H8087-004

The HumanaChoice H8087-001 (PPO) (H8087 - 001) currently has 25,121 members. There are 465 members enrolled in this plan in Kalamazoo, Michigan. The Centers for Medicare and Medicaid Services (CMS) is not yet able to calculate a summary rating for this plan carrier. The detail CMS plan carrier ratings are as follows:

H8087-004. HumanaChoice H8087-004 (PPO) is a Medicare Advantage (Part C) Plan by Humana. Premium: $0.00. Enroll Now. This page features plan details for 2023 HumanaChoice H8087-004 (PPO) H8087 – 004 – 0 available in Michigan (Non-Detroit). IMPORTANT: This page features the 2023 version of this plan. See the 2024 version using the link below:

2024 Medicare Advantage Plan Benefit Details for the Humana Gold Plus H4461-004 (HMO) Please go to Medicare.gov or call 1-800-MEDICARE (1-800-633-4227) to get information on all of your options. This plan has a $100 Part B monthly premium rebate (or giveback). However, you must continue to pay your Medicare Part B premium.

3.5 out of 5 stars* for plan year 2024. HumanaChoice H0473-004 (PPO) is a PPO Medicare Advantage (Medicare Part C) plan offered by Humana Inc. Plan ID: H0473-004-000. * Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system. $0.00 Monthly Premium.TTY 711, Mon-Sun 8 am - 11 pm EST. Established in 1961, Humana Inc. is a health insurance company based in Louisville, Kentucky. It’s currently the fifth largest provider of health insurance in ...To join HumanaChoice H8087-004 (PPO), you must be entitled to Medicare Part A, be enrolled in Medicare Part B and live in our service area. Plan name: HumanaChoice H8087-004 (PPO) How to reach us: If you're amember of this plan, call toll-free: 1-800-457-4708 (TTY: 711) . If you're not amember of this plan, call toll free: 1-800 …Get 2023 Medicare Advantage Part C/Part D Health and Prescription plan benefit details for any plan in any state, including premiums, deductibles, Rx cost-sharing and health benefits/cost-sharing. Sign-up for our free Medicare Part D Newsletter, Use the Online Calculators, FAQs or contact us through our Helpdesk -- Powered by Q1Group LLCBrowse the HumanaChoice SNP-DE H8087-003 (PPO D-SNP) Formulary: This plan has drug tiers. See cost-sharing for all pharmacies and tiers. Insulin on a Medicare Part D plan's formulary will have a monthly copay of $35 or less. Formulary Drug Details: Tier 1: Tier 2: Tier 3: Tier 4: Tier 5 • Preferred Pharmacy Cost-Sharing during initial ...HumanaChoice SNP-DE H8087-003 (PPO D-SNP) has been approved by the National Committee for Quality Assurance (NCQA) to operate as a Special Needs Plan (SNP) until December 31, 2025 based on a review of HumanaChoice SNP-DE H8087-003 (PPO D-SNP)'s Model of Care. This document is available for free in Spanish.Learn More about Humana Inc. HumanaChoice H9070-004 (PPO) Plan Details, including how much you can expect to pay for coinsurance, deductibles, premiums and copays for various services covered by the plan. Speak with a licensed insurance agent 1-855-298-6309 TTY 711, 24/7. 1-855-298-6309.Humana Gold Plus H6622-004 (HMO) 4 out of 5 stars* for plan year 2024. Humana Gold Plus H6622-004 (HMO) is a HMO Medicare Advantage (Medicare Part C) plan offered by Humana Inc. Plan ID: H6622-004-000. * Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system. $0.00 Monthly Premium.

