Current as of 05/05/2020AL 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
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.
Humana’s preferred provider organization (PPO) plans gives 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.
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:
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:
Many of Humana’s Special Needs plans have an affordable or $0 monthly plan premium.