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Humana Full Access Giveback (PPO) Medicare Advantage Plan H7617-058 • 2027 • Grand Traverse County, MI

CMS Rating: Not yet rated by CMS.
Monthly Premium
$0.00Plus Part B premium.
Medical Deductible
$500
Maximum Out-of-Pocket
$9850.00In-network
Part B Giveback
−$99.00 reduction
Prescription Coverage
Enhanced, $150.00 deductible
Additional Benefits
Dental, Vision, Hearing
Service Area
Grand Traverse County, MI
Local Enrollment
456 beneficiaries in Grand Traverse County
Last update:

Humana Full Access Giveback (PPO) Introduction

Humana Full Access Giveback is a Medicare Advantage PPO plan offered by Humana. It uses a Preferred Provider Organization (PPO) provider network and comes with prescription drug coverage. For the 2027 plan year it has a $0.00 monthly premium, $500 medical deductible, and $9850.00 in-network maximum out-of-pocket. CMS Plan ID H7617-058 identifies this plan. The 2027 Part D prescription drug deductible is $150.00.

You must live in Grand Traverse County, Michigan to enroll in this plan. CMS reports 456 beneficiaries enrolled in this plan in Grand Traverse County. For assistance with this plan, new members can call (888)873-0686 (TTY 711).

Compare Similar Plans in Grand Traverse County

Compare this plan with the two most-enrolled PPO plans available in Grand Traverse County, Michigan. Enrollment is based on CMS local enrollment data.

PPO plan comparison for Grand Traverse County, Michigan
Plan Detail Humana Full Access Giveback Medicare Plus Blue + Meijer Humana Full Access
CMS Plan ID H7617-058-0 H9572-007-2 H7617-052-0
Local Enrollment 456 510 489
Monthly Premium $0.00 $45.00 $0.00
Medical Deductible $500 $0.00 $0.00
Maximum Out-of-Pocket $9,850.00 $6,750.00 $5,200.00
Part B Giveback −$99.00 reduction −$12.10 reduction Not offered
Primary Care $0 copay $0 copay $0 copay
Specialist $50 copay $50 copay $40 copay
Part D Deductible $150.00 $400.00 $600.00
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

Humana Full Access Giveback has cost-sharing, meaning there are out-of-pocket costs when receiving covered healthcare services. The tables below detail the most common in-network out-of-pocket expenses for plan H7617-058.

You can also compare 2027 costs and coverage with last year, side-by-side: Plan H7617-058-0 Cost Compare.

Office Visits

Primary care
In-network: $0 copay
Out-of-network: $0 copay
Specialist
In-network: $50 copay
Out-of-network: $50 copay

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
Not covered
Health transportation (non-emergency)
Coming soon

Diagnostic, Lab, and Imaging Services

Diagnostic radiology services
In-network: $0-$700 copay
Out-of-network: $0-$700 copay
Lab services
In-network: $0 copay
Out-of-network: $0 copay
Outpatient x-rays
In-network: $0-$100 copay
Out-of-network: $0-$100 copay
Diagnostic tests and procedures
In-network: $0-$175 copay
Out-of-network: $0-$175 copay

Emergency and Urgent Care Services

Emergency room care
$115 copay
Worldwide emergency care
Coming soon
Urgent care
$40 copay
Inpatient hospital care
In-network:
Tier 1
$450 per day for days 1-5
$0 per day for days 6-90
$0 per stay
Out-of-network:
$450 per day for days 1-5
$0 per day for days 6-90
$0 per stay
Skilled Nursing Facility
In-network:
Tier 1
$0 per day for days 1-20
$221 per day for days 21-100
Out-of-network:
$0 per day for days 1-20
$221 per day for days 21-100
$0 per stay
Ground ambulance
In-network: $325 copay
Out-of-network: $325 copay

Mental Health Services

Outpatient individual therapy
In-network: $30 copay
Out-of-network: $30 copay
Outpatient group therapy
In-network: $30 copay
Out-of-network: $30 copay
Inpatient psychiatric hospital care
In-network:
Tier 1
$450 per day for days 1-5
$0 per day for days 6-90
$0 per stay
Out-of-network:
$450 per day for days 1-5
$0 per day for days 6-90
$0 per stay

