Humana Contracting & Appointment

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State Availability

Last review date: 05/23/2023

AL AR AZ CA CO CT DC DE FL GA HI 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 WA WI WV WY

Plan Information

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. Individuals may be eligible for a Humana Medicare Advantage plan if they’re enrolled in Original Medicare and live in the service area of a plan.

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

Medicare Advantage Plans currently offered are HMO, PPO, PFFS, and Special Needs Plans (SNPs). Many plans 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.

View this information as a web page.

State Availability

Last review date: 05/25/2023

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

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.

View this information as a web page.

State Availability

Last review date: 05/25/2023

AL AR AZ CA CO CT DC DE FL GA HI 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 WA WI WV WY

Plan Information

Select from Plan A,B,C,D,F,G,HFG,K,L,M, 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, Drug Discount Program, Vision and Hearing discounts, Humana First (a 24-hour nurse advise hotline), MyHumana mobile app and website, Humana Well Dine meal program and Philips 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.

View this information as a web page.

State Availability

Last review date: 05/25/2023

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 SD TN TX UT VA VT WI WV WY

Plan Information

Humana offers dental plans in three different categories – Dental only, Dental, Vision & Hearing (combined into one plan), and Vision only. Not all plans are available in all states.

Dental
Dental-only plans include Preventive Value, Preventive Plus, Bright Plus, Loyalty Plus, Complete Dental, and Dental Value. In addition, they also include a Dental Savings Plan for those that want to save for dental care without investing in dental insurance. Humana’s dental 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.

Dental, Vision & Hearing
Humana’s Extend (DVH) plans offer three levels to choose from for an annual maximum allowance of either $1,250, $2,500, or $5,000. These plans are for those who want all the services combined into one plan. Plan offers include an allowance for teeth whitening, 100% coverage for preventive services, coverage for implants, vision exams coverage, and coverage for hearing exams and hearing aids just to name a few. Not all coverage is available in all areas or in all plans. Check plan details for more information.

Vision
Humana offers two plans for vision, Humana Vision Plus and the Vision Care Plan (VCP). Both include comprehensive eye exams once a year, a frame allowance, lens or contact lens benefits, and Lasik discounts. In addition, Humana offers a large network of more than 35,000 participating optometrist, ophthalmologist, and national retail locations, including
LensCrafters, Pearle Vision, and Target Optical.