Go Back

Humana USAA Honor Giveback (PPO)

H5216 - 174 - 0
3.5 out of 5 stars (3.5 / 5)

humana medicare provider logo

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

This page features plan details for 2025 Humana USAA Honor Giveback (PPO) H5216 – 174 – 0 available in Select Counties in New Jersey.

Locations

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

Bergen County, New Jersey
Essex County, New Jersey
Hudson County, New Jersey

Click to see more locations

Plan Overview

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

Insurer:Humana
Health Plan Deductible:$0
MOOP:$10,100 In and Out-of-network
$6,750 In-network
Drugs Covered:No

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

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 (PPO) qualifies for a monthly Medicare Give Back Benefit of $30.00.

Premium Reduction:$30.00

Premium Breakdown

Humana USAA Honor Giveback (PPO) 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 $30.00 $
Please Note:
  • Your Part B premium may differ based on factors including late enrollment, income, and disability status.

Additional Benefits

Humana USAA Honor Giveback (PPO) 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)
    • Out-of-Network: No Coins – 0.00 Copay (Authorization Required)
  • Endodontics
    • In-Network: No Coins – 0.00 Copay (Authorization Required)
    • Out-of-Network: No Coins – 0.00 Copay (Authorization Required)
  • Oral and Maxillofacial Surgery
    • In-Network: No Coins – 0.00 Copay (Authorization Required)
    • Out-of-Network: No Coins – 0.00 Copay (Authorization Required)
  • Periodontics
    • In-Network: No Coins – 0.00 Copay (Authorization Required)
    • Out-of-Network: No Coins – 0.00 Copay (Authorization Required)
  • Prosthodontics, fixed
    • In-Network: 30-40 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
    • Out-of-Network: No Coins – 0.00 Copay
  • Oral Exams
    • In-Network: No Coins – 0.00 Copay
    • Out-of-Network: No Coins – 0.00 Copay
  • Other Diagnostic Dental Services
    • In-Network: No Coins – 0.00 Copay
    • Out-of-Network: No Coins – 0.00 Copay
  • Other Preventive Dental Services
    • In-Network: No Coins – 0.00 Copay
    • Out-of-Network: No Coins – 0.00 Copay
  • Prophylaxis (cleaning)
    • In-Network: No Coins – 0.00 Copay
    • Out-of-Network: No Coins – 0.00 Copay

Diagnostic procedures/lab services/imaging

  • Diagnostic radiology services (e.g., MRI)
    • In-Network: $40-325 copay (Authorization Required)
    • Out-of-Network: $60-495 copay (Authorization Required)
  • Diagnostic tests and procedures
    • In-Network: $0-100 copay (Authorization Required)
  • Outpatient x-rays
    • In-Network: $0-125 copay (Authorization Required)
  • Lab services
    • In-Network: $0-55 copay (Authorization Required)
  • Diagnostic tests and procedures
    • Out-of-Network: $20-110 copay (Authorization Required)
  • Lab services
    • Out-of-Network: $0-60 copay (Authorization Required)
  • Outpatient x-rays
    • Out-of-Network: $20-125 copay (Authorization Required)

Doctor visits

  • Specialist
    • In-Network: $35 copay per visit
  • Primary
    • In-Network: $0 copay
    • Out-of-Network: $20 copay per visit
  • Specialist
    • Out-of-Network: $60 copay per visit

Emergency care/Urgent care

  • Emergency
    • $125 copay per visit (always covered)
  • Urgent care
    • $55 copay per visit (always covered)

Foot care (podiatry services)

  • Foot exams and treatment
    • In-Network: $35 copay (Authorization Required)
  • Routine foot care
    • Not covered
  • Foot exams and treatment
    • Out-of-Network: $60 copay (Authorization Required)

Ground ambulance

    • Out-of-Network: $315 copay
    • In-Network: $315 copay

Health plan deductible

    • $0

Hearing

  • Medicare-Covered Hearing Exam
    • In-Network: $35 copay (Authorization Required)
  • Fitting/evaluation
    • In-Network: $0 copay (Authorization Required)
    • Out-of-Network: $0 copay (Authorization Required)
  • Hearing aids OTC
    • In-Network: $0 copay (Limits Apply)
    • Out-of-Network: $0 copay (Limits Apply)
  • Medicare-Covered Hearing Exam
    • Out-of-Network: $60 copay (Authorization Required)
  • Hearing aids
    • In-Network: $399-699 copay (Limits Apply)
    • Out-of-Network: $399-699 copay (Limits Apply)

Inpatient hospital coverage

    • Out-of-Network: $495 per day for days 1 through 9
      $0 per day for days 10 through 90 (Authorization Required)
    • In-Network: $315 per day for days 1 through 9
      $0 per day for days 10 through 90
      $0 per day for days 91 and beyond (Authorization Required)

