Humana USAA Honor Giveback (HMO)

H4461 - 004 - 0
4.5 out of 5 stars (4.5 / 5)

humana medicare provider logo

Humana USAA Honor Giveback (HMO) is a Medicare Advantage Plan by Humana.

This page features plan details for 2025 Humana USAA Honor Giveback (HMO) H4461 – 004 – 0 available in Tennessee.

Locations

Humana USAA Honor Giveback (HMO) is offered in the following locations.

Plan Overview

Humana USAA Honor Giveback (HMO) offers the following coverage and cost-sharing.

Insurer:Humana
Health Plan Deductible:$0
MOOP:$3,200 In-network
Drugs Covered:No

Ready to sign up for Humana USAA Honor Giveback (HMO) ?

Get help from a licensed insurance agent.

Call 1-877-354-4611 / TTY 711.

M-F: 8:00 am – 10:00 pm EST

Sat-Sun: 8:00 am – 9:00 pm EST

Medicare Part B Give Back Benefit

The Part B Premium Reduction (Medicare Part B Give Back Benefit) lowers the cost of some Medicare Advantage plans. 

Humana USAA Honor Giveback (HMO) qualifies for a monthly Medicare Give Back Benefit of $105.00.

Premium Reduction:$105.00

Premium Breakdown

Humana USAA Honor Giveback (HMO) has a monthly premium of $0.00. This amount includes your Part C premium but does not include your Part B premium.
Part B Part C Part B Give Back Total
$185.00 $0.00 $105.00 $
Please Note:
  • Your Part B premium may differ based on factors including late enrollment, income, and disability status.

Additional Benefits

Humana USAA Honor Giveback (HMO) also provides the following benefits.

Additional benefits and/or reduced cost-sharing for enrollees with certain health conditions?

    • In-Network: No

Comprehensive Dental

  • Adjunctive General Services
    • In-Network: No Coins – 0.00 Copay (Authorization Required)
  • Endodontics
    • In-Network: No Coins – 0.00 Copay (Authorization Required)
  • Oral and Maxillofacial Surgery
    • In-Network: No Coins – 0.00 Copay (Authorization Required)
  • Periodontics
    • In-Network: No Coins – 0.00 Copay (Authorization Required)
  • Prosthodontics, fixed
    • In-Network: 30-40 Coins – 0.00 Copay (Authorization Required)
  • Prosthodontics, removable
    • In-Network: 30 Coins – 0.00 Copay (Authorization Required)
  • Restorative Services
    • In-Network: 30-40 Coins – 0.00 Copay (Authorization Required)

Diagnostic and Preventive Dental

  • Dental X-Rays
    • In-Network: No Coins – 0.00 Copay
  • Oral Exams
    • In-Network: No Coins – 0.00 Copay
  • Other Diagnostic Dental Services
    • In-Network: No Coins – 0.00 Copay
  • Other Preventive Dental Services
    • In-Network: No Coins – 0.00 Copay
  • Prophylaxis (cleaning)
    • In-Network: No Coins – 0.00 Copay

Diagnostic procedures/lab services/imaging

  • Lab services
    • $0-65 copay (Authorization Required)
  • Outpatient x-rays
    • $0-130 copay (Authorization Required)
  • Diagnostic radiology services (e.g., MRI)
    • $0-325 copay (Authorization Required)
  • Diagnostic tests and procedures
    • $0-65 copay (Authorization Required)

Doctor visits

  • Primary
    • $0 copay
  • Specialist
    • $25 copay per visit (Authorization Required)

Emergency care/Urgent care

  • Emergency
    • $140 copay per visit (always covered)
  • Urgent care
    • $65 copay per visit (always covered)

Foot care (podiatry services)

  • Foot exams and treatment
    • $25 copay (Authorization Required)
  • Routine foot care
    • Not covered

Ground ambulance

    • $315 copay

Health plan deductible

    • $0

Hearing

  • Hearing aids OTC
    • Not covered
  • Fitting/evaluation
    • $0 copay (Authorization Required)
  • Medicare-Covered Hearing Exam
    • $25 copay (Authorization Required)
  • Hearing aids
    • $399-699 copay (Limits Apply)

Inpatient hospital coverage

    • $150 per day for days 1 through 5
      $0 per day for days 6 through 90
      $0 per day for days 91 and beyond (Authorization Required)

Maximum out-of-pocket enrollee responsibility (does not include prescription drugs)

    • $3,200 In-network

Medical equipment/supplies

  • Diabetes supplies
    • $0 copay or 10-20% coinsurance per item (Authorization Required)
  • Durable medical equipment (e.g., wheelchairs, oxygen)
    • 20% coinsurance per item (Authorization Required)
  • Prosthetics (e.g., braces, artificial limbs)
    • 20% coinsurance per item (Authorization Required)

Medicare Part B drugs

  • Chemotherapy
    • 0-20% coinsurance (Authorization Required)
  • Other Part B drugs
    • 0-20% coinsurance (Authorization Required)

Mental health services

  • Inpatient hospital – psychiatric
    • $150 per day for days 1 through 5
      $0 per day for days 6 through 90 (Authorization Required)
  • Outpatient group therapy visit with a psychiatrist
    • $25 copay (Authorization Required)
  • Outpatient group therapy visit
    • $25 copay (Authorization Required)
  • Outpatient individual therapy visit
    • $25 copay (Authorization Required)
  • Outpatient individual therapy visit with a psychiatrist
    • $25 copay (Authorization Required)

Optional supplemental benefits

    • No

Other health plan deductibles?

    • In-Network: No

Outpatient hospital coverage

    • $0-250 copay per visit (Authorization Required)

Preventive care

    • $0 copay

Rehabilitation services

  • Physical therapy and speech and language therapy visit
    • $20 copay (Authorization Required)
  • Occupational therapy visit
    • $20 copay (Authorization Required)

Skilled Nursing Facility

    • $20 per day for days 1 through 20
      $214 per day for days 21 through 100 (Authorization Required)

Transportation

    • Not covered

Vision

  • Eyeglass lenses
    • Not covered
  • Upgrades
    • Not covered
  • Eyeglass frames
    • Not covered
  • Eyeglasses (frames and lenses)
    • $0 copay (Limits Apply, Authorization Required)
  • Contact lenses
    • $0 copay (Limits Apply, Authorization Required)
  • Other
    • Not covered
  • Routine eye exam
    • $0 copay (Limits Apply, Authorization Required)

Wellness programs (e.g., fitness, nursing hotline)

    • Covered

Ready to sign up for Humana USAA Honor Giveback (HMO) ?

Get help from a licensed insurance agent.

Call 1-877-354-4611 / TTY 711.

M-F: 8:00 am – 10:00 pm EST

Sat-Sun: 8:00 am – 9:00 pm EST

Need more information on Humana USAA Honor Giveback (HMO)? See 2025 Humana USAA Honor Giveback (HMO) at MedicareAdvantageRX.com.

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