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Discover the value of a Humana Dual-Eligible Special Needs Plan
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All-in-one solutions
Monthly plan premiums as low as $0 in many areas
More coverage than Original Medicare
Predictable medical costs
Talk to a licensed Humana sales agent
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Find a plan in:
View PlansThere are many reasons why you may be eligible to enroll in a Medicare plan right now.
See them here
If you are turning 65, otherwise new to Medicare, losing benefits at work, moving, or have both Medicare and Medicaid you may be eligible. Other circumstances may qualify you as well. You may enroll once per calendar quarter through September.
Call a licensed Humana sales agent to see if you qualify to enroll today.
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What to know about Medicaid, Medicare, and Dual-Eligible Special Needs Plans
Medicaid
A state program that provides free or low-cost healthcare to people who have disabilities or qualify because of their income.
Humana Dual-Eligible Special Needs Plans
For people who have both Medicare and Medicaid. These Humana Dual-Eligible Special Needs Plans coordinate all the benefits of Medicaid and Medicare plus they include additional coverage and extra benefits with an easy to manage plan. They may also help reduce the cost of your prescription drugs, premiums, and deductibles.
Medicare Parts A and B
A federal program that helps cover healthcare expenses for Americans age 65 and older or those who qualify due to other factors such as disability.
Check your eligibility. See if you qualify for a Dual-Eligible Special Needs Plan.
In order to qualify you must have both Medicare and Medicaid.
Find out if you may be eligible
Medicare Question: 1 of 2
Let’s check your Medicare Parts A and B eligibility first.
Have you been a U.S. citizen or permanent
legal resident for at least five years?
legal resident for at least five years?
Yes
No
Do You Qualify for a Dual-Eligible Special Needs Plan?
Medicare Question: 2 of 2
Do you meet one or more of the following requirements?
• You are age 65 or older.
• You have received Social Security disability or a disability pension from the Railroad Retirement Board for at least two consecutive years.
• You have Lou Gehrig’s disease or End-Stage Renal Disease (permanent kidney failure requiring dialysis or kidney transplant).
• You have received Social Security disability or a disability pension from the Railroad Retirement Board for at least two consecutive years.
• You have Lou Gehrig’s disease or End-Stage Renal Disease (permanent kidney failure requiring dialysis or kidney transplant).
Yes
No
Do You Qualify for a Dual-Eligible Special Needs Plan?
Medicare Question: 2 of 2
Do you meet one or more of the following requirements?
• You are age 65 or older.
• You have received Social Security disability or a disability pension from the Railroad Retirement Board for at least two consecutive years.
• You have Lou Gehrig’s disease or End-Stage Renal Disease (permanent kidney failure requiring dialysis or kidney transplant).
• You have received Social Security disability or a disability pension from the Railroad Retirement Board for at least two consecutive years.
• You have Lou Gehrig’s disease or End-Stage Renal Disease (permanent kidney failure requiring dialysis or kidney transplant).
Yes
No
For the most part, as long as you meet one or more of these requirements, then you are likely eligible for Medicare Parts A and B.
Now, let’s see if you meet the requirements
to receive Medicaid benefits.
to receive Medicaid benefits.
Check Medicaid Eligibility
Do You Qualify for a Dual-Eligible Special Needs Plan?
Medicaid Question: 1 of 1
Now, let’s see if you meet the requirements to receive Medicaid benefits.
Medicaid is a program designed to help low-income individuals get access to health care coverage. It is partially funded by state government meaning each state may have slightly different requirements as long as they meet all minimum federal guidelines. While each state has different eligibility requirements for their specific Medicaid program, for 2020, generally income less than $1,084 as a single person, or less than $1,457 as a married couple may qualify you per month for Medicaid benefits.
For more information, contact your State Medicaid Program
or visit Medicaid.gov https://www.medicaid.gov/medicaid/eligibility/medicaid-enrollees/index.html
For more information, contact your State Medicaid Program
or visit Medicaid.gov https://www.medicaid.gov/medicaid/eligibility/medicaid-enrollees/index.html
Yes – I may be Medicaid eligible
No – I do not think I am Medicaid eligible
You may qualify for a Dual-Eligible Special Needs Plan!
Learn more about the Benefits of a Humana
Dual-Eligible Special Needs Plan
Dual-Eligible Special Needs Plan
Shop Plans
For assistance with plan selection,
call a licensed Humana sales agent at
call a licensed Humana sales agent at
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Based on your responses, you may not qualify for a Dual-Eligible Special Needs Plan.
If you think you may still qualify or if you have any questions, call a licensed Humana sales agent to learn more.
For assistance with plan selection,
call a licensed Humana sales agent at
call a licensed Humana sales agent at
{{:hours}}
Medicare + Medicaid = Extra money for groceries.
Some plans offer a Humana Healthy Foods Cards with a monthly allowance for groceries. It functions like a credit card—just swipe at checkout when you shop for approved healthy foods, which excludes things like pet food, alcohol, and household cleaners (tap hereclick here for a list of approved and disapproved items). Approved food will automatically be paid (for up to the available balance) and the balance is replenished every month.
Perishable foods
Nonperishable foods
Beverages
Frozen foods
1.
Activate the card
2.
Visit a participating store
3.
Shop for approved healthy food
4.
Swipe to check out—no need to show the cashier the card
If You Have Both Medicare and Medicaid, you may be eligible to get a Medicare Advantage Dual-Eligible Special Needs plan from Humana which may include extra benefits like these.
Healthy Foods Card
Receive a monthly allowance to use at participating stores to buy approved groceries.1
All-in-one Coverage
Doctor, hospital and prescription drug coverage in one convenient plan.
