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1-on-1 Medicare for Californians

San Fernando Valley, California

MA 2027 plan LPPO

Humana USAA Honor Giveback (PPO)

Plan information effective January 1, 2027.

Humana Benefit Plan of Illinois, Inc. Plan ID H5525-078-000 Plan #78 MA

Plan costs & ratings

Monthly premium$0.00
Annual premium$0.00
Medical premium$0.00
Medical deductible$0
Medical out-of-pocket limit (in network)$6,750
Medical out-of-pocket limit (out of network)$10,100

Availability

Available in 5 California counties

Los Angeles County, CA, Orange County, CA, Riverside County, CA, San Bernardino County, CA, San Diego County, CA

Available Cities

This plan is available in 254+ cities in California.

Benefits

Primary care In Network

In-Network: $0 copay per visit

Inpatient hospital In Network

In-Network: $350 copay per day for days 1-5, $0 copay per day for days 6-90.

Skilled nursing In Network

In-Network: $10 copay per day for days 1-20, $221 copay per day for days 21-100.

Emergency care In Network

In-Network: $130 copay per visit

Urgently needed care In Network

In-Network: $50 copay for Medicare-covered urgently-needed-care visits.

Ambulance In Network

In-Network: $150 copay per trip

Dental In Network

In-Network: $0 copay

Vision In Network

This plan includes: Eye Exams, Eyewear.

Hearing In Network

In-Network: $0 copay per visit; Limit of 1 visit every year.

Over-the-counter In Network

In-Network: $0 copay

Transportation In Network

In-Network: $150 copay

Fitness In Network

In-Network: $0 copay for Fitness Benefit.

Plan Overview

CarrierHumana Benefit Plan of Illinois, Inc.
Plan typeMA
PlanLPPO
Marketing nameHumana
Drug coverageNot included
Enrollment hours8:00 a.m. to 8:00 p.m. Member time
Carrier websiteOpen website

Plan identifiers

Plan IDH5525-078-000
Plan number78
ContractH5525
Segment0
DRX ID1K874WKKQQ
Carrier ID159

Carrier contact

Carrier phone8004574708
Enrollment phone8004574708
Enrollment TTY711
Carrier hours8:00 a.m. to 8:00 p.m. Member time