co-pay for services received by non-contracted providers.  Summary of Benefits 
HumanaChoice H5216-107 (PPO) 
Kentucky and Southern Indiana 
Select counties in Kentucky 2023 
H5216_SB_MAPD_PPO_107000_2023_M Summary of Benefits H5216107000SB23 Our service area includes the following county/counties in Indiana: Clark, Floyd, Harrison 
Kentucky: Adair, Allen, Anderson, Ballard, Barren, Bath, Bell, Bourbon, Boyd, Boyle, Bracken,