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Medicare Advantage · Local PPO
Humana
Plan year 2027

Humana DaVita Kidney Care (PPO C-SNP) H7617-136

Monthly premium
$0
+ your Part B premium
Max out-of-pocket
$6,750
in-network annual cap
Primary care
$0
per visit copay
Specialist
$0
per visit
Eligibility required for this C-SNP
The plan must verify that you have one of its qualifying chronic or disabling conditions, such as end-stage renal disease. If the plan uses a pre-enrollment assessment, provider verification is due by the end of your first month of enrollment. If verification is still missing, the plan must notify you and may disenroll you at the end of your second month. Your coverage continues if verification arrives before then. Review the official plan documents for the exact criteria.

Your costs at a glanceIn-network, for the 2027 plan year

Medical deductible
$0
Max out-of-pocket, in and out of network
$9,800
Rx deductible
$700
Inpatient hospital
Days 1-6: $450/day, Days 7-90: $0/day, then $0/day
no limit on covered hospital days
Inpatient mental health
Days 1-6: $392/day, Days 7-90: $0/day
Outpatient surgery
$400
Emergency room
$130
Urgent care
$50

What's included, and what it's actually worth4 benefits included. Tap any card for the detail

Dental

$1,000/yr preventive dental allowance
Details$1,000/yr preventive dental allowance
This is a supplemental benefit with plan-specific limits. See plan documents for details.

Hearing

$575–$750copay per hearing aid
Details$575–$750 copay per hearing aid
This is a supplemental benefit with plan-specific limits. See plan documents for details.

Vision

$100/yr eyewear allowance
Eyewear allowance$100/yr eyewear allowance
This is a supplemental benefit with plan-specific limits. See plan documents for details.
See more details about this plan
Doctor Visits: PCP$0 copay
In-network$0 copay per visit
Doctor Visits: Specialist$0 copay
In-network$0 copay per visit
Inpatient Hospital$450/day, days 1–6
In-networkDays 1-6: $450/day, Days 7-90: $0/day, then $0/day
Benefit limitNone — additional covered days are unlimited
Outpatient Surgery$400 copay
In-network$400 copay per procedure
Mental HealthDays 1-6: $392/day, Days 7-90: $0/day
Inpatient psychiatricDays 1-6: $392/day, Days 7-90: $0/day
MealsMeal benefit

Your coverageCheck your coverageFrom the doctors and prescriptions you added

Our take

Where this plan shines

This plan has a $0 monthly premium.
See your primary doctor for $0.
The specialist copay ($0) is among the more affordable options.
No separate medical deductible.

Things to know before you enroll

This plan’s out-of-pocket maximum is above the national median.
Limited coverage while traveling outside the plan’s service area.
Questions? Talk to a licensed agent at1-866-764-3312 (TTY: 711)

Plan documents

Plan questions

Common questions about Humana DaVita Kidney Care (PPO C-SNP) (Local PPO)

What does Humana DaVita Kidney Care (PPO C-SNP) (Local PPO) cover?

Humana DaVita Kidney Care (PPO C-SNP) (Local PPO) is a Chronic Condition Special Needs Plan, a Medicare Advantage plan for people whose qualifying condition the plan verifies, including end stage renal disease. The plan record also identifies Part D prescription drug coverage. Published supplemental benefits include dental ($1,000/yr preventive dental allowance), vision ($100/yr eyewear allowance), hearing ($575–$750 copay per hearing aid), and meals (Meal benefit). Review the plan documents for covered services, limits, and rules. Coverage can change each plan year.

Learn about Medicare Advantage

How much does Humana DaVita Kidney Care (PPO C-SNP) (Local PPO) cost in 2027?

The published 2027 monthly plan premium for Humana DaVita Kidney Care (PPO C-SNP) (Local PPO) is $0. Any Medicare premiums you owe are separate from the listed plan premium. The listed medical deductible is $0. The listed Part D deductible is $700. The in-network medical out-of-pocket maximum is $6,750; it does not include Part D drug spending. Published visit costs include primary care $0 and specialist visits $0. These figures are plan data, not a personal yearly-cost estimate.

Understand Medicare drug-cost limits

Can I use my current doctors with Humana DaVita Kidney Care (PPO C-SNP) (Local PPO)?

CMS lists Humana DaVita Kidney Care (PPO C-SNP) (Local PPO) as a Local PPO plan. A network label alone does not confirm that a specific doctor participates. Use the doctor lookup tool, then confirm with the doctor's office and the plan before receiving care. Provider networks and member costs can change. Emergency care and travel coverage can follow different network rules.

Check your doctors

What chronic conditions qualify for Humana DaVita Kidney Care (PPO C-SNP) (Local PPO)?

Humana DaVita Kidney Care (PPO C-SNP) (Local PPO) is listed in the current plan record as a C-SNP. The plan must verify that you have one of its qualifying chronic or disabling conditions, such as end-stage renal disease. If the plan uses a pre-enrollment assessment, provider verification is due by the end of your first month of enrollment. If verification is still missing, the plan must notify you and may disenroll you at the end of your second month. Your coverage continues if verification arrives before then. Review the official plan documents for the exact criteria.

Learn about Special Needs Plans

How does Humana DaVita Kidney Care (PPO C-SNP) (Local PPO) coordinate care for my chronic condition?

Humana DaVita Kidney Care (PPO C-SNP) (Local PPO) is identified in the current plan record as a Chronic Condition Special Needs Plan for qualifying conditions that include end stage renal disease. The record also lists dental ($1,000/yr preventive dental allowance), vision ($100/yr eyewear allowance), and hearing ($575–$750 copay per hearing aid). The data on this page does not describe a personal care plan or promise a specific care coordinator. Review the Evidence of Coverage and ask the plan how its model of care, provider communication, and medication support apply to your verified condition.

When can I enroll in Humana DaVita Kidney Care (PPO C-SNP) (Local PPO)?

Humana DaVita Kidney Care (PPO C-SNP) (Local PPO) is a 2027 Medicare Advantage plan. The Annual Enrollment Period runs from October 15 through December 7, with changes taking effect January 1. The Medicare Advantage Open Enrollment Period runs from January 1 through March 31 for people already enrolled in Medicare Advantage. Because this is a C-SNP, the plan must also verify its eligibility requirements. A qualifying circumstance may create a Special Enrollment Period, but eligibility alone does not guarantee a year-round right to enroll. Confirm the enrollment window and effective date that apply to you before changing coverage.

Review Medicare enrollment periods

More plan options

Browse the full 2027 Chronic Condition Special Needs Plan directory. This plan is offered in Texas. Plan availability can vary by county.

Helpful next steps