Humana USAA Honor Giveback (PPO) Medicare Advantage Plan H5216-355 • 2027 • Coles County, IL
- Monthly Premium
- $0.00Plus Part B premium.
- Medical Deductible
- $100
- Maximum Out-of-Pocket
- $6000.00In-network
- Part B Giveback
- −$150.00 reduction
- Prescription Coverage
- Not Included
- Additional Benefits
- Dental, Vision, Hearing
- Service Area
- Coles County, IL
- Local Enrollment
- 11 beneficiaries in Coles County
Humana USAA Honor Giveback (PPO) Introduction
CMS Plan ID H5216-355 identifies Humana USAA Honor Giveback, a Medicare Advantage PPO plan offered by Humana. The plan uses a Preferred Provider Organization (PPO) provider network and comes without prescription drug coverage. Its costs for the 2027 plan year include a $0.00 monthly premium, $100 medical deductible, and $6000.00 in-network maximum out-of-pocket.
This plan is available to eligible beneficiaries who live in Coles County, Illinois. CMS reports local enrollment of 11 beneficiaries for this plan in Coles County. New members can contact the plan at (888)873-0686 (TTY 711) for help and additional plan information.
Compare Similar Plans in Coles County
Compare this plan with the two most-enrolled PPO plans available in Coles County, Illinois. Enrollment is based on CMS local enrollment data.
| Plan Detail | Humana USAA Honor Giveback | Aetna Medicare Enhanced | Aetna Medicare Signature |
|---|---|---|---|
| CMS Plan ID | H5216-355-0 |
H7301-009-0 |
H7301-007-0 |
| Local Enrollment | 11 | 955 | 488 |
| Monthly Premium | $0.00 | $58.00 | $0.00 |
| Medical Deductible | $100 | $0.00 | $0.00 |
| Maximum Out-of-Pocket | $6,000.00 | $4,900.00 | $5,900.00 |
| Part B Giveback | −$150.00 reduction | Not offered | Not offered |
| Primary Care | $0 copay | $0 copay | $0 copay |
| Specialist | $45 copay | $0-$40 copay | $0-$45 copay |
| Part D Deductible | Not Applicable | $700.00 | $700.00 |
| CMS Star Rating | Not yet rated | Not yet rated | Not yet rated |
| Dental | $0 copay | $0 copay | $0 copay |
| Vision | $0 copay | $0 copay | $0 copay |
| Hearing | $0 copay | $0 copay | $0 copay |
Plan Benefits
Cost-sharing for Humana USAA Honor Giveback includes out-of-pocket expenses for covered healthcare services. The following tables provide a summary of typical in-network out-of-pocket costs for plan H5216-355.
You can also compare 2027 costs and coverage with last year, side-by-side: Plan H5216-355-0 Cost Compare.
Office Visits
- Primary care
- In-network: $0 copay
Out-of-network: 45% coinsurance - Specialist
- In-network: $45 copay
Out-of-network: 45% coinsurance
Preventive and Wellness Services
- Annual wellness exam
- In-network: $0 copay
Out-of-network: $0 copay - Telehealth benefit
- In-network: $0-$50 copay
- Routine chiropractic
- Not covered
- Fitness benefits
- Coming soon
- Health education
- Not covered
- Counseling services
- Not covered
- Over-the-counter drug benefits
- In-network: $0 copay
Out-of-network: 95% coinsurance - Health transportation (non-emergency)
- Coming soon
Diagnostic, Lab, and Imaging Services
- Diagnostic radiology services
- In-network: $0-$345 copay
Out-of-network: $0 copay, 50% coinsurance - Lab services
- In-network: $0 copay
Out-of-network: $50 copay, 50% coinsurance - Outpatient x-rays
- In-network: $0-$145 copay
Out-of-network: $50 copay, 45%-50% coinsurance - Diagnostic tests and procedures
- In-network: $0-$100 copay
Out-of-network: $50 copay, 45%-50% coinsurance
Emergency and Urgent Care Services
- Emergency room care
- $130 copay
- Worldwide emergency care
- Coming soon
- Urgent care
- $50 copay
- Inpatient hospital care
- In-network:
Tier 1
$295 per day for days 1-6
$0 per day for days 7-90
$0 per stay
Out-of-network:
50% per stay - Skilled Nursing Facility
- In-network:
Tier 1
$10 per day for days 1-20
$221 per day for days 21-100
Out-of-network:
50% per stay - Ground ambulance
- In-network: $325 copay
Out-of-network: $325 copay
Mental Health Services
- Outpatient individual therapy
- In-network: $0 copay
Out-of-network: 45% coinsurance - Outpatient group therapy
- In-network: $0 copay
Out-of-network: 45% coinsurance - Inpatient psychiatric hospital care
- In-network:
Tier 1
$295 per day for days 1-6
$0 per day for days 7-90
$0 per stay
Out-of-network:
50% per stay
Rehabilitation Services
- Physical therapy and speech and language therapy
- In-network: $40 copay
Out-of-network: 45% coinsurance - Occupational therapy
- In-network: $40 copay
Out-of-network: 45% coinsurance
Medical Equipment and Supplies
- Diabetes supplies
- In-network: $0 copay, 10%-20% coinsurance
Out-of-network: 10%-50% coinsurance - Durable medical equipment
