Humana Honor (HMO-POS) H4461-004-000 is a 2021 Medicare Advantage plan without drug coverage provided by Humana. It has a premium of $0.00.

Since this plan has a zero-dollar Premium, you can enroll at no monthly cost. Please keep in mind zero-Premium Medicare plans typically have more out-of-pocket costs than higher Premium plans. So, if you tend to spend a lot out-of-pocket in a year, make sure to check out other plans as well.

In terms of networks, this plan is a Local HMO. HMO plans require you to choose an in-network primary care doctor who coordinates your care with other healthcare providers in your network. With HMOs, you must generally seek care in-network. If you seek care outside of the plan’s network, the plan will only cover emergency or urgent care in most cases. Local HMOs cover only a small service area or part of the country. If you want to have costs covered out of network, you may want to look for PPOs in your county. Meanwhile, if you need a wider area of coverage, you may want to look at Regional PPO plans specifically.

More details on this plan are provided below. If you have questions, don’t hesitate to use our site to reach out to a licensed Medicare agent for help today. Alternatively, if you know what plan you want, you can enroll online yourself using our site as well.


Plan Basics
Contract Year 2021
Medicare Type Medicare Advantage Plan (Part C)
CMS Plan ID H4461-004-000
Plan Organization Humana
Plan Type Local HMO *
Plan Name Humana Honor (HMO-POS)
Drugs Covered No
Doctors Choice Plan Doctors Only (some exceptions)
Overall Star Rating 4.5
Plan Cost Sharing
Premium $0.00
Total Premium (Includes Part B) $95.50
Monthly Part C Premium $0.00
Maximum Out-of-Pocket Limit for Parts A & B (MOOP) $5900.00