HumanaChoice H8087-004 (PPO) - H8087-004-0 in MI Plan Benefits ExplainedThis page summarizes current New York state law and guidance relating to frequently asked questions due to the COVID-19 pandemic. Read FAQs. Welcome to the …3.5 out of 5 stars* for plan year 2023. HumanaChoice H8087-004 (PPO) is a PPO Medicare Advantage (Medicare Part C) plan offered by Humana Inc. Plan ID: H8087-004-000. * Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system. $0.00 Monthly Premium.Thousands of people have been protesting all day in New Delhi, as they have been all week after the gang rape of a woman riding a private bus. Dozens of activists and police were i...Mental health services. Inpatient hospital - psychiatric. $250 per day for days 1 through 6 / $0 per day for days 7 through 90. Outpatient group therapy visit with a psychiatrist. $60 copay ...H0473 - 004 - 0. (3.5 / 5) HumanaChoice H0473-004 (PPO) is a Medicare Advantage (Part C) Plan by Humana. Premium: $0.00. Enroll Now. This page features plan details for 2024 HumanaChoice H0473-004 (PPO) H0473 – 004 – 0 available in Select Counties in Texas. IMPORTANT: This page has been updated with plan and premium data for 2024.2024. H5970-026. HumanaChoice SNP-DE H8087-003 (PPO D-SNP) 2024. H5216-385. Discover Humana Medicare Insurance Plans accepted at Oak Street Health centers and find primary care doctors accepting Humana near you.2024 HumanaChoice H8087-004 (PPO) - H8087-004-0 in MI Plan Benefits Details

HumanaChoice H8087-004 (PPO) is a PPO Medicare Advantage (Medicare Part C) plan offered by Humana Inc. Plan ID: H8087-004-000 * Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system.H6622-004 (HMO) Find out more about the Humana Gold Plus H6622-004 (HMO) plan -including the health and drug services it covers -in this easy-to-use guide. Humana Gold Plus H6622-004 (HMO) is aMedicare Advantage HMO plan with a Medicare contract. Enrollment in this Humana plan depends on contract renewal.Plus, HMO plans usually have lower monthly premiums and copays than other plan types. Like all Medicare Advantage plans, HMO plans include all the benefits of Medicare Parts A and B—and most include coverage for prescription drugs. They also offer the added security of an annual maximum out-of-pocket cost limit. Once you’ve reached that ...Clover Health Choice H5141-004 (PPO) New Jersey. Medicare. Health. Clover Health Choice (PPO) H5141-004. Clover Health | Local PPO. Why Trust U.S. News. 344. Insurance Companies Evaluated. 6,000+Humana Gold Choice H8145-004 (PFFS) is a Medicare Advantage (Part C) Plan by Humana. This page features plan details for 2024 Humana Gold Choice H8145-004 (PFFS) H8145 – 004 – 0 available in North Carolina-Virginia. IMPORTANT: This page has been updated with plan and premium data for 2024.

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4 out of 5 stars* for plan year 2024. HumanaChoice H5525-004 (PPO) is a PPO Medicare Advantage (Medicare Part C) plan offered by Humana Inc. Plan ID: H5525-004-000. * Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system. $100.00 Monthly Premium.Covered Medical and Hospital Benefits. Acute inpatient hospital care. $325 copay per day for days 1-6 $0 copay per day for days 7-90 Your plan covers an unlimited number of days for an inpatient stay. Outpatient hospital coverage. Outpatient surgery at Outpatient Hospital: $300 copay. Outpatient surgery at Ambulatory Surgical Center: $250 copay.Copayment for Physician Specialist Office Visit $45.00. Out-of-Network: Doctor Specialty Visit: Copayment for Medicare Covered Physician Specialist Office Visit $50.00. Inpatient Hospital Care. In-Network: Acute Hospital Services: $325.00 per day for days 1 to 6. $0.00 per day for days 7 to 90. Outpatient Hospital and ASC Services: Copayment for Medicare Covered Outpatient Hospital Services $50.00 to $375.00. Copayment for Medicare Covered Ambulatory Surgical Center Services $295.00 to $350.00. Outpatient Substance Abuse Care. In-Network: Copayment for Medicare-covered Individual Sessions $40.00 to $100.00. 2023 HumanaChoice H8087-004 (PPO) in MI Plan Benefits ExplainedHumanaChoice SNP-DE H8087-003 (PPO D-SNP) providers aren't allowed to collect or bill you for services and items covered under Medicare Part A and Part B, including deductibles, coinsurance, and copayments – even when Medicaid payment is zero or a provider chooses to not submit to Medicaid. If a provider asks you to pay, that's against the law.

