HumanaChoice R7315-001 (Regional PPO) R7315-001-000 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.

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 R7315-001-000
Plan Organization Humana
Plan Type Regional PPO *
Plan Name HumanaChoice R7315-001 (Regional PPO)
Drugs Covered No
Doctors Choice Any Doctor
Overall Star Rating 3.5
Plan Cost Sharing
Premium $0.00
Total Premium (Includes Part B) $126.50
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 55-75% coinsurance
Extractions Yes Out-of-Network Yes No 55-75% coinsurance
Non-routine services Yes Out-of-Network Yes No 55-75% coinsurance
Periodontics Yes Out-of-Network Yes No 55-75% coinsurance
Prosthodontics, other oral/maxillofacial surgery, other services Yes Out-of-Network Yes No 55-75% coinsurance
Restorative services Yes Out-of-Network Yes No 55-75% coinsurance
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 - - $265 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 50% coinsurance
Dental x-ray(s) Yes Out-of-Network No No 50% coinsurance
Fluoride treatment Yes Out-of-Network No No 50% coinsurance
Oral exam Yes Out-of-Network No No 50% coinsurance
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
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, Autauga County, Alabama, Baldwin County, Alabama, Barbour County, Alabama, Bedford County, Tennessee, Benton County, Tennessee, Bibb County, Alabama, Bledsoe County, Tennessee, Blount County, Alabama, Blount County, Tennessee, Bradley County, Tennessee, Bullock County, Alabama, Butler County, Alabama, Calhoun County, Alabama, Campbell County, Tennessee, Cannon County, Tennessee, Carroll County, Tennessee, Carter County, Tennessee, Chambers County, Alabama, Cheatham County, Tennessee, Cherokee County, Alabama, Chester County, Tennessee, Chilton County, Alabama, Choctaw County, Alabama, Claiborne County, Tennessee, Clarke County, Alabama, Clay County, Alabama, Clay County, Tennessee, Cleburne County, Alabama, Cocke County, Tennessee, Coffee County, Alabama, Coffee County, Tennessee, Colbert County, Alabama, Conecuh County, Alabama, Coosa County, Alabama, Covington County, Alabama, Crenshaw County, Alabama, Crockett County, Tennessee, Cullman County, Alabama, Cumberland County, Tennessee, Dale County, Alabama, Dallas County, Alabama, Davidson County, Tennessee, Decatur County, Tennessee, Dekalb County, Alabama, Dekalb County, Tennessee, Dickson County, Tennessee, Dyer County, Tennessee, Elmore County, Alabama, Escambia County, Alabama, Etowah County, Alabama, Fayette County, Alabama, Fayette County, Tennessee, Fentress County, Tennessee, Franklin County, Alabama, Franklin County, Tennessee, Geneva County, Alabama, Gibson County, Tennessee, Giles County, Tennessee, Grainger County, Tennessee, Greene County, Alabama, Greene County, Tennessee, Grundy County, Tennessee, Hale County, Alabama, 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, Alabama, Henry County, Tennessee, Hickman County, Tennessee, Houston County, Alabama, Houston County, Tennessee, Humphreys County, Tennessee, Jackson County, Alabama, Jackson County, Tennessee, Jefferson County, Alabama, Jefferson County, Tennessee, Johnson County, Tennessee, Knox County, Tennessee, Lake County, Tennessee, Lamar County, Alabama, Lauderdale County, Alabama, Lauderdale County, Tennessee, Lawrence County, Alabama, Lawrence County, Tennessee, Lee County, Alabama, Lewis County, Tennessee, Limestone County, Alabama, Lincoln County, Tennessee, Loudon County, Tennessee, Lowndes County, Alabama, Macon County, Alabama, Macon County, Tennessee, Madison County, Alabama, Madison County, Tennessee, Marengo County, Alabama, Marion County, Alabama, Marion County, Tennessee, Marshall County, Alabama, Marshall County, Tennessee, Maury County, Tennessee, Mcminn County, Tennessee, Mcnairy County, Tennessee, Meigs County, Tennessee, Mobile County, Alabama, Monroe County, Alabama, Monroe County, Tennessee, Montgomery County, Alabama, Montgomery County, Tennessee, Moore County, Tennessee, Morgan County, Alabama, Morgan County, Tennessee, Obion County, Tennessee, Overton County, Tennessee, Perry County, Alabama, Perry County, Tennessee, Pickens County, Alabama, Pickett County, Tennessee, Pike County, Alabama, Polk County, Tennessee, Putnam County, Tennessee, Randolph County, Alabama, Rhea County, Tennessee, Roane County, Tennessee, Robertson County, Tennessee, Russell County, Alabama, Rutherford County, Tennessee, Saint Clair County, Alabama, Scott County, Tennessee, Sequatchie County, Tennessee, Sevier County, Tennessee, Shelby County, Alabama, Shelby County, Tennessee, Smith County, Tennessee, Stewart County, Tennessee, Sullivan County, Tennessee, Sumner County, Tennessee, Sumter County, Alabama, Talladega County, Alabama, Tallapoosa County, Alabama, Tipton County, Tennessee, Trousdale County, Tennessee, Tuscaloosa County, Alabama, Unicoi County, Tennessee, Union County, Tennessee, Van Buren County, Tennessee, Walker County, Alabama, Warren County, Tennessee, Washington County, Alabama, Washington County, Tennessee, Wayne County, Tennessee, Weakley County, Tennessee, White County, Tennessee, Wilcox County, Alabama, Williamson County, Tennessee, Wilson County, Tennessee, Winston County, Alabama

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.