Rehabilitation Services

Physical therapy and speech and language therapy
In-network: $24 copay
Out-of-network: $24 copay
Occupational therapy
In-network: $24 copay
Out-of-network: $24 copay

Medical Equipment and Supplies

Diabetes supplies
In-network: $0 copay, 10%-20% coinsurance
Out-of-network: 10%-20% coinsurance
Durable medical equipment
In-network: 10% coinsurance
Out-of-network: 10% coinsurance
Prosthetics
In-network: 10% coinsurance
Out-of-network: 10% coinsurance

Medicare Part B Drugs

Chemotherapy
In-network: 0%-20% coinsurance
Out-of-network: 20% coinsurance
Other Part B drugs (Medicare-covered)
In-network: 0%-20% coinsurance
Out-of-network: 20% 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
Not covered
Restorative services
In-network: $0 copay
Out-of-network: $0 copay
Implant services
Not covered
Orthodontics
Not covered
Oral/Maxillofacial surgery
Not covered

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
Not covered

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 Full Access Giveback as a Part B benefit.

Prescription Drug Coverage

Humana Full Access Giveback includes a Medicare Part D prescription drug plan (PDP). Plan type and coverage level are defined by CMS and may vary between basic and enhanced benefit designs.

This plan includes an enhanced benefit Medicare Part D plan (PDP), providing coverage beyond the standard CMS-defined minimum.

Prescription Drug Plan Premium

The Part D prescription drug plan premium is included in the overall Medicare Advantage plan cost. Additional adjustments may apply through the Low-Income Subsidy (LIS) program, also known as Extra Help, administered by Social Security. LIS benefits are separate from Medicare Special Needs Plan coverage.

Humana Full Access Giveback (H7617-058-0) Prescription Drug Plan Premium Details
Part D Premium Component Amount
Basic Part D Premium:($20.40)
Supplemental Part D Premium:$$20.40
Total Part D Premium:$0.00
Low-Income Premium Subsidy:$6.28
Low-Income Premium Subsidy Paid by CMS:$0.00
Low-Income Subsidy Premium:$0.00

For more details, visit the Social Security Extra Help program .

Prescription Drug Plan Deductible

This plan has a $150.00 annual Part D deductible. You'll pay this deductible at the pharmacy before Humana starts contributing towards your prescription costs.

Prescription Drug Plan Out-of-Pocket Costs

Beyond premiums and deductibles, Humana Full Access Giveback may have additional costs at pharmacies. The table below outlines out-of-pocket expenses by drug tier.

Humana Full Access Giveback (H7617-058-0) Pharmacy Out-of-Pocket Costs by Drug Tier
Drug Tier Retail Mail Order
Preferred Generic$0.00 copayComing soon
Generic$0.00 copayComing soon
Preferred Brand17% coinsuranceComing soon
Non-Preferred Drug50% coinsuranceComing soon
Specialty Tier31% coinsuranceComing soon
*Deductible does not apply.

CMS 5-Star Performance Ratings (Contract ID: H7617)

Medicare Advantage (Part C) and Part D plans are rated each year by CMS on a 5-star scale. Ratings summarize plan performance across clinical care and member experience measures.

2027 Medicare Star Ratings for Contract H7617
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 Not enough data available
Complaints and Changes in the Drug Plan ☆☆☆☆☆
Member Experience with the Drug Plan ☆☆☆☆☆
Drug Safety and Accuracy of Drug Pricing ☆☆☆☆☆
Medicare Plan Data Sources and Methodology
Primary CMS datasets used for this Medicare Advantage Plan resource.
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.

Official plan information and secondary Medicare references.
Publisher Reference Last Accessed
Humana (official source) http://www.humana.com/medicare October 4, 2026
Medicare.gov Understanding Medicare Advantage Plans 25 May, 2025
Medicare.gov Joining a plan 25 May, 2025
Medicare.gov Compare Original Medicare & Medicare Advantage 25 May, 2025

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Data provenance is documented in accordance with the U.S. Core Data for Interoperability (USCDI) Provenance standard.