $160 copay per day for days 1-10. $0 copay starting with day 11. OUTPATIENT HOSPITAL COVERAGE. Outpatient hospital visits. $0 to $250 copay. 4.5 out of 5 stars* for plan year 2024. HumanaChoice H5216-027 (PPO) is a PPO Medicare Advantage (Medicare Part C) plan offered by Humana Inc. Plan ID: H5216-027-000. * Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system. $68.00 Monthly Premium. So what do you do if you own these stocks?...OXY When stocks get pulverized I smell opportunity. But sometimes the smell is a stink literally almost at every price. That's how I fe...TTY users 1-877-486-2048. or contact your local SHIP for assistance. Email a copy of the Medicare Plus Blue PPO Signature (PPO) benefit details. — Medicare Plan Features —. Monthly Premium: $150.00. Annual Deductible: $0. Annual Initial Coverage Limit (ICL):Humana USAA Honor (PPO) 4.5 out of 5 stars* for plan year 2024. Humana USAA Honor (PPO) is a PPO Medicare Advantage (Medicare Part C) plan offered by Humana Inc. Plan ID: H5216-355-000. * Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system. $0.00 Monthly Premium.Your plan covers up to 190 days in a lifetime for inpatient mental health care in a psychiatric hospital. $350 copay per day for days 1-5 $0 copay per day for days 6 …Medicare Advantage Plans for West Virginia 338,269 Total Medicare Advantage EnrolleesIf you are not currently a Humana member, please contact a licensed Humana sales agent at 1-844-775-9622 (TTY: 711), 8 a.m. to 8 p.m. seven days a week from Oct. 1, 2023 - Mar. 31, 2024 and Monday - Friday the rest of the year. Humana is a Medicare Advantage PPO plan with a Medicare contract.

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HumanaChoice H5216-318 (PPO) 4.5 out of 5 stars* for plan year 2024. HumanaChoice H5216-318 (PPO) is a PPO Medicare Advantage (Medicare Part C) plan offered by Humana Inc. Plan ID: H5216-318-001. * Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system. $0.00 Monthly Premium.Humana USAA Honor (PPO) 4.5 out of 5 stars* for plan year 2024. Humana USAA Honor (PPO) is a PPO Medicare Advantage (Medicare Part C) plan offered by Humana Inc. Plan ID: H5216-200-000. * Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system. $0.00 Monthly Premium. Mississippi Medicare ... In-Network: Doctor Specialty Visit: Copayment for Physician Specialist Office Visit $25.00. Inpatient hospital care. In-Network: Acute Hospital Services: $325.00 per day for days 1 to 7. $0.00 per day for days 8 to 90. Prior Authorization Required for Acute Hospital Services. 50% of the cost for crown, root canal, root canal retreatment up to 1 per tooth per lifetime. of the cost for oral surgery • up to 2 per year. $1000 combined maximum benefit coverage amount per year for preventive and comprehensive benefits. 50% of the cost for oral surgery up to 2 per year.2022 Medicare Advantage Plan Details. Medicare Plan Name: HumanaChoice H5216-248 (PPO) Location: Carroll, Virginia Click to see other locations. Plan ID: H5216 - 248 - 1 Click to see other plans. Member Services: 1-800-457-4708 TTY users 711.4.5 out of 5 stars* for plan year 2024. HumanaChoice H5216-279 (PPO) is a PPO Medicare Advantage (Medicare Part C) plan offered by Humana Inc. Plan ID: H5216-279-000. * Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system. $0.00 Monthly Premium.Doctor Specialty Visit: Copayment for Physician Specialist Office Visit $45.00. Out-of-Network: Doctor Specialty Visit: Coinsurance for Medicare Covered Physician Specialist Office Visit 50%. Inpatient Hospital Care. In-Network: Acute Hospital Services: $420.00 per day for days 1 to 5.TTY users 1-877-486-2048. or contact your local SHIP for assistance. Email a copy of the HumanaChoice H5216-080 (PPO) benefit details. — Medicare Plan Features —. Monthly Premium: $58.00 (see Plan Premium Details below) Annual Deductible: $350 (Tier 1, 2 and 3 excluded from the Deductible.)Doctor Specialty Visit: Copayment for Physician Specialist Office Visit $45.00. Out-of-Network: Doctor Specialty Visit: Copayment for Medicare Covered Physician Specialist Office Visit $65.00. Inpatient Hospital Care. In-Network: Acute Hospital Services: $340.00 per day for days 1 to 6.In-Network: $460 per stay. Out-of-Network: $460 per stay. Outpatient group therapy visit with a psychiatrist. In-Network: $35 copay. Out-of-Network: $35 copay. Outpatient individual therapy visit ...H5216-805 Summary Of Benefits 2024. Take a free hearing test to see if you qualify for benefits. Click to see otc and prescription hearing aid coverage. 4.5 out of 5 stars* for plan year 2024. Maximum plan benefit of $75.00 every year for in and out of network services combined prior authorization required for eyeIn Network: Plan covers up to $500 allowance every year for non-Medicare covered preventive and comprehensive dental services. You are responsible for any amount above the dental coverage limit. Any amount unused at the end of the year will expire. Your benefit can be used for most dental treatments such as: Preventive dental services, such as exams, routine cleanings, etc. Basic dental ... ….

