Humana USAA Honor Giveback (PPO) Medicare Advantage Plan H5216-427-3 • 2026 • Weber County, UT

Humana USAA Honor Giveback Overview

Coverage Overview for Humana USAA Honor Giveback

As a Medicare Advantage PPO plan, Humana USAA Honor Giveback covers Medicare Part A and Part B services and allows access to Medicare-approved providers. The monthly premium is $0.00, with lower costs when using in-network providers.

Primary care visits have a $0 copay | Out-of-network: 35% coinsurance, specialist visits come with a $50 copay | Out-of-network: 35% coinsurance, urgent care services carry a $40 copay, and ambulance transportation is $335 copay | Out-of-network: $335 copay. These expenses apply toward the annual maximum out-of-pocket (MOOP) limit of $9150.00. After this limit is reached, in-network services are fully covered.

This plan is registered with CMS under Plan ID H5216-427-3. Cost-sharing details are outlined below.

Cost Sharing Expenses

Cost-sharing for Humana USAA Honor Giveback includes out-of-pocket expenses for covered healthcare services. The table below provides a summary of typical in-network out-of-pocket costs for plan H5216-427-3.

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 Ratings

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.