Humana Together in Health (PPO I-SNP) Costs & Coverage in Dillon, SC (2025)

This section details the dental services covered under your plan including, Medicare-covered preventive dental, oral exams, x-rays, dental cleanings, and comprehensive dental.

ntal benefit for non Medicare-covered services at: $2,000.00 (Every year).
Service Member Cost (in-network)
Medicare Covered Preventive Dental 20% Coinsurance
Prior Authorization Required
Oral exam $0 Copay
Dental x-rays $0 Copay
Cleaning $0 Copay
Periodontics Not Covered
Endodontics Not Covered
Restorative Services Not Covered

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Hearing Aids and Services

This section outlines the coverage for hearing-related services, including exams, fittings, and hearing aids.

Service Member Cost (in-network)
Fitting/evaluation $0 Copay
Prior Authorization Required, Limitations Apply
Hearing aids Covered
Limits may apply
Hearing exam $0 Copay
Prior Authorization Required

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Vision Services

Learn about the costs for vision-related services, including eye exams, eyeglasses, and contact lenses.

Service Member Cost (in-network)
Medicare-covered eye exam (in-network) 20% Coinsurance
Routine eye exam (in-network) $0 Copay
Prior Authorization Required, 1 Every year
Eyewear benefits Eyeglasses: Yes
Contact Lenses: Yes
Eyeglass Lenses: No
Eyeglass Frames: No
Eyewear Upgrades: No
Maximum eyewear benefit:$350.00
Every year

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Do you have questions about the costs in this plan? Call 1-833-748-3201 (TTY 711) to speak with a licensed HealthCompare insurance agent (Mon-Fri 5am-6pm, Sat 6am-5pm PST) and learn more about this Special Needs Plan (H5216-243-0) and other plans on this site.

Prescription Drug Plan Costs & Benefits

Prescription Drug Plan Premium

The following table outlines the prescription drug plan premium details of this plan.

Basic Part D Premium:$(24.70)
Supplemental Part D Premium:$24.70
Total Part D Premium:$0.00
Low Income Premium Subsidy:$46.57
Low Income Premium Subsidy CMS Pays:$0.00
Low Income Subsidy Premium:$0.00

For more information about the Low Income Subsidy, refer to the Social Security Extra Help page.

Prescription Drug Plan Deductible

The Medicare Part D annual deductible with this plan is $480.00. This is the amount you must pay at the pharmacy before Humana begins paying its share.

Prescription Drug Plan Out-of-Pocket Costs

In addition to the plan's monthly premium and deductible, Humana Together in Health has out-of-pocket costs that you must pay when you pick up your prescriptions. The following table shows you those costs.

Drug TierRetailMail Order
Preferred Generic$0.00$10.00
Generic$0.00$20.00
Preferred Brand25.00%25.00%
Non-Preferred Drug25.00%25.00%
Specialty Tier25.00%25.00%
*Deductible does not apply.

CMS Rating Marks

The Centers for Medicare & Medicaid Services (CMS) annually rates Medicare Advantage {plan_type_2}s in nine key categories using a 5-star system. These ratings help you gauge the quality of care and service you might receive with this Humana plan.

CMS MeasureStar Rating
2025 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

Eligibility for Enrollment in Humana Together in Health

To enroll in Humana Together in Health , you must meet the following three criteria:

  1. You are eligible for Medicare;
  2. You reside within the plan’s service area; and
  3. You require the level of care typically provided in an institutional setting, such as a long-term care nursing facility, for 90 days or more.

This plan accomodates individuals in a long-term care facility. It is also available to people who need the level of care given in a long-term care facility who can remain at home or live in an assisted living facility.

If you live at home and need a similar level of skilled care, you may qualify for an Institutional Equivalent Special Needs Plan (IE-SNP).

SNP Plan Enrollment Periods

Once you’ve confirmed your eligibility for Humana Together in Health , it’s crucial to enroll during the appropriate Medicare Enrollment Period to ensure you receive the coverage you need without delay. Depending on your situation, you may need to enroll during one of the following periods:

  • Initial Enrollment Period (IEP): This is your first opportunity to enroll when you become Medicare-eligible.
  • Annual Enrollment Period (AEP): The annual window when you can review and adjust your Medicare coverage.
  • Special Enrollment Periods (SEPs): Special situations may allow you to enroll or change plans outside of the standard periods.

To get a deeper understanding of these enrollment periods, click here to learn more and stay informed about your Medicare choices.

Contact Humana

Call 833-748-3201 (TTY 711) to speak with a licensed HealthCompare insurance agent (Mon-Fri 5am-6pm, Sat 6am-5pm PST) and learn more about this plan and other plans on this site. You may also Enroll Online using our safe and secure online enrollment website or take advantage of the following plan resources:

Website:Humana Plan Page
Providers:Humana Providers Page
Formulary:Humana Formulary Page
Pharmacy:Humana Pharmacy Page
New Member Health Plan Help:(800)833-2364
New Member Health Plan TTY:711
New Member Part D Help:(800)833-2364
New Member Part D TTY Users:711

If you qualify for Medicare benefits but have not yet enrolled or verified your enrollment status, you can do so on the Social Security Administration website. You can learn more about the Medicare Advantage program on www.medicare.gov.

Plans Offered through Medicare.org

Medicare Advantage and Part D plans and benefits offered by the following carriers: Aetna Medicare, Anthem Blue Cross, Anthem Blue Cross and Blue Shield, Aspire Health Plan, Baylor Scott & White Health Plan, Capital Blue Cross, Cigna Healthcare, Dean Health Plan, Devoted Health, Florida Blue Medicare, Freedom Health, GlobalHealth, Health Care Service Corporation, Healthy Blue, HealthSun, Humana, Molina Healthcare, Mutual of Omaha, Medica Central Health Plan, Optimum HealthCare, Premera Blue Cross, SCAN Health Plan, Simply, UnitedHealthcare(R), Wellcare, WellPoint.

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Humana Together in Health (PPO I-SNP) Costs & Coverage in Dillon, SC (2025)

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