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HumanaChoice R4182-001 (PPO) Medicare Advantage Plan R4182-001 • 2027

CMS Rating: ☆☆☆☆☆ (3.5 out of 5 stars*)
Monthly Premium
$0.00Plus Part B premium.
Medical Deductible
$0.00
Maximum Out-of-Pocket
$6000.00In-network
Part B Giveback
Not offered
Prescription Coverage
Not Included
Additional Benefits
Dental, Vision, Hearing
Service Area
See List
Total Enrollment
1,644 beneficiaries
Last update:

HumanaChoice R4182-001 (Regional PPO) Introduction

This Medicare Advantage Regional PPO plan, HumanaChoice R4182-001, is offered by Humana and uses a Preferred Provider Organization (PPO) provider network. It comes without prescription drug coverage. For the 2027 plan year, the monthly premium is $0.00, the medical deductible is $0.00, and the in-network maximum out-of-pocket is $6000.00. The plan is identified by CMS Plan ID R4182-001.

Plan Benefits

HumanaChoice R4182-001 includes cost-sharing, which refers to out-of-pocket expenses for covered healthcare services. The tables below outline the most common in-network out-of-pocket costs associated with plan R4182-001.

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: 50% coinsurance		 In-network: $0 copay
Out-of-network: 50% coinsurance
Specialist In-network: $40 copay
Out-of-network: 50% coinsurance		 In-network: $35 copay
Out-of-network: 50% coinsurance

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		 In-network: $0 copay
Telehealth benefit In-network: $0-$50 copay In-network: $0-$50 copay
Routine chiropractic Not covered Not covered
Fitness benefits Coming soon In-network: $0 copay
Out-of-network: $0 copay
Health education Not covered Not covered
Counseling services Not covered Not covered
Over-the-counter drug benefits In-network: $0 copay
Out-of-network: 95% coinsurance		 In-network: $0 copay
Out-of-network: $0 copay
Health transportation (non-emergency) Coming soon Not covered

Diagnostic, Lab, and Imaging Services

Diagnostic, laboratory, and imaging service costs by plan year.
Covered Service 2027 2026
Diagnostic radiology services In-network: $0-$360 copay
Out-of-network: $0 copay, 50% coinsurance		 In-network: $0-$360 copay
Out-of-network: $0 copay, 50% coinsurance
Lab services In-network: $0 copay
Out-of-network: $50 copay, 50% coinsurance		 In-network: $0-$50 copay
Out-of-network: 50% coinsurance
Outpatient x-rays In-network: $0-$145 copay
Out-of-network: $50 copay, 50% coinsurance		 In-network: $0-$130 copay
Out-of-network: $65 copay, 50% coinsurance
Diagnostic tests and procedures In-network: $0-$175 copay
Out-of-network: $50 copay, 50% coinsurance		 In-network: $0-$50 copay, 50% coinsurance
Out-of-network: 50% coinsurance

Emergency and Urgent Care Services

Emergency, urgent care, hospital, ambulance, and skilled nursing costs by plan year.
Covered Service 2027 2026
Emergency room care $130 copay $130 copay
Worldwide emergency care Coming soon $130 copay
Urgent care $50 copay $50 copay
Inpatient hospital care In-network:
Tier 1
$470 per day for days 1-5
$0 per day for days 6-90
$0 per stay
Out-of-network:
50% per stay		 In-network:
Tier 1
$370 per day for days 1-5
$0 per day for days 6-90
$0 per stay
Out-of-network:
50% 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:
50% per stay		 In-network:
Tier 1
$10 per day for days 1-20
$218 per day for days 21-100
Out-of-network:
50% per stay
Ground ambulance In-network: $325 copay
Out-of-network: $325 copay		 In-network: $335 copay
Out-of-network: $335 copay

Mental Health Services

Mental health therapy and inpatient psychiatric care costs by plan year.
Covered Service 2027 2026
Outpatient individual therapy In-network: $20 copay
Out-of-network: 50% coinsurance		 In-network: $30 copay
Out-of-network: 50% coinsurance
Outpatient group therapy In-network: $20 copay
Out-of-network: 50% coinsurance		 In-network: $30 copay
Out-of-network: 50% coinsurance
Inpatient psychiatric hospital care In-network:
Tier 1
$470 per day for days 1-5
$0 per day for days 6-90
$0 per stay
Out-of-network:
50% per stay		 In-network:
Tier 1
$370 per day for days 1-5
$0 per day for days 6-90
$0 per stay
Out-of-network:
50% per stay

