HumanaChoice H5216-254 (PPO) in Sarpy, Nebraska (2023)

4 out of 5 stars* for plan year 2024

Plan ID: H5216-254

What You Need to Know:

• HumanaChoice H5216-254 (PPO) is a Medicare Advantage Health Maintenance Organization Local PPO plan.
• It must provide all of the same hospital and medical benefits as Medicare Part A and Part B, however, costs may be different.
• It has additional benefits not included in Medicare Part A and Part B, including prescription drug coverage.
• The plan's monthly premium is $0, which does not include your monthly Medicare Part B premium.
• The annual deductible for this health plan is $250 (Tier 1, 2 and 3 excluded from the Deductible.).
• The plan includes an out-of-pocket maximum of $4,050 per year (in-network).
• HumanaChoice H5216-254 (PPO) includes a Part D prescription drug plan for prescription medication coverage. The annual deductible is $250 (Tier 1, 2 and 3 excluded from the Deductible.).
• This plan's Part D Initial Coverage Limit is $0.

* Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system.