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

    • $10,100 In and Out-of-network
      $6,750 In-network

Medical equipment/supplies

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

Medicare Part B drugs

  • Chemotherapy
    • In-Network: 0-20% coinsurance (Authorization Required)
  • Other Part B drugs
    • In-Network: 0-20% coinsurance (Authorization Required)
  • Chemotherapy
    • Out-of-Network: 20% coinsurance (Authorization Required)
  • Other Part B drugs
    • Out-of-Network: 20% coinsurance (Authorization Required)

Mental health services

  • Outpatient group therapy visit
    • In-Network: $40 copay (Authorization Required)
  • Outpatient group therapy visit with a psychiatrist
    • In-Network: $40 copay (Authorization Required)
    • Out-of-Network: $60 copay (Authorization Required)
  • Inpatient hospital – psychiatric
    • In-Network: $275 per day for days 1 through 9
      $0 per day for days 10 through 90 (Authorization Required)
    • Out-of-Network: $495 per day for days 1 through 9
      $0 per day for days 10 through 90 (Authorization Required)
  • Outpatient individual therapy visit
    • Out-of-Network: $60 copay (Authorization Required)
  • Outpatient group therapy visit
    • Out-of-Network: $60 copay (Authorization Required)
  • Outpatient individual therapy visit
    • In-Network: $40 copay (Authorization Required)
  • Outpatient individual therapy visit with a psychiatrist
    • In-Network: $40 copay (Authorization Required)
    • Out-of-Network: $60 copay (Authorization Required)

Optional supplemental benefits

    • No

Other health plan deductibles?

    • In-Network: No

Outpatient hospital coverage

    • Out-of-Network: $60-1,000 copay per visit (Authorization Required)
    • In-Network: $40-800 copay per visit (Authorization Required)

Preventive care

    • In-Network: $0 copay
    • Out-of-Network: $0 copay

Rehabilitation services

  • Occupational therapy visit
    • Out-of-Network: $60 copay (Authorization Required)
  • Physical therapy and speech and language therapy visit
    • In-Network: $40 copay (Authorization Required)
  • Occupational therapy visit
    • In-Network: $40 copay (Authorization Required)
  • Physical therapy and speech and language therapy visit
    • Out-of-Network: $60 copay (Authorization Required)

Skilled Nursing Facility

    • In-Network: $10 per day for days 1 through 20
      $214 per day for days 21 through 100 (Authorization Required)
    • Out-of-Network: 20% per stay (Authorization Required)

Transportation

    • In-Network: $0 copay (Limits Apply, Authorization Required)
    • Out-of-Network: $0 copay (Limits Apply, Authorization Required)

Vision

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

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

    • Covered

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

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

Table of Contents

Get Help Enrolling

Get help enrolling in a Medicare Advantage or Medicare Prescription Drug Plan by calling a licensed insurance agent today.

Medicare Advantage and Part D plans and benefits offered by the following carriers: Aetna Medicare, Anthem Blue Cross Blue Shield, Anthem Blue Cross, Aspire Health Plan, Capital Blue Cross, Cigna Healthcare, Dean Health Plan, Devoted Health, Florida Blue Medicare, GlobalHealth, Health Care Service Corporation, Healthy Blue, Humana, Molina Healthcare, Mutual of Omaha, Premera Blue Cross, Medica Central Health Plan, SCAN Health Plan, Baylor Scott & White Health Plan, Simply, UnitedHealthcare(R), Wellcare, WellPoint

SMID: MULTIPLAN_HCIHNDOGMED01PY25_M

Factsonmedicare.com is a free-to-use informational website by Dog Media Solutions LLC. All insurance agents and enrollment platforms linked to this site have their own terms and conditions.

Medicare has neither approved nor endorsed any information on this site.

This is a promotional communication.

Every year, Medicare evaluates plans based on a 5-star rating system.

Part B premium reduction is not available with all plans. Availability varies by carrier and location. Actual Part B premium reduction could be lower. Deductibles, copays and coinsurance may apply.

All plan-related information on this site is from CMS.gov and Medicare.gov. We only use data released publicly each year. While our goal is always to provide fact-based, accurate information, information is subject to change, and some data may be inaccurate. Contact a plan for a Summary of Benefits.

Enrollment in Medicare/Medicare Advantage may be limited to certain times of the year unless you qualify for a Special Enrollment Period.

We do not offer every plan available in your area. Currently, we represent 18 organizations, which offer 52,101 products in your area. Please contact Medicare.gov, 1-800-MEDICARE, or your local State Health Insurance Program (SHIP) to get information on all of your options.

We represent Medicare Advantage HMO, PPO and PFFS organizations and stand-alone PDP prescription drug plans that are contracted with Medicare. Enrollment depends on the plan’s contract renewal.

Not all plans offer all of these benefits. Benefits may vary by carrier and location. Limitations and exclusions may apply.

© All rights reserved | About | Contact | Legal and Privacy