Get 2024 Medicare Advantage Part C/Part D Health and Prescription plan benefit details for any plan in any state, including premiums, deductibles, Rx cost-sharing and health benefits/cost-sharing. Sign-up for our free Medicare Part D Newsletter, Use the Online Calculators, FAQs or contact us through our Helpdesk -- Powered by Q1Group LLCRetiree Contact Information. You have questions, let us point you in the right direction! View a list of important contacts.Humana Group Medicare Advantage (PPO) Base Plan (90/10) State Health Plan Medicare retirees have several options for health plan coverage. One of these options is the Humana Group Medicare Advantage PPO Base Plan (90/10)*, which includes Medicare prescription drug coverage.Medicare-covered eyewear (post-cataract) $0 copay. $0 copay. Routine vision. $40 copay for routine exam up to 1 per year. $40 copay for routine exam up to 1 per year. Benefits received out-of-network are subject to any in-network benefit maximums, limitations, and/or exclusions. MENTAL HEALTH SERVICES.4.5 out of 5 stars* for plan year 2024. HumanaChoice H5216-232 (PPO) is a PPO Medicare Advantage (Medicare Part C) plan offered by Humana Inc. Plan ID: H5216-232-002. * Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system. $58.00 Monthly Premium.Compare the 17 Medicare Advantage plans available from Humana in West Virginia through Alight Retiree Health Solutions.Except in an emergency, your doctor must tell the plan that you are going to be admitted to the hospital. $160 copay per day for days 1-10. $0 copay starting with day 11. $160 copay per day for days 1-10. $0 copay starting with day 11. OUTPATIENT HOSPITAL COVERAGE. Outpatient hospital visits. $0 to $250 copay.Author: Jeremy Milway Last modified by: Joshua Harris Created Date: 8/31/2018 3:51:02 PM Other titles: Termed Plans Crosswalked Plans Sheet2Medicare-covered eyewear (post-cataract) $0 copay. $0 copay. Routine vision. $40 copay for routine exam up to 1 per year. $40 copay for routine exam up to 1 per year. Benefits received out-of-network are subject to any in-network benefit maximums, limitations, and/or exclusions. MENTAL HEALTH SERVICES. H5216805, 2024. H7323-011. Wellcare Mutual of Omaha No Premium Secure Open (PPO) 2024. H7323-012. Wellcare All Dual Assure (HMO D-SNP) 2024. H0174-022. Discover Medicare insurance plans accepted at our Arlington health center and find primary care doctors accepting Medicare near you., HumanaChoice H5216-283 (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: Copayment for Medicare-covered Chiropractic Services $20.00. Copayment for Routine Care $20.00., HumanaChoice H5216-309 (PPO) is a PPO Medicare Advantage (Medicare Part C) plan offered by Humana Inc. Plan ID: H5216-309-000. * Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system. Ohio, Indiana and Kentucky Medicare beneficiaries may want to consider reviewing their Medicare Advantage ... , Retirees Overview. Currently more than 124,000 people draw a monthly benefit from the Kentucky Public Pensions Authority, either as a retiree or as a beneficiary of a deceased retiree. Retirement brings many changes to the lives of our members, and when or how to retire is one of the biggest decisions we all face. This section of our website ..., The MyHumana app makes it easier than ever to access ID cards, claims, in-network providers and drug pricing. There's more to discover inside. Download now and start exploring. Use 1 secure sign-in for all of your accounts, including MyHumana, Go365 and CenterWell Pharmacy., VIS701. $0 copay for routine exam up to 1 per year. $400 maximum benefit coverage amount per year for contact lenses or eyeglasses-lenses and frames, fitting for eyeglasses-lenses and frames. Eyeglass lens