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Humana Choice Florida (PPO) (Humana) — Florida Medicare Advantage Plan

Mitchell Budwig, Licensed Insurance Agent

By Mitchell Budwig, Licensed Insurance Agent

Humana Choice Florida (PPO) is a PPO Medicare Advantage plan from Humana with a $0 monthly premium, a CMS rating of 4.0 out of 5 stars, and a $7,100 annual out-of-pocket maximum. Prescription drug coverage is included. Included benefits: dental, vision, hearing, over-the-counter allowance, fitness membership.

  • $0 Premium
  • Includes Dental
  • Includes Drug Coverage
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At a glance

Humana Choice Florida (PPO) at a glance
DetailValue
Monthly plan premium$0 per month
Annual medical deductible$0
Annual out-of-pocket maximum$7,100
CMS star rating4.0 out of 5 stars
Plan typePPO
Contract / plan IDH5216-181

What this plan covers

Medical (Part B)

Part B coverage statewide with in-network and out-of-network benefits.

Hospital (Part A)

Part A hospital and skilled nursing coverage, nationwide for emergencies.

Prescription drugs (Part D)

Part D is included with a broad national pharmacy network.

Extra benefits

  • Dental
  • Vision
  • Hearing
  • Fitness membership
  • Over-the-counter allowance: $40 per quarter

Costs and copays

Typical copays for Humana Choice Florida (PPO)
ServiceYou pay in network
Primary care visit$0
Specialist visit$50
Urgent care$40
Emergency room$120 (waived if admitted)
Inpatient hospital (per stay)$375 per day, days 1–5
Lab work$0
Diagnostic imaging (MRI, CT)$200
Generic drugs (Tier 1)$0
Preferred brand drugs (Tier 3)$47

Typical in-network cost sharing. Amounts shown are standard cost shares for this plan and can change each plan year — always confirm against the plan's Summary of Benefits before enrolling.

Who this plan may fit

  • People who want PPO freedom at a $0 premium and are healthy enough to accept a higher cost ceiling
  • Members who split the year between Florida and another state
  • Anyone whose specialists are outside a single HMO network

Who it may not suit

The out-of-pocket maximum is the highest in this directory. If you expect a hospital stay or ongoing specialist care, a lower-MOOP plan protects you better.

How to use this plan

Finding in-network providers
Search the carrier's online provider directory by name, specialty, and ZIP code, or call us and we will check your doctors against the network before you enroll.
Do you need referrals?
No referral is required. You can see any participating specialist directly.
How prior authorization works
Certain services — planned inpatient stays, advanced imaging, some outpatient surgeries, durable medical equipment, and specialty drugs — need approval before the plan pays. Your provider submits the request; ask them to confirm approval before scheduling.
Traveling and coverage away from home
You are covered nationwide for urgent and emergency care, and this plan also pays for routine care from out-of-network providers who accept the plan, at a higher cost share.

How to enroll in this plan

You can join this plan when you first become eligible for Medicare, during your seven-month Initial Enrollment Period around your 65th birthday.

After that, the Annual Enrollment Period runs October 15 to December 7 each year, with coverage starting January 1. If you are already in a Medicare Advantage plan, Medicare Advantage Open Enrollment from January 1 to March 31 lets you make one switch.

Outside those windows, a qualifying life event such as a move, a loss of employer coverage, or a change in Medicaid eligibility can open a Special Enrollment Period that lets you enroll right away.

Enroll Into Plan Today

Takes about a minute · A licensed agent completes the application with you

Open enrollment datesSpecial enrollment periods

Answer These Quick Questions to Enroll Into Humana Today

Enroll into Humana Choice Florida (PPO)

Send your details and a licensed agent will call you to confirm your eligibility, check your doctors and prescriptions against Humana Choice Florida (PPO), and complete the Humana application with you over the phone. Nothing is submitted to Humana until you approve it.

The plan you're inquiring about

Plan:
Humana Choice Florida (PPO)
Carrier:
Humana
Plan type:
PPO
Monthly premium:
$0 per month
CMS rating:
4.0 out of 5 stars
Plan ID:
H5216-181

Looking at a different plan? Compare all Florida plans

No cost, no obligation. Medicare caps what an agent can be paid, and the carrier pays it whether you enroll with us or on your own. Your premium is exactly the same either way. We never sell your information, and you can ask us to stop contacting you at any time.

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Monday – Friday, 8:00 am – 8:00 pm ET · Saturday, 9:00 am – 5:00 pm ET

Check whether this plan covers your doctors and prescriptions

A licensed agent will run your providers and medication list against this plan before you enroll, and show you the comparable plans in your county so you can see the trade-offs.

Monday – Friday, 8:00 am – 8:00 pm ET · Saturday, 9:00 am – 5:00 pm ET

Questions about this plan

How much does Humana Choice Florida (PPO) cost each month?

The plan premium is $0 per month. You also continue to pay your Medicare Part B premium, which goes to Medicare rather than to Humana. Beyond premiums you pay copays as you use services, up to an annual out-of-pocket maximum of $7,100.

Does Humana Choice Florida (PPO) include prescription drug coverage?

Yes. Part D coverage is built into this plan, so you do not need — and should not buy — a separate prescription drug plan. Tier 1 generics start at $0.

Do I need a referral to see a specialist on Humana Choice Florida (PPO)?

No referral is required. You can see any participating specialist directly.

What is the CMS star rating for Humana Choice Florida (PPO)?

Medicare rates this plan 4.0 out of 5 stars. Star ratings measure things like preventive care, member experience, customer service, and how quickly problems get resolved. Ratings are published each fall and can change from year to year.

Which Florida counties can I enroll in Humana Choice Florida (PPO)?

CMS approved this plan in 34 Florida counties. Medicare Advantage plans are approved county by county, so your eligibility depends on the address where you actually live.

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