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Humana Contracting & Appointment

Founded in 1961, Humana, headquartered in Louisville, Kentucky, is one of the nation’s largest publicly traded health benefits companies, with approximately 14.2 million medical members including 7.7 million Medicare members of which 2.8 million are Medicare Advantage members and 4.9 million Prescription Drug Plan members. 

Humana offers coordinated health insurance coverage and related services to employer groups, government-sponsored plans, and individuals through Medicare Advantage Plans, Medicare Supplement Plans, Medicare Prescription Drug Plans, plans for U.S. military dependents and retirees, preferred provider organizations, and health maintenance organizations.  

Humana is online at Humana.com and on FacebookTwitterLinkedInInstagram, and YouTube.

Humana, originally knows as Extendicare. Inc., was founded in 1961 by two attorneys: David A. Jones, Sr. and Wendell Cherry. Jones and Cherry initially focused their business on owning nursing homes, then in 1972 they sold their nursing homes in favor of purchasing hospitals. The change to the name Humana occurred in 1974. The new name was intended to change public perception of the company and to create a more people-focused image. In 1978 Humana took over American Medicorp Inc., doubling the size of the company. Humana developed its first health insurance plan in 1984, in response to one of the company’s hospitals losing their HMO contract. By 1993 their insurance business had grown so much that they decided to spin off their hospitals into a separate brand. Within a year that brand and the hospitals had been purchased by Hospital Corporation of America.

Humana Products and State Availability

These are Humana's current products and state availability for 2020, as well as information on contracting and appointment.

Medicare Advantage

View this information as a web page.

State Availability

Current as of 09/24/2020

AL AR AZ CA CO DE FL GA IA ID IL IN KS KY LA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA SC SD TN TX UT VA WA WI WV

Plan Information

Current as of 05/01/2020

Medicare Advantage plans provide the same benefits as Original Medicare and may include additional benefits such as prescription drug coverage, dental, vision, and wellness resources.

Certain Humana plans also offer caregiver support, mail-delivery pharmacies, local community centers, and SilverSneakers® fitness programs.

Individuals may be eligible for a Humana Medicare Advantage plan if you’re enrolled in Original Medicare, don’t have End-Stage Renal Disease, and live in the service area of a plan.

Medicare Advantage Plans currently offered are HMO, PPO, PFFS, and Special Needs Plans (SNPs). Most plans include Prescription Drug Coverage; Medicare Advantage-Only (Part B Giveback) Plans never include prescription drug coverage. Certain Medicare Advantage Plans that offer no prescription drug coverage can be coupled with a stand-alone Prescription Drug Plan. In some states, Chronic Special Needs Plans (C-SNP) and Dual Eligible Special Needs Plans (DE-SNP) are offered; all SNPs must provide Medicare Prescription Drug coverage.

Humana offers Medicare Advantage health maintenance organization (HMO) plans that include all the benefits of Original Medicare and may include prescription drug coverage and many extras.

  • Choice of a primary care physician from within the plan’s provider network.
  • Affordable monthly plan premiums; $0 premium on some plans in some areas.
  • Prescription drug coverage equal to or better than the standard requirement for a Medicare Part D plan (prescription drug coverage not available with all plans).
  • Emergency coverage anywhere in the world.
  • Coverage for most annual preventive screenings at no additional cost.
  • Hospitalization coverage.
  • Membership in the SilverSneakers® fitness program (available on most plans).

Humana’s preferred provider organization (PPO) plans give individuals the freedom to visit any Medicare-approved doctor in or out of provider network who accepts Humana’s plan terms, but they will generally pay a lower cost share when you stay in network.

  • Affordable monthly plan premiums.
  • In-network home healthcare.
  • Coverage for most annual preventive screenings at no cost.
  • Optional fitness programs and prescription drug, vision, and dental coverage for additional premiums.
  • Prescription drug coverage equal to or better than the standard requirement for a Medicare Part D plan; plans without prescription drug coverage may also be available.
  • Emergency coverage when you travel outside the U.S.

With Humana’s flexible PFFS plan, individuals can see almost any Medicare-approved doctor they choose, as long as the provider accepts the Humana Medicare Advantage PFFS Terms and Conditions of Payment. Benefits may include:

  • Coverage to see any Medicare-approved doctor or provider who accepts the Humana Medicare. Advantage PFFS Terms and Conditions of Payment.
  • Full coverage for most annual preventive screenings.
  • Prescription drug coverage on most plans.
  • Hospitalization coverage.
  • Emergency coverage anywhere in or out of the U.S.

A Special Needs Plan (SNP) is a type of Medicare Advantage plan that combines all the benefits of Original Medicare (Parts A and B) with prescription drug coverage (Part D) but is only available to those individuals who have an additional qualifying condition. For example, individuals who:

  • Have a specific chronic health condition.
  • Are eligible for both Medicare and Medicaid.
  • Are a resident of a long-term care facility.

Many of Humana’s Special Needs plans have an affordable or $0 monthly plan premium.

Some information may vary by state. See state-specific information and rates.

