Humana Together in Health (PPO I-SNP) H5216-362
An I-SNP coordinates Medicare-covered care for members who meet its institutional eligibility rules. That eligibility does not mean Medicare pays for long-term custodial care or an ongoing nursing-home stay. Medicare may cover short-term skilled nursing care when its coverage requirements are met; Medicaid, long-term-care insurance, or personal funds may cover other long-term-care costs.
- Non-medical transportation benefit
- General supports for living
- Social needs benefit
- Services supporting self-direction
Your costs at a glanceIn-network, for the 2026 plan year
What's included, and what it's actually worth4 benefits included. Tap any card for the detail
Dental
$2,000/yr preventive dental allowance
Vision
$550/yr eyewear allowance
See more details about this plan
Doctor Visits: PCP$0 copay
Doctor Visits: Specialist20%
Inpatient Hospital$611/day, days 1–4
Outpatient Surgery20%
Mental Health$1,872 per stay
Hearing$0–$599
Your coverageCheck your coverageFrom the doctors and prescriptions you added
Your plan's drug tiers30-day retail · after any applicable deductible
Our take
Where this plan shines
Things to know before you enroll
Plan documents
Plan questions
Common questions about Humana Together in Health (PPO I-SNP) (Local PPO)
What does Humana Together in Health (PPO I-SNP) (Local PPO) cover?
Humana Together in Health (PPO I-SNP) (Local PPO) is an Institutional Special Needs Plan, a Medicare Advantage plan for people whose qualifying institutional level of care the plan verifies. The plan record also identifies Part D prescription drug coverage. Its published drug benefit lists 5 formulary tiers. Published supplemental benefits include dental ($2,000/yr preventive dental allowance), vision ($550/yr eyewear allowance), hearing ($0–$599 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 AdvantageHow much does Humana Together in Health (PPO I-SNP) (Local PPO) cost in 2026?
The published 2026 monthly plan premium for Humana Together in Health (PPO I-SNP) (Local PPO) is $24.60. The standard Part B premium is $202.90/month in 2026 for most people; assistance may pay it for some members. The listed Part D deductible is $615. The in-network medical out-of-pocket maximum is $9,230; it does not include Part D drug spending. Published visit costs include primary care $0 and specialist visits 20%. These figures are plan data, not a personal yearly-cost estimate.
Understand Medicare drug-cost limitsCan I use my current doctors with Humana Together in Health (PPO I-SNP) (Local PPO)?
CMS lists Humana Together in Health (PPO I-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 doctorsWho is eligible for Humana Together in Health (PPO I-SNP) (Local PPO)?
Humana Together in Health (PPO I-SNP) (Local PPO) is listed in the current plan record as a I-SNP. The plan must verify that, for 90 days or longer, you have needed or are expected to need the level of care provided in a qualifying institution. Some plans also serve people who need an equivalent institutional level of care while living in the community. Review the official plan documents for the residence, care-level, and enrollment requirements.
Learn about Special Needs PlansWhat does Humana Together in Health (PPO I-SNP) (Local PPO) cover for people who need institutional care?
Humana Together in Health (PPO I-SNP) (Local PPO) is identified in the current plan record as an Institutional Special Needs Plan. The record identifies Part D prescription drug coverage. It also lists dental ($2,000/yr preventive dental allowance), vision ($550/yr eyewear allowance), hearing ($0–$599 copay per hearing aid), and meals (Meal benefit). The page data does not describe facility-specific therapy, nursing, or care-coordination arrangements. Confirm covered services, participating facilities, benefit limits, and coordination responsibilities in the official plan documents before enrolling.
When can I enroll in Humana Together in Health (PPO I-SNP) (Local PPO)?
Humana Together in Health (PPO I-SNP) (Local PPO) is a 2026 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 I-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 periodsMore plan options
Explore related plans
Browse the full 2026 Institutional Special Needs Plan directory. This plan is offered in Virginia. Plan availability can vary by county.
More Institutional Special Needs Plan options
These plans are offered in at least one of the same states. Check your ZIP or county before choosing a plan.
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- UHC Nursing Home Plan EX-F004 (PPO I-SNP)UnitedHealthcare · H0710-032Offered in Virginia