Sales Sheets

2024 Medicare Product Suite  

Summary of Benefits

Medicare Advantage

Michigan

MA Humana USAA Honor H5216-190 (PPO)      

MAPD Humana USAA Honor with Rx (PPO) 

MAPD HumanaChoice H5216 306 (PPO)    

MAPD HumanaChoice H5216 380 (PPO)    

MAPD Humana Value Plus H5216 382 (PPO)    

MAPD HumanaChoice H5216 384 (PPO)

MA HumanaChoice R3887 001 (Regional PPO)

MAPD HumanaChoice R3887 002 (Regional PPO)     

MAPD HumanaChoice SNP DE H5216 385 (PPO D SNP)    

MAPD Humana Gold Choice H8145 006 (PFFS)

Detroit

MAPD HumanaChoice H5216 011 (PPO) 

MAPD Humana Gold Plus SNP DE H8908 005 (HMO D SNP)

Grand Rapids

MAPD Humana Gold Plus H8908 002 (HMO)

Macomb, Oakland, Wayne

MAPD HumanaChoice H5216 133 (PPO)    

MAPD HumanaChoice H5216 287 (PPO)

Southeast Michigan

MAPD Humana Gold Plus H8908 001 (HMO POS) 

MAPD Humana Gold Plus H8908 004 (HMO POS)    

Michigan, non-Detroit

MAPD HumanaChoice SNP DE H5216 388 (PPO D SNP)

Select Counties

MAPD HumanaChoice  Diabetes and Heart H5216-375 (PPO C SNP)

PDPs

PDP Humana Basic Rx Plan (PDP) S5884-136      

PDP Humana Premier Rx Plan (PDP) S5884-159    

PDP Humana Walmart Value Rx Plan (PDP) S5884-192 

Enrollment Kits

Medicare Advantage

Michigan

MA Humana USAA Honor H5216-190(PPO)         

MAPD Humana USAA Honor with Rx H5216-305 (PPO)    

MAPD HumanaChoice H5216 306 (PPO)      

MAPD HumanaChoice H5216 380 (PPO)     

MAPD Humana Value Plus H5216 382 (PPO)     

MAPD HumanaChoice H5216 384 (PPO)

MA HumanaChoice R3887 001 (Regional PPO)

MAPD HumanaChoice R3887 002 (Regional PPO)         

MAPD HumanaChoice SNP DE H5216 385 (PPO D SNP)      

MAPD Humana Gold Choice H8145 006 (PFFS)

Detroit

MAPD HumanaChoice H5216 011 (PPO)   

MAPD Humana Gold Plus SNP DE H8908 005 (HMO D SNP)    

Grand Rapids   

MAPD Humana Gold Plus H8908 002 (HMO)   

Macomb, Oakland, Wayne   

MAPD HumanaChoice H5216 133 (PPO)

MAPD HumanaChoice H5216 287 (PPO)          

Southeast Michigan   

MAPD Humana Gold Plus H8908 001 (HMO POS)

MAPD Humana Gold Plus H8908 004 (HMO POS)      

Michigan, non-Detroit   

MAPD HumanaChoice SNP DE H5216 388 (PPO D SNP)   

Select Counties   

MAPD HumanaChoice Diabetes and Heart H5216-375 (PPO C SNP) 

PDPs

Humana Basic RX Plan S5884-136

Humana Premier RX Plan S5884-159

Humana Walmart Value RX Plan S5884-192

Formulary

USAA Honor & Choice PPO Formulary

Gold Plus HMO & Gold Plus POS Formulary

Community HMO & Gold PLUS HMO Formulary

Value Plus PPO & Choice PPO Formulary

Gold Choice PFFS Formulary

Regional PPO Formulary

DSNP

Choice DSNP PPO Formulary

Gold Plus HMO DSNP Formulary

CSNP Formulary

PDP

Walmart Value PDP Formulary

Basic RX Plan PDP Formulary

Premier RX PDP Formulary

Important Links

2024 Michigan First Look

Order Sales material

Go365 by Humana

Find a doctor

Find a dentist

SilverSneakers Fitness Program

Over the Counter Items

Centerwell Pharmacy

Spending Acct Card locations