- In-network: 18% coinsurance
Out-of-network: 50% coinsurance - Prosthetics
- In-network: 18% coinsurance
Out-of-network: 50% coinsurance
Medicare Part B Drugs
- Chemotherapy
- In-network: 0%-20% coinsurance
Out-of-network: 50% coinsurance - Other Part B drugs (Medicare-covered)
- In-network: 0%-20% coinsurance
Out-of-network: 50% coinsurance
Dental Services
- Oral exam
- In-network: $0 copay
Out-of-network: $0 copay - Dental x-rays
- In-network: $0 copay
Out-of-network: $0 copay - Cleaning
- In-network: $0 copay
Out-of-network: $0 copay - Periodontics
- In-network: $0 copay
Out-of-network: $0 copay - Endodontics
- In-network: $0 copay
Out-of-network: $0 copay - Restorative services
- In-network: $0 copay
Out-of-network: $0 copay - Implant services
- Not covered
- Orthodontics
- Not covered
- Oral/Maxillofacial surgery
- In-network: $0 copay
Out-of-network: $0 copay
Vision Services
- Routine eye exam
- In-network: $0 copay
Out-of-network: $0 copay - Contact lenses
- In-network: $0 copay
Out-of-network: $0 copay - Eyeglass frames only
- Not covered
- Eyeglass lenses only
- Not covered
- Eyeglasses (frames & lenses)
- In-network: $0 copay
Out-of-network: $0 copay - Upgrades
- Not covered
Hearing Services
- Hearing exam
- In-network: $0 copay
Out-of-network: 95% coinsurance - Fitting/evaluation
- In-network: $0 copay
Out-of-network: 95% coinsurance - Prescription hearing aids
- In-network: $575-$750 copay
Out-of-network: 95% coinsurance - OTC hearing aids
- In-network: $0 copay
Out-of-network: 95% coinsurance
Additional and Special Needs Services
- Adult day health services
- Not covered
- Home-based palliative care
- Not covered
- Personal emergency response system
- Coming soon
- Weight management programs
- Not covered
- Wigs for chemotherapy-related hair loss
- Coming soon
- Alternative therapies
- Not covered
- Massage therapy
- Not covered
- Home/bathroom safety devices
- Not covered
Certain preventive services are covered 100% by Humana USAA Honor Giveback as a Part B benefit.
Prescription Drug Coverage
This plan does not include a Medicare Part D plan for prescriptions.
CMS 5-Star Performance Ratings (Contract ID: H5216)
The Centers for Medicare & Medicaid Services (CMS) rates Medicare Advantage (Part C) and Part D prescription drug plans each year using a 5-star system. These ratings measure plan performance in areas such as preventive care, management of chronic conditions, and member experience.
| CMS Measure | Star Rating |
|---|---|
| 2027 Overall Rating | |
| Staying Healthy: Screenings, Tests, Vaccines | |
| Managing Chronic (Long Term) Conditions | |
| Member Experience with Health Plan | |
| Complaints and Changes in Plans Performance | |
| Health Plan Customer Service | |
| Drug Plan Customer Service | |
| Complaints and Changes in the Drug Plan | |
| Member Experience with the Drug Plan | |
| Drug Safety and Accuracy of Drug Pricing |
Contact Information for Humana
- Website
- Humana Plan Page
- Providers
- Humana Providers Page
- Formulary
- Humana Formulary Page
- Pharmacy
- Humana Pharmacy Page
- New Member Health Plan Help
- (888)873-0686
- New Member Health Plan TTY
- 711
Enrollment status and eligibility information are available through the Social Security Administration. Additional information about Medicare Advantage is available at Medicare.gov.
Medicare Plan Data Sources and Methodology
| Data Source | Publisher | Last Accessed |
|---|---|---|
| Landscape Source Files | Centers for Medicare & Medicaid Services | October 5, 2026 |
| Medicare Part C & D Performance | Centers for Medicare & Medicaid Services | October 5, 2026 |
| Plan Benefits Package | Centers for Medicare & Medicaid Services | October 5, 2026 |
| Monthly Enrollment by Contract/Plan/State/County | Centers for Medicare & Medicaid Services | October 5, 2026 |
Data sources and methodology documentation.
| Publisher | Reference | Last Accessed |
|---|---|---|
| Humana (official source) | http://www.humana.com/medicare | October 4, 2026 |
| Medicare.gov | Understanding Medicare Advantage Plans | 25 May, 2025 |
| AARP.org | The Big Choice: Original Medicare vs. Medicare Advantage | 25 May, 2025 |
| Medicare.gov | Your coverage options | 25 May, 2025 |
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Provenance documentation for this data is maintained under the U.S. Core Data for Interoperability (USCDI) Provenance standard.
Page content independently curated and maintained by David W. Bynon, Editorial Steward, using a standardized, data-driven methodology for accurate, non-commercial Medicare plan interpretation and resolution.