Humana Honor (PPO) is a Medicare Advantage plan provided by Humana. This plan does not provide drug coverage.
In terms of networks, this plan is a Local PPO. With a PPO, you don’t need to choose a primary care doctor and can utilize healthcare providers inside or outside your network (although you'll typically pay less for providers in a plan's network). Local PPOs cover only a small service area, such as a part of a county, a single county, or a group of counties. If you need a wider area of coverage, you may want to look at Regional PPO plans if any are available in your region.
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 |
H5216-235-000 |
Plan Organization |
Humana |
Plan Type |
Local PPO * |
Plan Name |
Humana Honor (PPO) |
Drugs Covered |
No |
Doctors Choice |
Any Doctor |
Overall Star Rating |
4 |
Plan Cost Sharing
Premium |
$0.00 |
Total Premium (Includes Part B) |
$105.50 |
Monthly Part C Premium |
$0.00 |
Maximum Out-of-Pocket Limit for Parts A & B (MOOP) |
$3400.00 |
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 |
Yes |
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) |
- |
Out-of-Network |
Yes |
No |
30% coinsurance |
Diagnostic tests and procedures |
- |
Out-of-Network |
Yes |
No |
$0 copay or 30% coinsurance |
Lab services |
- |
Out-of-Network |
Yes |
No |
30% coinsurance |
Outpatient x-rays |
- |
Out-of-Network |
Yes |
No |
30% coinsurance |
Doctor Visits
Service |
Cap |
Network |
Auth. Req. |
Ref. Req. |
Cost Share |
Primary |
- |
Out-of-Network |
- |
- |
30% coinsurance per visit |
Specialist |
- |
Out-of-Network |
No |
No |
30% coinsurance per visit |
Emergency Care/Urgent Care
Service |
Cap |
Network |
Auth. Req. |
Ref. Req. |
Cost Share |
Emergency |
- |
- |
- |
- |
$90 copay per visit (always covered) |
Urgent care |
- |
- |
- |
- |
$10-30 copay or 30% coinsurance per visit (always covered) |
Foot Care (podiatry Services)
Service |
Cap |
Network |
Auth. Req. |
Ref. Req. |
Cost Share |
Foot exams and treatment |
- |
Out-of-Network |
Yes |
No |
30% coinsurance |
Routine foot care |
- |
- |
- |
- |
Not covered |
Ground Ambulance
Service |
Cap |
Network |
Auth. Req. |
Ref. Req. |
Cost Share |
|
- |
Out-of-Network |
- |
- |
$290 copay |
Health Plan Deductible
Service |
Cap |
Network |
Auth. Req. |
Ref. Req. |
Cost Share |
|
- |
- |
- |
- |
$250 annual deductible |
Hearing
Service |
Cap |
Network |
Auth. Req. |
Ref. Req. |
Cost Share |
Fitting/evaluation |
Yes |
Out-of-Network |
Yes |
No |
$0 copay |
Hearing aids |
Yes |
Out-of-Network |
No |
No |
$399-699 copay |
Hearing exam |
- |
Out-of-Network |
Yes |
No |
30% coinsurance |
Inpatient Hospital Coverage
Service |
Cap |
Network |
Auth. Req. |
Ref. Req. |
Cost Share |
|
- |
Out-of-Network |
Yes |
No |
30% per stay |
Maximum Out-of-pocket Enrollee Responsibility (does Not Include Prescription Drugs)
Service |
Cap |
Network |
Auth. Req. |
Ref. Req. |
Cost Share |
|
- |
- |
- |
- |
$5,100 In and Out-of-network$3,400 In-network |
Medical Equipment/supplies
Service |
Cap |
Network |
Auth. Req. |
Ref. Req. |
Cost Share |
Diabetes supplies |
- |
Out-of-Network |
Yes |
- |
30% coinsurance per item |
Durable medical equipment (e.g., wheelchairs, oxygen) |
- |
Out-of-Network |
Yes |
- |
20% coinsurance per item |
Prosthetics (e.g., braces, artificial limbs) |
- |
Out-of-Network |
Yes |
- |
30% coinsurance per item |
Medicare Part B Drugs
Service |
Cap |
Network |
Auth. Req. |
Ref. Req. |
Cost Share |
Chemotherapy |
- |
Out-of-Network |
Yes |
- |
20-30% coinsurance |
Other Part B drugs |
- |
Out-of-Network |
Yes |
- |
20-30% coinsurance |
Mental Health Services
Service |
Cap |
Network |
Auth. Req. |
Ref. Req. |
Cost Share |
Inpatient hospital - psychiatric |
