Medicare Plan Lookup Official CMS data · Contract Year 2026
CMS 2026 data

2026 Medicare plan code

R0110-016

Medicare Plan

HumanaChoice R0110-016 (Regional PPO) · Humana · Regional PPO · Ohio

Full CMS plan ID: R0110-016-000

R0110-016-000 is the full CMS identifier for the R0110-016 Medicare plan. Common searches include R0110 016 and R0110016.

Historical 2026 record. Benefits and service areas shown apply to that year.

2026

Spaces or dashes work: H5216-435-002 · S2135 802

● CMS 2026 plan record

HumanaChoice R0110-016 (Regional PPO)

R0110-016-000 Ohio Regional PPO

At-a-glance

Quick view

01

In-network

Inpatient hospital

Days 1–5 $475 / day
Days 6–90 $0 / day
Total of listed copays · 5 charged days $2,375
02

Emergency transport

Ambulance

Ground · in-network$335 copay
Air · in-network$335 copay
03

Emergency services

Emergency room

$115 copay

Waived if admitted within 24 hours

04

Medical maximum

Maximum out-of-pocket

In-network$7,050
Combined in + out$13,900
05

Skilled care at home

Home health

In-network$0 copay
Out-of-network30% coinsurance
06

Monthly cost

Premium & giveback

Part C premium$0 / month
Consolidated C + D$80 / month

Plan details

All plan benefits

Medical care3 benefits

Primary care physician

In-network$0 copay
Out-of-network30% coinsurance

Specialist

In-network$40 copay
Out-of-network30% coinsurance

Preventive care

In-network$0 copay
Out-of-network$0 copay + 40% coinsurance
Diagnostics & imaging4 benefits

Diagnostic procedures & tests

In-network$0–$110 copay
Out-of-network$40 copay + 30% coinsurance

Laboratory services

In-network$0–$40 copay
Out-of-network$40 copay + 30% coinsurance

X-rays & standard imaging

In-network$0–$780 copay
Out-of-network$0 copay + 30% coinsurance

MRI, CT & PET imaging

In-network$50 copay + 20% coinsurance
Out-of-network20% coinsurance
Urgent & hospital care6 benefits

Urgent care

In-networkCost share not reported
Out-of-networkNot separately reported

Emergency room

In-network$115 copay
Out-of-networkNot separately reported

Ground ambulance

In-network$335 copay
Out-of-network$335 copay

Air ambulance

In-network$335 copay
Out-of-network$335 copay

Outpatient hospital

In-network$0–$530 copay
Out-of-network$0–$35 copay + 30% coinsurance

Outpatient surgery / ASC

In-network$0–$430 copay
Out-of-network$0 copay + 30% coinsurance
Recovery & therapy5 benefits

Home health

In-network$0 copay
Out-of-network30% coinsurance

Skilled nursing facility

In-networkCost share not reported
Out-of-networkNot separately reported

Cardiac & pulmonary rehabilitation

In-network$15 copay
Out-of-network30% coinsurance

Occupational therapy

In-network$15–$35 copay
Out-of-network30% coinsurance

Physical & speech therapy

In-network$15–$35 copay
Out-of-network30% coinsurance
Behavioral health2 benefits

Mental health services

In-network$35 copay
Out-of-network30% coinsurance

Substance use treatment

In-network$35 copay
Out-of-network30% coinsurance
Specialty care2 benefits

Podiatry

In-network$35 copay
Out-of-network$35 copay

Chiropractic

In-network$15 copay
Out-of-network30% coinsurance
Supplemental benefits7 benefits

Dental

In-network$40 copay
Out-of-network30% coinsurance

Vision

In-network$0 copay
Out-of-network$0 copay

Hearing

In-network$0 copay
Out-of-network$0 copay

Transportation

Not reported in this CMS export

Not reported in this CMS export

Fitness & wellness

In-network$0 copay
Out-of-network$0 copay

Over-the-counter allowance

In-network$0 copay
Out-of-network$0 copay

Meals

In-network$0 copay
Out-of-network$0 copay
Plan costs & rulesCoverage overview

Premium & Part B giveback

$0 Part C premium / month · Part B giveback not separately reported

Maximum out-of-pocket (MOOP)

In-network$7,050
Combined in + out$13,900

Medical deductibles

In-networkNot reported
Out-of-networkNot reported

Network & referrals

Regional PPO · Referrals: Not required · Out-of-network coverage: Yes

Prescription drugs0 tiers

Part D deductible

Not reported

Using this plan

Understand R0110-016-000

Plain-language context built from this plan’s 2026 CMS record. It is a guide to the reported benefits, not a personalized cost estimate.

Plan at a glance

A quick read on this plan

HumanaChoice R0110-016 (Regional PPO) is a 2026 Regional PPO offered by Humana in Ohio. The CMS record indicates out-of-network coverage, although member costs may differ from in-network care. The plan record does not require referrals. Its listed inpatient copay stages total $2,375 across 5 charged days.