In the U.S., we tend to pile our main dish atop rice and call it a day, but in many other cultures, rice is served with a variety of toppings so that it can be enjoyed aside from t...2022 Medicare Advantage Plan Benefits explained in plain text. Plain text explanation available for any plan in any state. Sign-up for our free Medicare Part D Newsletter, Use the Online Calculators, FAQs or contact us through our Helpdesk -- Powered by Q1GROUP LLC and National Insurance Markets, Inc2022 HumanaChoice H8087-004 (PPO) in MI Plan Benefits ExplainedThis Medicare Advantage Plan with Prescription Drug Coverage is a Local PPO plan. Plan Membership and Plan Ratings. The HumanaChoice H8087-004 (PPO) (H8087 - 004) …HumanaChoice H8087-004 (PPO) Michigan (Non-Detroit) Continued: Y0040_GHHJ8PSEN_22_v659_M . H8087004000BAG22. - BAG014. 2022 Prescription …3.5 out of 5 stars* for plan year 2023. Humana Value Plus H8087-002 (PPO) is a PPO Medicare Advantage (Medicare Part C) plan offered by Humana Inc. Plan ID: H8087-002-000. * Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system. $23.90 Monthly Premium. Michigan Medicare …Oct 6, 2023 · 2024 Evidence of Coverage for HumanaChoice H0473-004 (PPO) 10 Chapter 1 Getting started as a member SECTION 1 Introduction Section 1.1 You are enrolled in HumanaChoice H0473-004 (PPO), which is a Medicare PPO You are covered by Medicare, and you have chosen to get your Medicare health care and your prescription drug The monthly premium for the HumanaChoice H8087-001 PPO H8087-001-0 plan is $20. You will also be responsible for your premiums under Original Medicare, typically just Part B for most people, unless you did not pay enough into Medicare through your paycheck withholdings and taxes. This plan also has a $0 deductible.

2023 HumanaChoice H8087-004 (PPO) H8087 — 004— 0 is a Medicare Advantage plan with drug coverage. It has received a 3.5-out-of-5 star rating from CMS for 2023. Learn …The Humana Gold Choice H8145-004 (PFFS) plan offers the following prescription drug coverage, with an annual drug deductible of $160 (excludes Tiers 1 and 2) per year. Coverage. Cost. 30 day supply 60 day supply 90 day supply. Coverage & Cost. 30 day supply 60 day supply 90 day supply.Nov 7, 2022 · HumanaChoice H8087-004 (PPO) is a Medicare Advantage PPO plan with a Medicare contract. Enrollment in this Humana plan depends on contract renewal. The benefit information provided is a summary of what we cover and what you pay. It doesn't list every service that we cover or list every limitation or exclusion. The HumanaChoice SNP-DE H8087-003 (PPO D-SNP)’s formulary is divided into 5 tiers. Every plan can name their tiers differently, and can place medications on any tier. The cost-sharing for this plan is divided as follows: Tier 1 ( Preferred Generic) contains 306 drugs and has a co-payment of $1.00. Tier 2 ( Generic) contains 599 drugs and has ... Telsey Advisory analyst Dana Telsey maintained a Hold rating on Peloton Interactive (PTON – Research Report) today and set a price target ... Telsey Advisory analyst Dana Tel...Starting on January 1, 2023, your HumanaChoice H8087-004 (PPO) will be simpler because your drug coverage will be the same at all in-network retail pharmacies. This means that you’ll have the same cost-share no matter where you fill your prescriptions as long as the retail pharmacy is in-network. * 2021 Humana Inc. Annual Report 2/17/2022.H8087-004 (PPO) Find out more about the HumanaChoice H8087-004 (PPO) plan -including the health and drug services it covers -in this easy-to-use guide. …