options may be available with the maximum benefit coverage amount up to 1 pair per year., H5216266000BAG23 Benefits at a Glance 5 Tier 3: Preferred Brand $47 $141 Tier 4: Non-Preferred Drug $100 $300 Tier 5: Specialty Tier 33% N/A Once your total yearly drug costs—what is paid both by you and our plan—reach $4,660 the costs of your drugs may go up. Please refer to the Summary of Benefits for more information., NEUBERGER BERMAN LARGE CAP VALUE FUND CLASS C- Performance charts including intraday, historical charts and prices and keydata. Indices Commodities Currencies Stocks, FOR AGENT SE ONLY Plan Name Humana Community (HMO) Humana Gold Plus (HMO) HumanaChoice (PPO) Plan Number H1036-236-000 H5619-073-000 H5216-107-000 Plan Highlights $0 HMO with access to the, One of these options is the Humana Group Medicare Advantage PPO Enhanced Plan (90/10)*, which includes Medicare prescription drug coverage and a premium for subscribers. * The Humana Group Medicare Advantage Plans have a benefit value equivalent to a 90/10 plan. Below are resources for members enrolled in the Humana …, In addition, you may pay a higher co-pay for services received by non-contracted providers. Summary of Benefits. Humana Honor (PPO) H5216-278. Multi-State Select Counties in MT. 2023. Our service area includes the following county/counties in Montana: Carbon, Cascade, Flathead, Gallatin, Park, Ravalli, Stillwater, Yellowstone., Your plan covers up to 190 days in a lifetime for inpatient mental health care in a psychiatric hospital. $390 copay per day for days 1-4 $0 copay per day for days 5-90. $390 copay per day for days 1-4 $0 copay per day for days 5-90. Outpatient group and individual therapy visits., 4.5 out of 5 stars* for plan year 2024. HumanaChoice H5216-254 (PPO) is a PPO Medicare Advantage (Medicare Part C) plan offered by Humana Inc. Plan ID: H5216-254-000. * Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system. $0.00 Monthly Premium., HumanaChoice H5216-318 (PPO) 4.5 out of 5 stars* for plan year 2024. HumanaChoice H5216-318 (PPO) is a PPO Medicare Advantage (Medicare Part C) plan offered by Humana Inc. Plan ID: H5216-318-001. * Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system. $0.00 Monthly Premium., Covered Medical and Hospital Benefits. (cont.) IN-NETWORK OUT-OF-NETWORK Routine hearing. HER941 • $0 copay for routine hearing exams up to 1per year. • $699 copay for each Advanced level hearing aid up to 1per ear per year. • $999 copay for each Premium level hearing aid up to 1per ear per year., Get 2020 Medicare Advantage Part C/Part D Health and Prescription plan benefit details for any plan in any state, including premiums, deductibles, Rx cost-sharing and health benefits/cost-sharing. Sign-up for our free Medicare Part D Newsletter, Use the Online Calculators, FAQs or contact us through our Helpdesk -- Powered by Q1Group LLC, H5216058000SB23 Summary of Benefits 5 H5216058000 Let's talk about HumanaChoice H5216-058 (PPO) Find out more about the HumanaChoice H5216-058 (PPO) plan -including the health, Many factors can affect your retirement benefits, and most have to do with timing. One of the most significant factors affecting your retirement benefits is when you retire. If you..., 4.5 out of 5 stars* for plan year 2024. HumanaChoice H5216-363 (PPO) is a PPO Medicare Advantage (Medicare Part C) plan offered by Humana Inc. Plan ID: H5216-363-000. * Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system. $38.50 Monthly Premium. Virginia Medicare beneficiaries may want ..., HumanaChoice H5216-043 (PPO) is a PPO Medicare Advantage (Medicare Part C) plan offered by Humana Inc. Plan ID: H5216-043-006. * Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system. $0.00 Monthly Premium. Texas Medicare