Southwest Florida Humana Plan Updates for 2025*

HumanaChoice Florida H5216-393 PPO (renamed Humana Full Access Giveback)

Annual Notice of Change link 

• Part B giveback - $174.70/month (this will reduce your Part B premium payment)
• Max out of pocket - in-network $6700; combined in & out-of-network $6700
• Passive PPO - same copays in-network and out-of-network
• $0 Primary Care, $45 Specialist (in and out-of-network)
• $1000 dental benefit for preventative only with copays for some services
• No over-the-counter allowance
• $275 medical deductible applies to some services

HumanaChoice Florida H5216-304 PPO 

 Annual Notice of Change link

• Max out of pocket - in-network $4700, combined in & out-of-network $8900
• $0 Primary Care, $30 specialist (in-network)
• $1000 dental benefit for preventative and comprehensive
• $50/quarter over-the-counter allowance

Humana Gold Plus H1036-217 HMO

 Annual Notice of Change link

• Max out of pocket - $4150
• $0 Primary Care, $10 specialist 
• $1500 dental benefit for preventative and comprehensive
• $100/quarter over-the-counter allowance
• $35/month health options allowance for those with certain chronic conditions

Humana Gold Plus Giveback H1036-278 HMO

 Annual Notice of Change link

• Part B giveback - $80/month (this will reduce your Part B premium payment)
• Max out of pocket - $4400
• $0 Primary Care, $35 specialist
• $1000 dental benefit for preventative and comprehensive
• No over-the-counter allowance

Humana Gold Plus Diabetes & Heart C-SNP H1036-311 HMO

 Annual Notice of Change link

• Part B giveback - $92/month (this will reduce your Part B premium payment)
• Max out of pocket - $3300
• $0 Primary Care, $15 specialist
• $1500 dental benefit for preventative only with copays for some services
• $30/month helathy options allowance 

Humana Gold Plus SNP-DE H1036-285 (HMO DSNP)

 Annual Notice of Change link

• Plan option for those with both Medicare and Medicaid
• $3000 dental allowance
• $100 monthly helathy options allowance
• transportation - 50 one-way trips

Humana Gold Plus SNP-DE H1036-314 (HMO DSNP)

 Annual Notice of Change link

• Plan option for those with both Medicare and Medicaid
• $1000 dental allowance
• $225 monthly helathy options allowance
• $125/quarter over-the-counter allowance
• transportation - 50 one-way trips

HumanaChoice Florida SNP-DE H5216-394 (PPO DSNP)

 Annual Notice of Change link

• Plan option for those with both Medicare and Full Medicaid
• $2000 dental allowance
• $200 monthly helathy options allowance
• $35/month over-the-counter allowance
• transportation - 50 one-way trips

HumanaChoice Florida H5216-392 PPO ($22/month premium)

Humana is discontinuing this plan. It was a good alternative for those that were not eligible for a Medicare Supplement Plan. With the plan exit, you are now eligible to enroll in a Medicare Supplement plan with no medical underwriting!

*Additional Humana plans are available that are not listed here. Please contact me for more information.