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2023 Evidence of Coverage for HumanaChoice H8087-001 (PPO) 10 Chapter 1 Getting started as a member SECTION 1 Introduction Section 1.1 You are enrolled in HumanaChoice H8087-001 (PPO), which is a Medicare PPO You are covered by Medicare, and you have chosen to get your Medicare health care and your prescription drugAlaska Airlines plans to fill some of the gap left by RavnAir's bankruptcy in the state of Alaska this fall with plans to base some of its Embraer E175s in Anchorage. Alaska Airlin...H8087-004 (PPO) Find out more about the HumanaChoice H8087-004 (PPO) plan -including the health and drug services it covers -in this easy-to-use guide. HumanaChoice H8087-004 (PPO) is aMedicare Advantage PPO plan with aMedicare contract. Enrollment in this Humana plan depends on contract renewal.703 Medicare Advantage Plans from Humana. Coverage varies by plan. Select a Medicare Advantage Plan below to view details about the coverage it provides: Plan CodePlan Name. H0028:007-0 Humana Gold Plus SNP-DE H0028-007 (HMO D-SNP) H0028:014-0 Humana Gold Plus H0028-014 (HMO) H0028:015-0 Humana Gold Plus SNP-DE H0028-015 …SunFireMatrixHumanaChoice H8087-004 (PPO) 2024: H5216-384: HumanaChoice - Diabetes and Heart (PPO C-SNP) 2024: H5216-375: HumanaChoice SNP-DE H5216-388 (PPO D-SNP) 2024: H5216-388: Molina View payer . Plan Name Effective Year Benefit Package; Molina Medicare Complete Care (HMO D-SNP) 2024: H5926-001:Learn More about Humana Inc. HumanaChoice H8087-001 (PPO) Plan Details, including how much you can expect to pay for coinsurance, deductibles, premiums and ...3.5 out of 5 stars* for plan year 2023. Humana Value Plus H8087-002 (PPO) is a PPO Medicare Advantage (Medicare Part C) plan offered by Humana Inc. Plan ID: H8087-002-000. * Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system. $23.90 Monthly Premium. Michigan Medicare …Humana ….

