2014 HumanaChoice PPO Medicare Advantage Plan Details

HumanaChoice PPO® is a Medicare Advantage Preferred Provider Organization (PPO) which offers additional benefits to your original Medicare. HumanaChoice® gives you the freedom to choose which hospitals, specialists, and doctors you would like to use. No referral is required and you do not need to select a primary care physician (PCP). You can also go to providers outside of the network but you reduce your costs when you use the large list of in network providers. Some plans offer Prescription drug coverage better or equal to the requirement for a Medicare Part D Plan (depending on your region). HumanaChoice PPO® offers worldwide coverage for emergency care. And features an affordable monthly plan premium for most plans. Coverage for annual screening are also offered at no additional charge. Here are some examples of coverage of three plans offered by HumanaChoice® that show your in network benefits. You can browse the Medicare Advantage HumanaChoice PPO R-5826-005 complete plan details here.


Humana Plan Details

2014 HumanaChoice R5415-056 (Regional PPO) 2014 HumanaChoice R5826-063 (Regional PPO) 2014 HumanaChoice R5826-005 (Regional PPO)
Plan Type Medicare Advantage Plan
Preferred Provider Organization(PPO)
Medicare Advantage Plan
Preferred Provider Organization(PPO)
Medicare Advantage Plan
Preferred Provider Organization(PPO)
Rx Coverage included check Humana Choice PPO Plan Details
not included check Humana Choice PPO Plan Details
included check Humana Choice PPO Plan Details
Annual Premium C+D $540 $0.00 $1104.00
Annual Drug Deductible $0.00 No Prescription Drug Coverage $0.00
State Available Florida Virginia Florida



Doctors and Hospitals

HumanaChoice,
PPO H5415-056
HumanaChoice,
PPO R5826-063
HumanaChoice,
PPO R5826-005
Annual Medical Deductible $0.00 $0.00 $0.00
Health Plan Premium $3.70 $0.00 $55.00
Maximum Out-of-Pocket $3000 $3400 $5700
Doctor Access
  • Option to see physicians in- or out- of the plan’s network.
  • No referrals required.
  • You pay more for out-of-network services.
  • Option to see physicians in- or out- of the plan’s network.
  • No referrals required.
  • You pay more for out-of-network services.
  • Option to see physicians in- or out- of the plan’s network.
  • No referrals required.
  • You pay more for out-of-network services.
Primary Care Doctor Copay (per visit) $10.00 $5.00 $5.00
Specialist Doctor Copay (per visit) $35.00 $30.00 $35.00
Hospital Deductible (Per Benefit Period) $0.00 $0.00 $0.00
Hospital Cost (per day, per admit) $225.00 $150.00 $225.00



Additional Included Benefits

HumanaChoice,
PPO H5415-056
HumanaChoice,
PPO R5826-063
HumanaChoice,
PPO R5826-005
Health Education included check Humana Choice PPO Plan Details included check Humana Choice PPO Plan Details included check Humana Choice PPO Plan Details
Fitness Program included check Humana Choice PPO Plan Details included check Humana Choice PPO Plan Details included check Humana Choice PPO Plan Details
24 Hour Nurse Advice Line included check Humana Choice PPO Plan Details included check Humana Choice PPO Plan Details included check Humana Choice PPO Plan Details
HearX Discount
not included check Humana Choice PPO Plan Details
not included check Humana Choice PPO Plan Details
not included check Humana Choice PPO Plan Details
Rx Discount included check Humana Choice PPO Plan Details
not included check Humana Choice PPO Plan Details
included check Humana Choice PPO Plan Details
Vision Discount included check Humana Choice PPO Plan Details included check Humana Choice PPO Plan Details included check Humana Choice PPO Plan Details




Health and Wellness Products

With HumanaChoice you are eligible to receive a monthly benefit toward the purchase of selected over-the-counter items such as vitamins, pain relievers, cough and cold medicines, allergy medications, and first aid/medical supplies when you use Humana’s mail order service.


Preventive Services

No coinsurance, copayment or deductible for the following:
- Abdominal Aortic Aneurysm Screening
– Bone Mass Measurement. (Once every 24 months)
– Cardiovascular Screening
– Cervical and Vaginal Cancer Screening (once every 24 months unless at high risk)
– Colorectal Cancer Screening
– Diabetes Screening
– Influenza Vaccine
– Hepatitis B Vaccine for people with Medicare who are at risk
– Breast Cancer Screening Mammogram (once every 12 months)
– Medical Nutrition Therapy Services who have diabetes or kidney disease
– Annual Wellness Visits
– Pneumococcal Vaccine
– Prostate Cancer Screening
– Smoking and Tobacco Use Cessation
– Screening and behavioral counseling to reduce alcohol misuse
– Screening for depression in adults
– Screening for sexually transmitted infections (STI)
– Intensive behavioral counseling for Cardiovascular Disease (bi-annual)
– Intensive behavioral therapy for obesity
– Welcome to Medicare Preventive Visits


If you are interested in signing up for a Humana Medicare plan but find these shown plans do not fit you needs. Humana offers hundreds of other plans across America. Including HMO plans such as Medicare Advantage Humana Gold Plus HMO, Humana Part-D Plans, Humana Walmart Rx Part-D plans.

QOOQe is a free guide designed to help medicare participants find the right medical coverage. All plan data is from CMS.gov and Medicare.gov. Please contact your plan provider in order to verify plan details.

1 Response

  1. i have walmart rx plan why am i being charged 22.80 when they advertise this plan at 12.80

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