Request a Product Kit for Humana Medicare Advantage

We’ll email you a kit with brochures, commissions, and rates all specific to the state of your choice.

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Medicare Prescription Drug Plan

View this information as a web page.

State Availability

Current as of 09/24/2020

AL AR AZ CA CO CT DE FL GA IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WI WV WY

Plan Information

Current as of 05/01/2020

Humana offers a wide range of options for Medicare prescription drug coverage, including Medicare Advantage Plans with prescription drug coverage, as well as standalone prescription drug plans. A Prescription Drug Plan (PDP) varies based on the deductible, medication coverage, and copays. The prescription drug plans provide access to more than 60,000 pharmacies across the country, including preferred cost-sharing at Walmart, Sam’s Club, Walmart Neighborhood Market, and Humana pharmacies. Cost-sharing varies by plans in each state or region.

Humana Walmart Value Rx plan’s national monthly plan premium is $13.20. Humana also offers the Humana Premier Rx and Humana Basic Rx stand-alone prescription drug plans nationally.

Some information may vary by state. See state-specific information and rates.

Request a Product Kit for Humana Medicare Prescription Drug Plan

We’ll email you a kit with brochures, commissions, and rates all specific to the state of your choice.

Request a Kit

Medicare Supplement

View this information as a web page.

State Availability

Current as of 09/24/2020

AL AR AZ CA CO CT DC DE FL IA ID IL IN LA MA MD ME MI MO MS MT NC ND NE NH NJ NM NV NY OH OR RI SC SD TN UT VT WA WI WV WY

Plan Information

Current as of 05/01/2020

Select from Plan A, B, C, F, HDF, G, K, L, or N; plans available may vary by state. Medicare Supplement insurance plans A through G provide benefits at higher premiums with limited out-of-pocket costs. Plans K through N are cost-sharing plans offering similar benefits at lower premiums with greater out-of-pocket costs. All policies cover basic benefits, but each has additional benefits that vary by plan.

Humana Medicare Supplement Plans provide extra services at no additional cost such as SilverSneakers, prescription discounts, hearing & vision care, 24-hour nurse line, MyHumana mobile app and website, and discounts on Phillips Lifeline medical alert systems. Not all extra services are offered on all plans and in all states; availability may vary.

Additional Plan Details:

  • No policy fees.
  • Nationwide coverage is available.
  • No networks.

Depending on your plan choice, you may be covered for: services from doctors, specialists, hospitals, and skilled nursing facilities that accept Medicare patients; outpatient services and diagnostic tests, and emergency services (even in foreign countries).

Some information may vary by state. See state-specific information and rates.

Request a Product Kit for Humana Medicare Supplement

We’ll email you a kit with brochures, commissions, and rates all specific to the state of your choice.

Request a Kit

Achieve Medicare Supplement

View this information as a web page.

State Availability

Current as of 09/24/2020

AR AZ CA GA IA IL IN KY LA MI NC NE NJ OH PA SC TN TX WI

Plan Information

Current as of 05/01/2020

A Humana Achieve Medicare Supplement Plan may help manage healthcare costs. For a single monthly premium, it can help cover an individual’s share of Medicare-covered services. For a lower monthly premium, they can choose a plan with co-pays, deductibles, or coinsurance.

  • No policy fees.
  • No referrals needed.
  • Coverage while traveling in the U.S.
  • Freedom to choose any provider who accepts Medicare patients.

At no additional cost: Prescription discounts, hearing & vision care, 24-hour nurse line, MyHumana mobile app and website, and discounts on Phillips Lifeline medical alert systems. Not all extra services are offered on all plans and in all states; availability may vary.

Depending on the individual’s plan choice, they may be covered for: Services from doctors, specialists, hospitals, and skilled nursing facilities that accept Medicare patients; outpatient services and diagnostic tests, and emergency services (even in foreign countries).

NCC is an Achieve partner, so NCC agents are permitted to sell Achieve as long as you are contracted to sell Medicare/Medicare Supplement. If Achieve is available in the state where you are selling, you may not sell other Humana Medicare Supplement products within that state.

Some information may vary by state. See state-specific information and rates.

Request a Product Kit for Humana Achieve Medicare Supplement

We’ll email you a kit with brochures, commissions, and rates all specific to the state of your choice.

Request a Kit

Dental

View this information as a web page.

State Availability

Current as of 09/24/2020

AL AR AZ CA CO CT DC DE FL GA IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC TN TX UT VA VT WI WV WY

Plan Information

Current as of 05/01/2020

If you are eligible for Medicare, Humana offers optional supplemental benefits like dental coverage that enhances your Medicare plan. You can add these benefits to your Humana Medicare Advantage plan when you enroll or anytime throughout the year.

Humana’s plans include coverage ranging from help with your basic dental needs such as routine cleanings and exams, X-rays, and fillings to more serious procedures, including extractions, root canals, crowns, and dentures.

Request a Product Kit for Humana Dental

We’ll email you a kit with brochures, commissions, and rates all specific to the state of your choice.

Request a Kit

Humana Documents

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