94% of our Medicare Advantage members are in plans rated 4 out of 5 stars or higher for 2024 by the Centers for Medicare and Medicaid.*. And for the third year in a row, Humana overall received the highest Customer Experience Index™ score among health insurers in Forrester’s proprietary 2023 CX Index™ survey.†. TTY users 1-877-486-2048. or contact your local SHIP for assistance. Email a copy of the HumanaChoice SNP-DE H8087-003 (PPO D-SNP) benefit details. — Medicare Plan Features —. Monthly Premium: $0.00 for people who qualify for both Medicare and Medicaid. (see Plan Premium Details below) Annual Deductible: $0 for people who qualify for both ...H0473 - 004 - 0. (3.5 / 5) HumanaChoice H0473-004 (PPO) is a Medicare Advantage (Part C) Plan by Humana. Premium: $0.00. Enroll Now. This page features plan details for 2024 HumanaChoice H0473-004 (PPO) H0473 – 004 – 0 available in Select Counties in Texas. IMPORTANT: This page has been updated with plan and premium data for 2024.Nerve cells, or neurons, can range from .004 millimeters to .1 millimeters in diameter. Their length can be anywhere from a fraction of an inch to several feet long, depending on n...The HumanaChoice SNP-DE H8087-003 (PPO D-SNP) has a monthly premium of $21.80. That is $261.60 for 12 months. There are a few factors that can increase or decrease this premium. If you qualify for full or partial extra help, your premium will be lower. If you have a premium penalty, your premium will be higher. HumanaChoice SNP-DE H8087-003 (PPO D-SNP) offers the following coverage and cost-sharing. This plan is a Medicare Special Needs Plan for people with both Medicare and Medicaid. Contact the plan for details. Depending on your level of Extra Help, you may pay less for the drugs than the cost sharing amount listed. Not everyone can be a 10, but some of you will! Tell us all about yourself, and we'll tell you exactly how beautiful you are - inside and out. Advertisement Advertisement Being bea... HumanaChoice H9070-004 (PPO) is a PPO Medicare Advantage (Medicare Part C) plan offered by Humana Inc. Plan ID: H9070-004-000 * Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system. Ribbon HealthIn the U.S., we tend to pile our main dish atop rice and call it a day, but in many other cultures, rice is served with a variety of toppings so that it can be enjoyed aside from t... H8087-004, Shop for Plans. Find Medicare Plans. Learn About, 4. ENROLL: To change plans, join a plan between October 15 and December 7, 2021. If you don’t join another plan by December 7, 2021, you will be enrolled in HumanaChoice SNP-DE. H8087-003 (PPO D-SNP). If you join another plan between October 15 and December 7, 2021, your new coverage will start on January 1, 2022. , New documents show how the US prepped for digital warfare before Russia invaded Weeks before Russia invaded Ukraine, the US began scrambling to find satellite communications equipm..., The HumanaChoice R3392-004 (Regional PPO) offers prescription drug coverage, with an annual drug deductible of $195.00 (excludes Tiers 1 and 2) When reviewing Georgia and South Carolina Medicare plans, be sure to find out if your doctors are part of the plan network. If a Medicare Advantage plan covers prescription drugs, make sure the plan ... , HumanaChoice H8087-004 (PPO) Michigan (Non-Detroit) Plan Costs With Medicare only In-Network With Medicare only Out-of-Network With Medicare Cost-Share Protection Monthly plan premium $0 N/A $0 Annual out-of-pocket …, Learn More about Humana Inc. Humana Gold Plus H8908-004 (HMO-POS) Plan Details, including how much you can expect to pay for coinsurance, deductibles, premiums and copays for various services covered by the plan. Speak with a licensed insurance agent 1-855-298-6309 TTY 711, 24/7. 1-855-298-6309., HumanaChoice H8087-004 (PPO) is a PPO Medicare Advantage (Medicare Part C) plan offered by Humana Inc. Plan ID: H8087-004-000 * Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system. , 2023 Evidence of Coverage for HumanaChoice H8087-001 (PPO) 10 Chapter 1 Getting started as a member SECTION 1 Introduction Section 1.1 You are enrolled in HumanaChoice H8087-001 (PPO), which is a Medicare PPO You are covered by Medicare, and you have chosen to get your Medicare health care and your prescription drug, HowStuffWorks looks at whether bed sizes (including king, queen, full and twin-sized mattresses) are getting bigger and why. Advertisement If you're getting a better night's sleep ..., 2021 HumanaChoice SNP-DE H8087-003 (PPO D-SNP) in MI Plan Benefits Explained, This plan, Humana Gold Plus H6622-004 (HMO), is offered by Humana WI Health Organization Insurance Corp. (When this Evidence of Coverage says "we," "us," or "our," it means Humana WI Health Organization Insurance Corp. When it says "plan" or "our plan," it means Humana Gold Plus H6622-004 (HMO).) This document is available for free in Spanish., 2023 Evidence of Coverage for HumanaChoice H8087-004 (PPO) 10 Chapter 1 Getting started as a member SECTION 1 Introduction Section 1.1 You are enrolled in HumanaChoice H8087-004 (PPO), which is a Medicare PPO You are covered by Medicare, and you have chosen to get your Medicare health care and your prescription …, UTorrent is a popular alternate way of downloading large files and programs, but it's also usually blocked by Kaspersky's firewall system. This means that if you try to access uTor..., Plus, HMO plans usually have lower monthly premiums and copays than other plan types. Like all Medicare Advantage plans, HMO plans include all the benefits of Medicare Parts A and B—and most include coverage for prescription drugs. They also offer the added security of an annual maximum out-of-pocket cost limit. Once you’ve reached that ..., ... H8087 H8088 H8089 H8090 H8091 H8092...................................H9092 ... 