HumanaChoice Giveback H5525-085 (PPO) (PPO) 2025 Plan Details for York County, Pennsylvania Residents
HumanaChoice Giveback H5525-085 (PPO) (PPO) 2025 Plan Details for York County, Pennsylvania Residents
HumanaChoice Giveback H5525-085 (PPO) is a PPO Medicare Advantage plan, from Humana, {with_without_pdp} a prescription drug plan. It's CMS Plan ID is: H5525-085-2. It is not available in all areas. The list of locations where this plan is available can be found below.
According to CMS enrollment data (July, 2025), there are approximately 0 members enrolled in this plan.
HumanaChoice Giveback H5525-085 (PPO) (PPO) Overview
| CMS Fact | Landscape Value |
|---|---|
| Health Plan ID: | H5525-085-2 |
| CMS Overall Rating: | 0.0 out of 5 stars* |
| Medicare Advantage Plan Type: | PPO |
| Coverage Year: | CY2026 |
| Monthly Premium: | $0.00 Plus your Medicare Part B premium. |
| Health Plan Deductible: | $0.00 |
| Annual Out-of-Pocket Maximum: | $8000.00 (In-Network) |
| Part B Give Back: | $0.00/mo |
| Part D Drug Plan Benefit: | Enhanced, $0.00 deductible |
| Additional Benefits: | None |
| Availability: | York County, PA |
| Insured By: | Humana |
| Last Plan Content Update: |
Plan Availability by Location
Health Plan Out-of-Pocket Costs
Prescription Drug Costs & Benefits
HumanaChoice Giveback H5525-085 (PPO) includes an enhanced benefit Medicare Part D plan (PDP), which offers greater coverage than basic plans. An enhanced benefit plan has a higher actuarial value, meaning it covers a larger percentage of your healthcare costs.
Part D Plan Premium
The Part D prescription drug plan premium is included in your overall Medicare Advantage plan cost. However, additional expenses or subsidies may apply through the Low-Income Subsidy (LIS) program, also known as Extra Help. LIS, provided by Social Security, helps those with limited income and resources to lower or eliminate Part D costs. LIS benefits are not part of Medicare Advantage coverage.
| Basic Part D Premium: | $($38.20) |
|---|---|
| Supplemental Part D Premium: | $$38.20 |
| Total Part D Premium: | $$0.00 |
| Low-Income Premium Subsidy: | ${part_d_lips_amount} |
| Low-Income Premium Subsidy Paid by CMS: | $$0.00 |
| Low-Income Subsidy Premium: | $$0.00 |
For more details, visit the Social Security Extra Help program.
Prescription Drug Plan Deductible
This plan has a $0.00 annual Part D deductible. You'll pay this deductible at the pharmacy before Humana starts contributing towards your prescription costs.
Prescription Drug Plan Out-of-Pocket Costs
Beyond premiums and deductibles, HumanaChoice Giveback H5525-085 (PPO) may have additional costs at pharmacies. The table below outlines out-of-pocket expenses by drug tier.
| Drug Tier | Retail | Mail Order |
|---|---|---|
| Cost data not available. | ||
| *Deductible does not apply. | ||
CMS 5-Star Rating Marks
The Centers for Medicare & Medicaid Services (CMS) reviews and rates Medicare Advantage (Part C) and drug plans (Part D) annually, using a 5-star system to measure aspects such as member satisfaction, preventive services, and management of chronic conditions.
Higher star ratings generally indicate better plan performance, which can be a useful factor to consider when deciding on a plan that aligns with your healthcare goals and preferences.
| CMS Measure | Star Rating |
|---|---|
| 2026 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 |
Need Help Enrolling?
| Website: | Humana Plan Page |
|---|---|
| Providers: | Humana Providers Page |
| Formulary: | Humana Formulary Page |
| Pharmacy: | Humana Pharmacy Page |
| New Member Health Plan Help: | {pbp_a_prombr_phone} |
| New Member Health Plan TTY: | {pbp_a_ttytdd_prombr_phone} |
| New Member Part D Help: | {pbp_a_pd_prombr_phone} |
| New Member Part D TTY Users: | {pbp_a_pd_ttytdd_prombr_phone} |
Frequently Asked Questions
📘 What does Medicare plan code H5525 085 mean?
HumanaChoice Giveback H5525-085 (PPO) is a Medicare Advantage plan by Humana. The code H5525 is the CMS contract ID, whereas 085 is its plan ID.
- Plan Name: HumanaChoice Giveback H5525-085 (PPO)
- Plan Type: PPO
- Premium: $0.00/mo + your monthly Part B premium
- Out-of-Pocket Max: $8000.00 (in-network)
- Drug Coverage: {pdp_faq_summary}
- CMS Star Rating: 0.0 out of 5
- Contract Year: 2026
This information is based on official CMS data and is provided for educational purposes. Always review your plan’s official documents or contact the provider directly before making enrollment decisions.
📋 What type of plan is H5525 085?
This plan is a PPO — specifically, it's an PPO plan with a Medicare Advantage contract that's offered by Humana. It comes with defined provider network rules you should be aware of.
- Plan Marketing Name: HumanaChoice Giveback H5525-085 (PPO)
- Network Type: {plan_type_expanded}
- Referral Requirement: {referral_required_expanded}
- Prescription Coverage: {pdp_faq_summary}
Plan types like HMOs and PPOs determine whether you can go out-of-network or need referrals to see specialists.
📦 What benefits are included in H5525 085?
This plan covers all Medicare Part A and Part B services. Depending on the plan, it may also include valuable extras like dental, vision, and hearing benefits.
- Medical Services: Hospital, doctor visits, preventive care
- Prescription Drugs: Enhanced, $0.00 deductible
- Dental: {dental_benefit}
- Vision: {vision_benefit}
- Hearing: {hearing_benefit}
Benefit availability may vary by location and plan version. Confirm specific details in your plan's Evidence of Coverage (EOC).