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HumanaChoice H7617-125 (PPO) Medicare Advantage Plan H7617-125 • 2027

CMS Rating: ☆☆☆☆☆ (4.5 out of 5 stars*)
Monthly Premium
$58.00Plus Part B premium.
Medical Deductible
$0.00
Maximum Out-of-Pocket
$9850.00In-network
Part B Giveback
Not offered
Prescription Coverage
Enhanced, $450.00 deductible
Additional Benefits
Dental, Vision, Hearing
Service Area
See List
Total Enrollment
0 beneficiaries
Last update:

HumanaChoice H7617-125 (PPO) Introduction

HumanaChoice H7617-125 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 $58.00 monthly premium, $0.00 medical deductible, and $9850.00 in-network maximum out-of-pocket. CMS Plan ID H7617-125 identifies this plan. The 2027 Part D prescription drug deductible is $450.00.

Plan Benefits

Cost-sharing for HumanaChoice H7617-125 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 H7617-125.

Compare 2027 plan benefits with 2026.

Office Visits

Office visit costs by plan year.
Covered Service 2027 2026
Primary care In-network: $0 copay
Out-of-network: 40% coinsurance		 Coming soon
Specialist In-network: $45 copay
Out-of-network: 40% coinsurance		 Coming soon

Preventive and Wellness Services

Preventive and wellness service costs and benefits by plan year.
Covered Service 2027 2026
Annual wellness exam In-network: $0 copay
Out-of-network: $0 copay		 Coming soon
Telehealth benefit In-network: $0-$45 copay Coming soon
Routine chiropractic Not covered Coming soon
Fitness benefits Coming soon Coming soon
Health education Not covered Coming soon
Counseling services Not covered Coming soon
Over-the-counter drug benefits Not covered Coming soon
Health transportation (non-emergency) Coming soon Coming soon

Diagnostic, Lab, and Imaging Services

Diagnostic, laboratory, and imaging service costs by plan year.
Covered Service 2027 2026
Diagnostic radiology services In-network: $0-$345 copay
Out-of-network: $0 copay, 50% coinsurance		 Coming soon
Lab services In-network: $0 copay
Out-of-network: $40 copay, 50% coinsurance		 Coming soon
Outpatient x-rays In-network: $0-$145 copay
Out-of-network: $40 copay, 40%-50% coinsurance		 Coming soon
Diagnostic tests and procedures In-network: $0-$180 copay
Out-of-network: $40 copay, 40%-50% coinsurance		 Coming soon

Emergency and Urgent Care Services

Emergency, urgent care, hospital, ambulance, and skilled nursing costs by plan year.
Covered Service 2027 2026
Emergency room care $115 copay Coming soon
Worldwide emergency care Coming soon Coming soon
Urgent care $40 copay Coming soon
Inpatient hospital care In-network:
Tier 1
$375 per day for days 1-7
$0 per day for days 8-90
$0 per stay
Out-of-network:
50% per stay		 Coming soon
Skilled Nursing Facility In-network:
Tier 1
$0 per day for days 1-20
$221 per day for days 21-100
Out-of-network:
50% per stay		 Coming soon
Ground ambulance In-network: $325 copay
Out-of-network: $325 copay		 Coming soon

Mental Health Services

Mental health therapy and inpatient psychiatric care costs by plan year.
Covered Service 2027 2026
Outpatient individual therapy In-network: $35 copay
Out-of-network: 40% coinsurance		 Coming soon
Outpatient group therapy In-network: $35 copay
Out-of-network: 40% coinsurance		 Coming soon
Inpatient psychiatric hospital care In-network:
Tier 1
$375 per day for days 1-7
$0 per day for days 8-90
$0 per stay
Out-of-network:
50% per stay		 Coming soon

Rehabilitation Services

Physical, speech, and occupational therapy costs by plan year.
Covered Service 2027 2026
Physical therapy and speech and language therapy In-network: $25 copay
Out-of-network: 40% coinsurance		 Coming soon
Occupational therapy In-network: $25 copay
Out-of-network: 40% coinsurance		 Coming soon

Medical Equipment and Supplies

Diabetes supplies, durable medical equipment, and prosthetic costs by plan year.
Covered Service 2027 2026
Diabetes supplies In-network: $0 copay, 10%-20% coinsurance
Out-of-network: 50% coinsurance		 Coming soon
Durable medical equipment In-network: 20% coinsurance
Out-of-network: 50% coinsurance		 Coming soon
Prosthetics In-network: 20% coinsurance
Out-of-network: 50% coinsurance		 Coming soon