004........ LL2418-FN 10900P1............... PA678 10900PI ..., S5552 - 004 - 0 Click to see other plans: Member Services: 1-800-281-6918 TTY users 711 — This plan information is for research purposes only. — Click here to see plans for the current plan year: Medicare Contact Information: Please go to Medicare.gov or call 1-800-MEDICARE (1-800-633-4227) to get information on all of your options., 2023 HumanaChoice H8087-004 (PPO) H8087 — 004— 0 is a Medicare Advantage plan with drug coverage. It has received a 3.5-out-of-5 star rating from CMS for 2023. Learn more about HumanaChoice H8087-004 (PPO) H8087 - 004-0, including the health and drug services it covers, by reading our easy-to-use guide. Or contact a licensed insurance …, As businesses struggle to reinvent themselves in the midst of the COVID-19 pandemic, Yelp is launching new features to help highlight these changes. For one thing, it’s adding a ne..., Shop for Plans. Find Medicare Plans. Learn About, Covered Medical and Hospital Benefits. Acute inpatient hospital care. $325 copay per day for days 1-6 $0 copay per day for days 7-90 Your plan covers an unlimited number of days for an inpatient stay. Outpatient hospital coverage. Outpatient surgery at Outpatient Hospital: $300 copay. Outpatient surgery at Ambulatory Surgical Center: $250 copay., Learn More about Humana Inc. HumanaChoice H8087-004 (PPO) Plan Details, including how much you can expect to pay for coinsurance, deductibles, premiums and copays for various services covered by the plan. Your Medicare Advantage plan comparison is just one step away! Online., Call us. Licensed Humana sales agents can help. Call 1-888-204-4062 (TTY: 711) Monday – Friday, 8 a.m. – 8 p.m. Call 1-888-204-4062 (TTY: 711) Monday – Friday, 8 a.m. – 8 p.m. 2024 Medicare Advantage (Part C) plans include all the coverage of Medicare Parts A and B, plus extra benefits, like dental, vision and hearing care. See plans in ..., Scientists warn that extreme heat and droughts will raise the price of a pint. As the planet warms, one place you can still seek solace is a nice, cold beer. But maybe not for long..., Shop for Plans. Find Medicare Plans. Learn About, 2024 Medicare Advantage Plan Benefit Details for the Humana Gold Plus H4461-004 (HMO) Please go to Medicare.gov or call 1-800-MEDICARE (1-800-633-4227) to get information on all of your options. This plan has a $100 Part B monthly premium rebate (or giveback). However, you must continue to pay your Medicare Part B premium., 2023 Evidence of Coverage for HumanaChoice H8087-004 (PPO) 10 Chapter 1 Getting started as a member SECTION 1 Introduction Section 1.1 You are enrolled in HumanaChoice H8087-004 (PPO), which is a Medicare PPO You are covered by Medicare, and you have chosen to get your Medicare health care and your prescription …, In the U.S., we tend to pile our main dish atop rice and call it a day, but in many other cultures, rice is served with a variety of toppings so that it can be enjoyed aside from t..., TTY users 1-877-486-2048. or contact your local SHIP for assistance. Email a copy of the HumanaChoice H8087-001 (PPO) benefit details. — Medicare Plan Features —. Monthly Premium: $20.00 (see Plan Premium Details below) Annual Deductible: $75 (Tier 1 and 2 excluded from the Deductible.) Annual Initial Coverage Limit (ICL):, H6622-004 (HMO) Find out more about the Humana Gold Plus H6622-004 (HMO) plan -including the health and drug services it covers -in this easy-to-use guide. Humana Gold Plus H6622-004 (HMO) is aMedicare Advantage HMO plan with a Medicare contract. Enrollment in this Humana plan depends on contract renewal., HumanaChoice H8087-004 (PPO) 2024: H5216-384: HumanaChoice - Diabetes and Heart (PPO C-SNP) 2024: H5216-375: HumanaChoice SNP-DE H5216-388 (PPO D-SNP) 2024: H5216-388: Molina View payer . Plan Name Effective Year Benefit Package; Molina Medicare Complete Care (HMO D-SNP) 2024: H5926-001:, Oct 6, 2023 · 2024 Evidence of Coverage for HumanaChoice H0473-004 (PPO) 10 Chapter 1 Getting started as a member SECTION 1 Introduction Section 1.1 You are enrolled in HumanaChoice H0473-004 (PPO), which is a Medicare PPO You are covered by Medicare, and you have chosen to get your Medicare health care and your prescription drug , The Humana Gold Choice H8145-004 (PFFS) plan offers the following prescription drug coverage, with an annual drug deductible of $160 (excludes Tiers 1 and 2) per year. Coverage. Cost. 30 day supply 60 day supply 90 day supply. Coverage & Cost. 30 day supply 60 day supply 90 day supply., HumanaChoice H8087-004 (PPO) Michigan (Non-Detroit) Plan Costs With Medicare Only With Medicare & State Cost-Share Protection Monthly plan premium $0 $0 Annual out-of-pocket maximum $5,000 in-network $5,000 combined out-of-network $0 With Medicare only In-Network With Medicare only Out-of-Network With Medicare & State Cost-Share Protection