Common benefit costs

What you may pay

These are individual in-network benefit amounts. A real visit may involve more than one separately billed service.

Routine care

Primary care physician
$0 copay
Specialist
$40 copay
Laboratory services
$0–$40 copay

Separate visits or services; costs are not added together.

Tests & outpatient care

Diagnostic procedures & tests
$0–$110 copay
MRI, CT & PET imaging
$50 copay + 20% coinsurance
Outpatient hospital
$0–$530 copay

The service setting and billing details can change what you pay.

Emergency & hospital care

Emergency room
$115 copay
Listed inpatient stages
$2,375 total

5 charged inpatient days are included in the calculated total. Actual costs depend on the care received and plan rules.

Helpful context

Terms worth knowing

Maximum out-of-pocket (MOOP)

This is the most you generally pay during the plan year for covered Part A and Part B medical services under the applicable network limit. Premiums and prescription drug costs generally do not count toward it.

Availability

Who can enroll

Service area
Ohio (OH)
Plan type
Regional PPO
Contract / plan
R0110-016
Coverage year
2026

Enrollment generally requires Medicare eligibility and residence in the plan's service area. Confirm eligibility and the exact service area with the plan before enrolling.

Supplemental coverage

Extra benefits reported

Availability is summarized here; allowances, frequency limits, networks, and prior-authorization rules may apply.

Dental$40 copay
Vision$0 copay
Hearing$0 copay
Over-the-counter allowance$0 copay
Fitness & wellness$0 copay
Meals$0 copay

Plan-specific answers

Frequently asked questions

Where is R0110-016-000 available?

HumanaChoice R0110-016 (Regional PPO) is listed for Ohio (OH). Enrollment generally requires Medicare eligibility and residence in the plan's service area.

What is the in-network maximum out-of-pocket limit for R0110-016-000?

The 2026 CMS record lists an in-network medical maximum out-of-pocket limit of $7,050. Prescription drug spending generally does not count toward this medical limit.

What is the monthly plan premium for R0110-016-000?

The listed consolidated Part C and Part D premium is $80 per month. This does not replace the standard Medicare Part B premium.

What does an emergency room visit cost on R0110-016-000?

The plan record lists $115 copay, waived when an admission meets the plan's stated timing rule.

Does R0110-016-000 report extra benefits?

Yes. CMS reports dental, vision, hearing, over-the-counter allowance, fitness & wellness, and other supplemental benefits. See the detailed benefit rows and official plan documents for limits and conditions.

Source trail

Official CMS, Contract Year 2026

Plan identity and benefits come from CMS PBP data. Premium and MOOP figures are cross-checked against the August 2026 Landscape release; county identity is sourced from segment-level Landscape rows and stable codes are enriched from the aligned MA contract service-area release where matched. Quick-reference values should be confirmed in 2026 official plan documents.

PBP benefits ↗ Landscape data ↗ County service area ↗

Plan context

Where R0110-016-000 fits

Full CMS plan ID
R0110-016-000
Contract
R0110
Base plan code
R0110-016
Segment
000
Carrier
Humana
Plan type
Regional PPO
Service area
Ohio (OH)

County/service-area foundation

CMS service-area entries

Named county entries are tied to this exact contract, plan, and segment in CMS Landscape data. County codes are enriched from the aligned CMS contract service-area release where a match exists.

  • Adams, OH
  • Allen, OH
  • Ashland, OH
  • Ashtabula, OH
  • Athens, OH
  • Auglaize, OH
  • Belmont, OH
  • Brown, OH
  • Butler, OH
  • Carroll, OH
  • Champaign, OH
  • Clark, OH

76 additional service-area entries are retained in the data record.

Same CMS contract

R0110-015-000 HumanaChoice R0110-015 (Regional PPO) Ohio · Regional PPO R0110-801-000 Humana Medicare Employer (Regional PPO) States of Louisiana and Mississippi · Regional PPO R0110-802-000 Humana Medicare Employer (Regional PPO) States of Louisiana and Mississippi · Regional PPO R0110-804-000 Humana Medicare Employer (Regional PPO) States of Indiana and Kentucky · Regional PPO R0110-805-000 Humana Medicare Employer (Regional PPO) States of Indiana and Kentucky · Regional PPO R0110-806-000 Humana Medicare Employer (Regional PPO) States of Pennsylvania and West Verginia · Regional PPO R0110-807-000 Humana Medicare Employer (Regional PPO) States of Pennsylvania and West Verginia · Regional PPO R0110-808-000 Humana Medicare Employer (Regional PPO) States of North Carolina and Virginia · Regional PPO

About this code

What R0110-016-000 identifies

R0110-016-000 is a Contract Year 2026 Medicare plan segment code. Searches written as R0110-016, R0110 016, or the compact full CMS ID R0110016000 refer to this plan or its base plan code.

Medicare Plan Lookup uses official CMS data as a quick reference. Benefit details, eligibility, service-area rules, and cost sharing should be confirmed in the current Summary of Benefits or Evidence of Coverage.