HumanaChoice Florida SNP-DE H7617-113 (PPO D-SNP)
Monthly premium
$0.00
CMS Plan Rating
Contract ID
★★★
★
★
H7617-113-000
Medical deductible
$0
Rx deductible
$0 - $615 (Tiers 3-5)
Medicare Part B Giveback
N/A
Monthly premium
$0.00
HumanaChoice Florida SNP-DE H7617-113 (PPO D-SNP)
Contract ID
CMS Plan Rating
H7617-113-000
★★★
★
★
Medical deductible
$0
Rx deductible
$0 - $615 (Tiers 3-5)
Medicare Part B Giveback
N/A
Medicare Advantage, also known as Medicare Part C, is a health plan option that provides Medicare Part A and Part B coverage. Medicare Advantage plans are offered by private insurance companies that are approved by Medicare. These plans provide benefits similar to Original Medicare Part A and Part B, but often include additional benefits such as dental, hearing and vision.
Medical benefits
In-network
What you pay
Primary doctor
$0 copay
Specialist
$0 copay
Outpatient diagnostic tests/Lab and X-Rays
$0 or 20% coinsurance
Urgent care
$0 or $40 copay
Maximum Out-of-Pocket (Annually)
$4,900 in-network
Ambulance services
$0 or 20% coinsurance
Emergency room (waived if admitted to hospital within 24 hours)
$0 or $130 copay
Inpatient hospital care
$0 or $1,000 copay per admit
Skilled nursing facility
$0 copay per day (Days 1-20)
- Important Notice
For full plan details, see the Evidence of Coverage or Summary of Benefits in the Plan Documents.
Rx benefits
Tier 1 - Preferred generic
$0 copay
Tier 2 - Generic
$0 copay
Tier 3 - Preferred brand
25%
Tier 4 - Non-preferred brand
25%
Tier 5 - Specialty
25%
Additional Benefits
- Vision
- Dental
- Hearing
- SilverSneakers Gym Membership
- Worldwide Emergency Coverage