Rehabilitation Services

Physical, speech, and occupational therapy costs by plan year.
Covered Service 2027 2026
Physical therapy and speech and language therapy In-network: $30 copay
Out-of-network: 50% coinsurance		 In-network: $25 copay
Out-of-network: 50% coinsurance
Occupational therapy In-network: $30 copay
Out-of-network: 50% coinsurance		 In-network: $25 copay
Out-of-network: 50% coinsurance

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		 In-network: $0 copay, 10%-20% coinsurance
Out-of-network: 50% coinsurance
Durable medical equipment In-network: 14% coinsurance
Out-of-network: 50% coinsurance		 In-network: $0 copay, 14% coinsurance
Out-of-network: 50% coinsurance
Prosthetics In-network: 14% coinsurance
Out-of-network: 50% coinsurance		 In-network: 14% coinsurance
Out-of-network: 50% coinsurance

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		 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		 In-network: 0%-20% coinsurance
Out-of-network: 50% coinsurance

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		 In-network: $0 copay
Out-of-network: $0 copay
Dental x-rays In-network: $0 copay
Out-of-network: $0 copay		 In-network: $0 copay
Out-of-network: $0 copay
Cleaning In-network: $0 copay
Out-of-network: $0 copay		 In-network: $0 copay
Out-of-network: $0 copay
Periodontics In-network: $0 copay
Out-of-network: $0 copay		 In-network: $0 copay
Out-of-network: $0 copay
Endodontics In-network: $0 copay
Out-of-network: $0 copay		 In-network: $0 copay
Out-of-network: $0 copay
Restorative services In-network: $0 copay
Out-of-network: $0 copay		 In-network: $0 copay
Out-of-network: $0 copay
Implant services Not covered Not covered
Orthodontics Not covered Not covered
Oral/Maxillofacial surgery In-network: $0 copay
Out-of-network: $0 copay		 In-network: $0 copay
Out-of-network: $0 copay

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		 In-network: $0 copay
Out-of-network: $0 copay
Contact lenses In-network: $0 copay
Out-of-network: $0 copay		 In-network: $0 copay
Out-of-network: $0 copay
Eyeglass frames only Not covered Not covered
Eyeglass lenses only Not covered Not covered
Eyeglasses (frames & lenses) In-network: $0 copay
Out-of-network: $0 copay		 In-network: $0 copay
Out-of-network: $0 copay
Upgrades Not covered Not covered

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		 In-network: $0 copay
Out-of-network: $0 copay
Fitting/evaluation In-network: $0 copay
Out-of-network: 95% coinsurance		 In-network: $0 copay
Out-of-network: $0 copay
Prescription hearing aids In-network: $399-$675 copay
Out-of-network: 95% coinsurance		 In-network: $699-$999 copay
Out-of-network: $699-$999 copay
OTC hearing aids In-network: $0 copay
Out-of-network: 95% coinsurance		 In-network: $0 copay
Out-of-network: $0 copay

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 Not covered
Home-based palliative care Not covered Not covered
Personal emergency response system Coming soon Not covered
Weight management programs Not covered Not covered
Wigs for chemotherapy-related hair loss Coming soon Not covered
Alternative therapies Not covered Not covered
Massage therapy Not covered Not covered
Home/bathroom safety devices Not covered Not covered

Certain preventive services are covered 100% by HumanaChoice R4182-001 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: R4182)

CMS evaluates Medicare Advantage (Part C) and Part D plans annually using a 5-star rating system. Ratings reflect performance in preventive care, chronic condition management, and member experience.

2027 Medicare Star Ratings for Contract R4182
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 ☆☆☆☆☆

Plan Availability

HumanaChoice R4182-001 (R4182-001-0) is available in the following locations:

Texas 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 R4182-001 (Regional PPO)

What is the monthly premium for HumanaChoice R4182-001 (Regional PPO)?

The 2027 monthly premium is $0.00. The Medicare Part B premium is paid separately.

What is the in-network MOOP for plan R4182-001?

For 2027, the in-network maximum out-of-pocket is $6000.00. The plan pays 100% of covered in-network services beyond this amount.

What is the total enrollment for plan R4182-001?

Total enrollment is 1,644 beneficiaries based on the latest CMS data.

Is there a Part D deductible for this plan?

The Part D deductible is $0.00.

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
CMS.gov Medicare Advantage Plan Fact Sheet 25 May, 2025
Medicare.gov Joining a plan 25 May, 2025
Medicare.gov Your coverage options 25 May, 2025

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Data provenance documentation is maintained in alignment with the U.S. Core Data for Interoperability (USCDI) Provenance standard.