Medicare Advantage Plan Health Benefits


Additional Benefits And/or Reduced Cost-sharing For Enrollees With Certain Health Conditions?
Service Cap Network Auth. Req. Ref. Req. Cost Share
- In-Network - - No
Comprehensive Dental
Service Cap Network Auth. Req. Ref. Req. Cost Share
Diagnostic services No - - - Not covered
Endodontics Yes Out-of-Network Yes No $0 copay
Extractions No Out-of-Network Yes No $0 copay
Non-routine services Yes Out-of-Network Yes No $0 copay
Periodontics Yes Out-of-Network Yes No $0 copay
Prosthodontics, other oral/maxillofacial surgery, other services Yes Out-of-Network Yes No $0 copay
Restorative services Yes Out-of-Network Yes No $0 copay
Diagnostic Procedures/lab Services/imaging
Service Cap Network Auth. Req. Ref. Req. Cost Share
Diagnostic radiology services (e.g., MRI) - In-Network Yes No $0-75 copay
Diagnostic tests and procedures - In-Network Yes No $0-35 copay
Lab services - In-Network Yes No $0-35 copay
Outpatient x-rays - In-Network Yes No $0-35 copay
Doctor Visits
Service Cap Network Auth. Req. Ref. Req. Cost Share
Primary - In-Network - - $0 copay
Specialist - In-Network Yes No $35 copay per visit
Emergency Care/Urgent Care
Service Cap Network Auth. Req. Ref. Req. Cost Share
Emergency - - - - $90 copay per visit (always covered)
Urgent care - - - - $0-35 copay per visit (always covered)
Foot Care (podiatry Services)
Service Cap Network Auth. Req. Ref. Req. Cost Share
Foot exams and treatment - In-Network Yes No $35 copay
Routine foot care - - - - Not covered
Ground Ambulance
Service Cap Network Auth. Req. Ref. Req. Cost Share
- In-Network - - $290 copay
Health Plan Deductible
Service Cap Network Auth. Req. Ref. Req. Cost Share
- - - - $0
Hearing
Service Cap Network Auth. Req. Ref. Req. Cost Share
Fitting/evaluation Yes In-Network Yes No $0 copay
Hearing aids Yes In-Network No No $399-699 copay
Hearing exam - In-Network Yes No $35 copay
Inpatient Hospital Coverage
Service Cap Network Auth. Req. Ref. Req. Cost Share
- Out-of-Network Yes No Not Applicable
Maximum Out-of-pocket Enrollee Responsibility (does Not Include Prescription Drugs)
Service Cap Network Auth. Req. Ref. Req. Cost Share
- - - - $5,900 In-network
Medical Equipment/supplies
Service Cap Network Auth. Req. Ref. Req. Cost Share
Diabetes supplies - In-Network Yes - $0 copay or 10-20% coinsurance per item
Durable medical equipment (e.g., wheelchairs, oxygen) - In-Network Yes - 20% coinsurance per item
Prosthetics (e.g., braces, artificial limbs) - In-Network Yes - 20% coinsurance per item
Medicare Part B Drugs
Service Cap Network Auth. Req. Ref. Req. Cost Share
Chemotherapy - In-Network Yes - 20% coinsurance
Other Part B drugs - In-Network Yes - 20% coinsurance
Mental Health Services
Service Cap Network Auth. Req. Ref. Req. Cost Share
Inpatient hospital - psychiatric - Out-of-Network Yes No Not Applicable
Outpatient group therapy visit - In-Network Yes No $35 copay
Outpatient group therapy visit with a psychiatrist - In-Network Yes No $35 copay
Outpatient individual therapy visit - In-Network Yes No $35 copay
Outpatient individual therapy visit with a psychiatrist - In-Network Yes No $35 copay
Optional Supplemental Benefits
Service Cap Network Auth. Req. Ref. Req. Cost Share
- - - - No
Other Health Plan Deductibles?
Service Cap Network Auth. Req. Ref. Req. Cost Share
- In-Network - - No
Outpatient Hospital Coverage
Service Cap Network Auth. Req. Ref. Req. Cost Share
- In-Network Yes No $35-175 copay per visit
Preventive Care
Service Cap Network Auth. Req. Ref. Req. Cost Share
- In-Network No No $0 copay
Preventive Dental
Service Cap Network Auth. Req. Ref. Req. Cost Share
Cleaning Yes Out-of-Network No No $0 copay
Dental x-ray(s) Yes Out-of-Network No No $0 copay
Fluoride treatment Yes Out-of-Network No No $0 copay
Oral exam Yes Out-of-Network No No $0 copay
Rehabilitation Services
Service Cap Network Auth. Req. Ref. Req. Cost Share
Occupational therapy visit - In-Network Yes No $20 copay
Physical therapy and speech and language therapy visit - In-Network Yes No $20 copay
Skilled Nursing Facility
Service Cap Network Auth. Req. Ref. Req. Cost Share
- Out-of-Network Yes No Not Applicable
Transportation
Service Cap Network Auth. Req. Ref. Req. Cost Share
- - - - Not covered
Vision
Service Cap Network Auth. Req. Ref. Req. Cost Share
Contact lenses Yes In-Network Yes No $0 copay
Eyeglass frames No - - - Not covered
Eyeglass lenses No - - - Not covered
Eyeglasses (frames and lenses) Yes In-Network Yes No $0 copay
Other No - - - Not covered
Routine eye exam Yes In-Network Yes No $0 copay
Upgrades - - - - Not covered
Wellness Programs (e.g., Fitness, Nursing Hotline)
Service Cap Network Auth. Req. Ref. Req. Cost Share
- - Yes No Covered
Plan Drug Info
Formulary Link Drug Formulary Directory
Official Medicare Contact
Medicare Phone 1-800-MEDICARE (1-800-633-4227)
Medicare TTY User 1-877-486-2048
Plan Available in these Counties
Anderson County, Tennessee, Bedford County, Tennessee, Bledsoe County, Tennessee, Blount County, Tennessee, Bradley County, Tennessee, Campbell County, Tennessee, Carter County, Tennessee, Cheatham County, Tennessee, Claiborne County, Tennessee, Cocke County, Tennessee, Coffee County, Tennessee, Cumberland County, Tennessee, Davidson County, Tennessee, Dekalb County, Tennessee, Dickson County, Tennessee, Fayette County, Tennessee, Franklin County, Tennessee, Giles County, Tennessee, Grainger County, Tennessee, Greene County, Tennessee, Grundy County, Tennessee, Hamblen County, Tennessee, Hamilton County, Tennessee, Hancock County, Tennessee, Hardeman County, Tennessee, Hawkins County, Tennessee, Haywood County, Tennessee, Henry County, Tennessee, Hickman County, Tennessee, Jefferson County, Tennessee, Johnson County, Tennessee, Knox County, Tennessee, Lauderdale County, Tennessee, Loudon County, Tennessee, Madison County, Tennessee, Marion County, Tennessee, Marshall County, Tennessee, Mcminn County, Tennessee, Meigs County, Tennessee, Monroe County, Tennessee, Montgomery County, Tennessee, Morgan County, Tennessee, Polk County, Tennessee, Putnam County, Tennessee, Rhea County, Tennessee, Roane County, Tennessee, Robertson County, Tennessee, Rutherford County, Tennessee, Scott County, Tennessee, Sequatchie County, Tennessee, Sevier County, Tennessee, Shelby County, Tennessee, Sullivan County, Tennessee, Sumner County, Tennessee, Tipton County, Tennessee, Unicoi County, Tennessee, Union County, Tennessee, Warren County, Tennessee, Washington County, Tennessee, White County, Tennessee, Williamson County, Tennessee, Wilson County, Tennessee

NOTE: Information on MedicarePolicyHelper.com is for educational purposes only. We are not affiliated with Medicare, or CMS. Medicare has not reviewed or endorsed the information on our site. All plan data on our site comes directly from medicare.gov and is subject to change.