MAPD
LPPO

HumanaChoice H5525-080 (PPO)
Plan costs & ratings
Monthly premium$40.00
Annual premium$480.00
Medical deductible$500
Drug deductible$615
Max out of pocket$5,900
Availability
Available in 2 California countiesSan Joaquin County, CA, Stanislaus County, CA
Available Cities
This plan is available in 16+ cities in California.
Escalon
San Joaquin County
French Camp
San Joaquin County
Lathrop
San Joaquin County
Lodi
San Joaquin County
Manteca
San Joaquin County
Ripon
San Joaquin County
Stockton
San Joaquin County
Tracy
San Joaquin County
Ceres
Stanislaus County
Denair
Stanislaus County
Modesto
Stanislaus County
Patterson
Stanislaus County
Riverbank
Stanislaus County
Salida
Stanislaus County
Turlock
Stanislaus County
Waterford
Stanislaus County
Notes
The following services listed are excluded from the combined in-network and out-of-network deductible:All Services received from In-Network ProvidersEmergency Room ServicesMedicare Covered Preventive ServicesMedicare Part B Insulin DrugsServices not covered by Original Medicare (i.e., Supplemental Benefits)Urgently Needed Services at Urgent Care Centers
Plan Overview
CarrierHumana Benefit Plan of Illinois, Inc.
Plan typeMAPD
PlanLPPO
Drug coverageIncluded
Carrier websiteOpen website
Plan identifiers
Plan IDH5525-080-000
Carrier contact
Carrier phone8004574708