Medicare AdvantageMedicare plans provided by the federal government of the United States covers part A as well as Part B of your medicare. In simpler words, it means that the Original Medicare would cover your hospital and medicare coverage. Whereas advantage plans not only cover your medicare as well as hospital coverage but also provides you with tons of extra benefits. You can enrol yourself in these advantage plans at a monthly premium as low as $0. Humana is one of the biggest healthcare providers in the United States and covers all the 50 states of the country. Humana Medicare Advantage plans in Clarkesville are discussed below.

 

Humana Choice H5216-157 (PPO)

With an overall rating of 4, the plan is offered at a monthly premium of $0. The plan has no annual deductible and has a maximum out of pocket expense of $6700. While visiting your primary doctor you have to pay a copay of $10 for a doctor inside the network, and a copay of $40 for a specialist. It would cost you 30% coinsurance for referring a doctor out of your plan’s network. The plan does not cover your prescription drugs and you have to enrol in an additional part D plan. The plan also provides cardiac and pulmonary rehabilitation services, occupational therapy services, as well as speech therapy services. The plan also covers up to 100 days of Skilled Nursing Facility, dental services, vision services, routine hearing tests, chiropractic care, and outpatient mental health services.

 

Humana Choice R3392-001 (Regional PPO)

With an overall rating of 4, the plan is offered at a monthly premium of $0. This regional PPO plan has an annual deductible of $500, and a maximum out of pocket expense of $6700. You have to pay a $15 copay while visiting your primary doctor, and a copay of $50 while visiting a specialist. The plan does not cover your prescription drug coverage. The plan covers your annual lab tests, therapeutic radiology services like a CT scan or MRI scan, outpatient surgery services and rehabilitation services as well. The plan also covers meals, which is an added benefit. It covers up to 40 meals, for 20 days.

 

Humana Choice H5216-154 (PPO)

With an overall rating of 4, the plan is offered at a monthly premium of $0. The plan has an annual in-network deductible of $1000 and an out of pocket maximum expense of $6700. You have to pay a $20 copay for visiting your primary health care provider, and a $50 copay for an office visit to a specialist. The plan covers your prescription drug needs as well with a deductible amount of $400. This is applicable to preferred brand, non-preferred drug, and specialty tier. For generic and brand name drugs you have to pay a coinsurance of 25%. The plan also provides extra benefits like home health care services, preventive care services, eye exams, eyewear, contact lenses, eyeglasses, glaucoma screening, routine hearing exams, fitness benefits, Silver sneakers program, outpatient mental health services, as well as chiropractic coverage.

 

Humana Choice H5216-207 (PPO)

With an overall rating of 4, the plan is offered at a monthly premium of $0. The plan does not have any annual deductible and an out of pocket maximum of $6700. While visiting your primary doctor who would have to pay a copay of $20, and for a specialist a copay of $50. The plan covers prescription drug services as well, with a deductible of $195. The deductible is applicable to preferred brand, non-preferred drug, and specialty tier. For generic as well as brand name drugs you have to pay a 25% coinsurance. For the urgently needed services, you have to pay a maximum copay of $50. The plan also covers outpatient mental health, at $40 copay.

 

Humana Choice H5216-142 (PPO)

With an overall rating of 4, the plan is offered at a monthly premium of $28. The plan has an annual deductible of $500 for both in as well as out of the network, and a maximum out of pocket expense of $6700. While visiting your healthcare provider you have to pay a copay of $15 and for a specialist, a copay of $50. The plan also covers your prescription needs and provides a deductible of $250, applicable to preferred brand, non-preferred drug, and specialty tier. For generic and brand name drugs, you have to pay a coinsurance of 25%. The plan also covers outpatient lab services, diagnostics, therapeutic radiology services, occupational therapy services, physical therapy, as well as language and speech therapy. You can also avail home care and preventive care services at a $0 copay.

 

Humana Choice R3392-002 (Regional PPO)

With an overall rating of 4, the plan has a monthly premium of $76. It does not have an annual in-network deductible and the plan has an out of pocket maximum of $6700. There is a $20 copay, whenever you would visit your primary doctor, and a $50 copay while visiting a specialist. The plan also covers your prescription needs and provides a deductible of $340, applicable to preferred brand, non-preferred drug, and specialty tier. For generic and brand name drugs, you have to pay a coinsurance of 25%. Emergency ambulance services and air ambulance services are also covered in this plan at a minimal copay and coinsurance. Along with pulmonary rehabilitation services, occupational therapy services, physical therapy, speech and language therapy services are also covered under this plan at $40 copay.

Humana Gold Choice H8145-069 (PFFS)

With an overall rating of 3.4, the plan is offered at a monthly premium of $127. The plan has no annual deductible and an out of pocket maximum of $6700. While visiting your primary doctor you have to pay a copay of $15 and for a specialist, you have to pay a copay of $50. The plan includes prescription drug services as well with a deductible amount of $340. The deductible amount is applicable to preferred brand, non-preferred drug, and specialty tier. The plan also provides in-network home healthcare as well as preventive care at $0 copay. The plan also covers oral exams, prophylaxis, dental x-rays, and restorative services at 0% coinsurance. The plan also entitles you to SilverSneakers program, along with over the counter benefits and chiropractic care as well.

 

Humana Choice SNP-DE H5216-205 (PPO D-SNP)

With an overall rating of 4 stars, this plan is offered at a monthly premium of $0. This gold plus plan is Special needs Medicare Advantage which is specially added for people with particular chronic diseases. Not everybody is allowed to enrol in such plans. If you have a chronic disease like heart failure or end-stage renal disease, you can enrol in this plan. The special needs plan is specifically designed to cater to your needs depending on your particular situation. You have to pay a $0 copay while visiting your primary or specialty doctor. The plan also covers in-hospital stay and several chiropractic services as well. Along with covering the transportation costs, dental services, vision services, hearing services, over-the-counter benefits and fitness benefits are also covered in this plan. The plan also covers all of your prescription drug cost as well, provided you use the in-network pharmacies. The plan also provides preventive and home health care services at $0 copay.