Humana USAA Honor Giveback (PPO) Medicare Advantage Plan H5216-278-3 • 2026 • Lincoln County, WY

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: 50% coinsurance, specialist visits come with a $35 copay | Out-of-network: 50% coinsurance, urgent care services carry a $50 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 $6750.00. After this limit is reached, in-network services are fully covered.

This plan is registered with CMS under Plan ID H5216-278-3. Cost-sharing details are outlined below.

Out-of-Pocket Costs

Humana USAA Honor Giveback includes cost-sharing, which refers to out-of-pocket expenses for covered healthcare services. The table below outlines the most common in-network out-of-pocket costs associated with plan H5216-278-3.

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.

Medicare Plan Star Ratings

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.