- |
Out-of-Network |
Yes |
No |
30% per stay |
Outpatient group therapy visit |
- |
Out-of-Network |
Yes |
No |
30% coinsurance |
Outpatient group therapy visit with a psychiatrist |
- |
Out-of-Network |
Yes |
No |
30% coinsurance |
Outpatient individual therapy visit |
- |
Out-of-Network |
Yes |
No |
30% coinsurance |
Outpatient individual therapy visit with a psychiatrist |
- |
Out-of-Network |
Yes |
No |
30% coinsurance |
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 |
|
- |
Out-of-Network |
Yes |
No |
30% coinsurance per visit |
Preventive Care
Service |
Cap |
Network |
Auth. Req. |
Ref. Req. |
Cost Share |
|
- |
Out-of-Network |
No |
No |
$0 copay or 30% coinsurance |
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 |
- |
Out-of-Network |
Yes |
No |
30% coinsurance |
Physical therapy and speech and language therapy visit |
- |
Out-of-Network |
Yes |
No |
30% coinsurance |
Skilled Nursing Facility
Service |
Cap |
Network |
Auth. Req. |
Ref. Req. |
Cost Share |
|
- |
Out-of-Network |
Yes |
No |
30% per stay |
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 |
Out-of-Network |
Yes |
No |
$0 copay |
Eyeglass frames |
No |
- |
- |
- |
Not covered |
Eyeglass lenses |
No |
- |
- |
- |
Not covered |
Eyeglasses (frames and lenses) |
Yes |
Out-of-Network |
Yes |
No |
$0 copay |
Other |
No |
- |
- |
- |
Not covered |
Routine eye exam |
Yes |
Out-of-Network |
Yes |
No |
$0 copay |
Upgrades |
- |
- |
- |
- |
Not covered |
Wellness Programs (e.g., Fitness, Nursing Hotline)
Service |
Cap |
Network |
Auth. Req. |
Ref. Req. |
Cost Share |
|
- |
- |
No |
No |
Covered |
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,
Benton County, Tennessee,
Bledsoe County, Tennessee,
Blount County, Tennessee,
Bradley County, Tennessee,
Campbell County, Tennessee,
Cannon County, Tennessee,
Carroll County, Tennessee,
Carter County, Tennessee,
Cheatham County, Tennessee,
Chester County, Tennessee,
Claiborne County, Tennessee,
Clay County, Tennessee,
Cocke County, Tennessee,
Coffee County, Tennessee,
Crockett County, Tennessee,
Cumberland County, Tennessee,
Davidson County, Tennessee,
Decatur County, Tennessee,
Dekalb County, Tennessee,
Dickson County, Tennessee,
Dyer County, Tennessee,
Fayette County, Tennessee,
Fentress County, Tennessee,
Franklin County, Tennessee,
Gibson 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,
Hardin County, Tennessee,
Hawkins County, Tennessee,
Haywood County, Tennessee,
Henderson County, Tennessee,
Henry County, Tennessee,
Hickman County, Tennessee,
Houston County, Tennessee,
Humphreys County, Tennessee,
Jackson County, Tennessee,
Jefferson County, Tennessee,
Johnson County, Tennessee,
Knox County, Tennessee,
Lake County, Tennessee,
Lauderdale County, Tennessee,
Lawrence County, Tennessee,
Lewis County, Tennessee,
Lincoln County, Tennessee,
Loudon County, Tennessee,
Macon County, Tennessee,
Madison County, Tennessee,
Marion County, Tennessee,
Marshall County, Tennessee,
Maury County, Tennessee,
Mcminn County, Tennessee,
Mcnairy County, Tennessee,
Meigs County, Tennessee,
Monroe County, Tennessee,
Montgomery County, Tennessee,
Moore County, Tennessee,
Morgan County, Tennessee,
Obion County, Tennessee,
Overton County, Tennessee,
Perry County, Tennessee,
Pickett 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,
Smith County, Tennessee,
Stewart County, Tennessee,
Sullivan County, Tennessee,
Sumner County, Tennessee,
Tipton County, Tennessee,
Trousdale County, Tennessee,
Unicoi County, Tennessee,
Union County, Tennessee,
Van Buren County, Tennessee,
Warren County, Tennessee,
Washington County, Tennessee,
Wayne County, Tennessee,
Weakley 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.