beneficiaries may want to consider reviewing their Medicare ..., 2024. H4624-028. Zing Medicare-Medicaid Plan IL (MMP) (Medicare-Medicaid Plan) 2024. H7539-001. Zing Select Diabetes & Heart Complete IL (HMO C-SNP) 2024. H4624-027. Discover Medicare insurance plans accepted at our Avalon Park health center and find primary care doctors accepting Medicare near you., Basic radiological services (X-rays) $125 copay 50% of the cost. Cardiac rehabilitation services $20 copay 50% of the cost. Chemotherapy drugs 20% of the cost 40%. Diagnostic colonoscopy $0 copay 40% of the cost. Diagnostic mammography $0 copay 50% of the cost. Diagnostic procedures and tests -other., The HumanaChoice H5216-013 (PPO) has a monthly premium of $88.00. That is $1,056.00 for 12 months. There are a few factors that can increase or decrease this premium. If you qualify for full or partial extra help, your premium will be lower. If you have a premium penalty, your premium will be higher., Your plan covers up to 190 days in a lifetime for inpatient mental health care in a psychiatric hospital. $440 copay per day for days 1-4 $0 copay per day for days 5-90. 40% of the cost. Outpatient group and individual therapy visits. Cost share may vary depending on where service is provided., 12 Summary of Benefits H5216280001SB23. H5216280001. Covered Medical and Hospital Benefits (cont.) IN-NETWORK OUT-OF-NETWORK AMBULANCE Ambulance $300 copay per date of service $300 copay per date of service. TRANSPORTATION N/A $0 copay for plan approved location up to 36 one-way trip(s) per year., OMB Approval 0938-1051 (Expires: February 29, 2024) January 1 - December 31, 2024 Evidence of Coverage: Your Medicare Health Benefits and Services and Prescription Drug Coverage as a Member of HumanaChoice, Covered Medical and Hospital Benefits. IN-NETWORK. OUT-OF-NETWORK. ACUTE INPATIENT HOSPITAL CARE. N/A. $290 copay per day for days 1-5 $0 copay per day for days 6-90 Your plan covers an unlimited number of days for an inpatient stay. $475 copay per day for days 1-25 $0 copay per day for days 26-90. OUTPATIENT HOSPITAL COVERAGE., HumanaChoice H5216-111 (PPO) is a Medicare Advantage (Part C) Plan by Humana. Premium: $15. Enroll Now. This page features plan details for 2022 HumanaChoice H5216-111 (PPO) H5216 – 111 – 0 available in Select Counties in Indiana and Kentucky. IMPORTANT: This page features the 2022 version of this plan. See the 2024 version …, Covered Medical and Hospital Benefits. IN-NETWORK. OUT-OF-NETWORK. ACUTE INPATIENT HOSPITAL CARE. N/A. $355 copay per day for days 1-4 $0 copay per day for days 5-90 Your plan covers an unlimited number of days for an inpatient stay. 40% of the cost. OUTPATIENT HOSPITAL COVERAGE., In-Network: $460 per stay. Out-of-Network: $460 per stay. Outpatient group therapy visit with a psychiatrist. In-Network: $35 copay. Out-of-Network: $35 copay. Outpatient individual therapy visit ..., H2491-022. Wellcare No Premium (HMO) 2024. H2491-027. Wellcare All Dual Assure (HMO D-SNP) 2024. H2491-025. Discover Medicare insurance plans accepted at our Gentilly health center and find primary care doctors accepting Medicare near you., HumanaChoice H5216-358 (PPO) is a Medicare Advantage PPO plan with a Medicare contract. Enrollment in this Humana plan depends on contract renewal. The benefit information provided is a summary of what we cover and what you pay. It doesn't list every service that we cover or list every limitation or exclusion., HumanaChoice H5216-384 (PPO) is a PPO Medicare Advantage (Medicare Part C) plan offered by Humana Inc. Plan ID: H5216-384-000. * Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system. $0.00 Monthly Premium. Michigan Medicare beneficiaries may want to consider reviewing their Medicare ...