Medicare Part B Drugs

Chemotherapy and other Medicare Part B-covered drug costs by plan year.
Covered Service 2027 2026
Chemotherapy In-network: 0%-20% coinsurance
Out-of-network: 50% coinsurance		 Coming soon
Other Part B drugs (Medicare-covered) In-network: 0%-20% coinsurance
Out-of-network: 20%-50% coinsurance		 Coming soon

Dental Services

Preventive and comprehensive dental service costs by plan year.
Covered Service 2027 2026
Oral exam In-network: $0 copay
Out-of-network: $0 copay		 Coming soon
Dental x-rays In-network: $0 copay
Out-of-network: $0 copay		 Coming soon
Cleaning In-network: $0 copay
Out-of-network: $0 copay		 Coming soon
Periodontics In-network: $0 copay
Out-of-network: $0 copay		 Coming soon
Endodontics Not covered Coming soon
Restorative services Not covered Coming soon
Implant services Not covered Coming soon
Orthodontics Not covered Coming soon
Oral/Maxillofacial surgery Not covered Coming soon

Vision Services

Routine eye exams, contact lenses, and eyewear costs by plan year.
Covered Service 2027 2026
Routine eye exam In-network: $0 copay
Out-of-network: $0 copay		 Coming soon
Contact lenses In-network: $0 copay
Out-of-network: $0 copay		 Coming soon
Eyeglass frames only Not covered Coming soon
Eyeglass lenses only Not covered Coming soon
Eyeglasses (frames & lenses) In-network: $0 copay
Out-of-network: $0 copay		 Coming soon
Upgrades Not covered Coming soon

Hearing Services

Hearing exams, fittings, and hearing aid costs by plan year.
Covered Service 2027 2026
Hearing exam In-network: $0 copay
Out-of-network: 95% coinsurance		 Coming soon
Fitting/evaluation In-network: $0 copay
Out-of-network: 95% coinsurance		 Coming soon
Prescription hearing aids In-network: $575-$750 copay
Out-of-network: 95% coinsurance		 Coming soon
OTC hearing aids Not covered Coming soon

Additional and Special Needs Services

Additional and special needs service costs and benefits by plan year.
Covered Service 2027 2026
Adult day health services Not covered Coming soon
Home-based palliative care Not covered Coming soon
Personal emergency response system Coming soon Coming soon
Weight management programs Not covered Coming soon
Wigs for chemotherapy-related hair loss Coming soon Coming soon
Alternative therapies Not covered Coming soon
Massage therapy Not covered Coming soon
Home/bathroom safety devices Not covered Coming soon

Certain preventive services are covered 100% by HumanaChoice H7617-125 as a Part B benefit.

Prescription Drug Coverage

HumanaChoice H7617-125 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.

HumanaChoice H7617-125 (H7617-125-0) Prescription Drug Plan Premium Details
Part D Premium Component Amount
Basic Part D Premium:$0.00
Supplemental Part D Premium:$$0.00
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 $450.00 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, HumanaChoice H7617-125 may have additional costs at pharmacies. The table below outlines out-of-pocket expenses by drug tier.

HumanaChoice H7617-125 (H7617-125-0) Pharmacy Out-of-Pocket Costs by Drug Tier
Drug Tier Retail Mail Order
Preferred Generic$0.00 copayComing soon
Generic$5.00 copayComing soon
Preferred Brand17% coinsuranceComing soon
Non-Preferred Drug31% coinsuranceComing soon
Specialty Tier28% 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 ☆☆☆☆☆

Plan Availability

HumanaChoice H7617-125 (H7617-125-0) is available in the following locations:

Virginia Counties Served

Frequently Asked Questions

Here are some of the most frequently asked questions about this plan (click to open).

Frequently Asked Questions About HumanaChoice H7617-125 (PPO)

How much does plan H7617-125 cost per month?

The 2027 monthly premium is $58.00. The Medicare Part B premium is paid separately.

What is the annual out-of-pocket maximum (MOOP) for this plan?

For 2027, the in-network maximum out-of-pocket is $9850.00. The plan pays 100% of covered in-network services beyond this amount.

What is the CMS star rating for HumanaChoice H7617-125?

For 2027, plan H7617-125 has a CMS star rating of ★4.5 out of 5 stars.

How many beneficiaries are enrolled in this plan?

Total enrollment is 0 beneficiaries based on the latest CMS data.

What is the Part D deductible for plan H7617-125?

The plan’s Part D deductible is $450.00, applied to covered prescription drug costs.

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 Explore your Medicare coverage options 25 May, 2025

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