Affordable
Most areas have plans with $0 monthly plan premiums.
Prescription Drug Savings
With a $0 drug plan deductible, so you may be able to spend less every month on your medications.
An Allowance for the Over-The-Counter Health Products
Get money to spend on over-the-counter items like medications, vitamins, personal care, and first-aid products.
Large Network of Doctors
You’ll have lots of doctors, specialists, hospitals and pharmacies to choose from.
Rides to Doctor Appointments
So you do not have to find someone to drive you.
Meal Delivery
Home-delivered meals after an in-patient overnight hospital stay.
Dental Coverage
So you can see the dentist when you need to.
Vision Coverage
Get vision and hearing care benefits covered with some plans.
Hearing Aid Coverage
Hearing aid care - if you need a screening or hearing aid, it is covered.
Humana Dual-Eligible Special Needs Plans
For people eligible for both Medicare and Medicaid. With these plans, Humana brings all the benefits of Medicare and all the benefits of Medicaid together in addition to more coverage and benefits, all in one easy to manage plan.
Can we help you?
We have answers to your coverage questions.
Is my doctor
in-network?
in-network?
How much will my prescriptions cost?
Do I qualify for potential savings?
Let us recommend Humana Medicare plans based on your coverage needs.
Get StartedCall us from the comfort of your home. Enrolling over the phone is easy!
Call {{:formattedtfn}} (TTY:711){{:hours}}
Frequently Asked Questions
What is Medicare Advantage?
Medicare Advantage plans, or Medicare Part C, are plans offered by private insurance companies that combine all the benefits of Original Medicare Parts A and B, and often also include other benefit options like Part D prescription drug coverage, dental and vision coverage, and other extra benefits, all for a single monthly plan premium.
What will my prescription drugs cost?
A licensed Humana sales agent can tell you how much your medications will cost on each plan and help you find the right Humana plan for your needs.
How do I find a physician or confirm my doctor is in-network?
A licensed Humana sales agent can confirm your doctors and specialists are in-network.
What do I need when I call to enroll?
Have your red, white and blue Medicare ID card available when you call to enroll. Also helpful would be a list of your current medications, and the names of your doctors, if you would like to see how they’re covered under the plan.
In 2019, Humana Medicare Advantage and Prescription Drug Plan members saved an estimated $7,800 on average on their prescription costs.**
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© Humana 2020
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1Available to enrollees who qualify.
In accordance with the federal requirements of the Centers for Medicare & Medicaid Services (CMS), no amounts on the Healthy Foods Card shall be redeemable for cash and no amounts on this card may be applied toward the purchase of any prescription drug or Medicare-covered services under your Medicare plan.
Plans not availabe in all areas. Costs, coverage, and benefits vary by location.
*"Fact Sheet 2019 Medicare Advantage and Part D Prescription Drug Program Landscape." 2019 Medicare Advantage and Part D Prescription Drug Program Landscape | CMS, www.cms.gov/newsroom/fact-sheets/2019-medicare-advantage-and-part-d-prescription-drug-program-landscape "Based on projected enrollment, 36.7% of Medicare beneficiaries will be enrolled in Medicare Advantage in 2019."
**2019 Humana Member Savings Report. This report estimates average member savings by comparing the usual and customary pharmacy prices for prescription drugs purchased without insurance to an average member’s out-of-pocket costs and premiums for prescription drugs covered by their plan.
Humana is a Medicare Advantage HMO, PPO and PFFS organization and a stand-alone prescription drug plan with a Medicare contract. Humana is also a Coordinated Care plan with a Medicare contract and a contract with the state Medicaid program. Enrollment in any Humana plan depends on contract renewal.
Humana Inc. and its subsidiaries (collectively, “Humana”) comply with applicable Federal civil rights laws and do not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or expression, transgender status, marital status, military or veteran status, or religion. Humana does not exclude people or treat them differently because of race, color, national origin, age, disability, sex, sexual orientation, gender identity or expression, transgender status, marital status, military or veteran status, or religion. We also provide free language interpreter services. See our full accessibility rights information and language options.
In accordance with the federal requirements of the Centers for Medicare & Medicaid Services (CMS), no amounts on the Healthy Foods Card shall be redeemable for cash and no amounts on this card may be applied toward the purchase of any prescription drug or Medicare-covered services under your Medicare plan.
Plans not availabe in all areas. Costs, coverage, and benefits vary by location.
*"Fact Sheet 2019 Medicare Advantage and Part D Prescription Drug Program Landscape." 2019 Medicare Advantage and Part D Prescription Drug Program Landscape | CMS, www.cms.gov/newsroom/fact-sheets/2019-medicare-advantage-and-part-d-prescription-drug-program-landscape "Based on projected enrollment, 36.7% of Medicare beneficiaries will be enrolled in Medicare Advantage in 2019."
**2019 Humana Member Savings Report. This report estimates average member savings by comparing the usual and customary pharmacy prices for prescription drugs purchased without insurance to an average member’s out-of-pocket costs and premiums for prescription drugs covered by their plan.
Humana is a Medicare Advantage HMO, PPO and PFFS organization and a stand-alone prescription drug plan with a Medicare contract. Humana is also a Coordinated Care plan with a Medicare contract and a contract with the state Medicaid program. Enrollment in any Humana plan depends on contract renewal.
Humana Inc. and its subsidiaries (collectively, “Humana”) comply with applicable Federal civil rights laws and do not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or expression, transgender status, marital status, military or veteran status, or religion. Humana does not exclude people or treat them differently because of race, color, national origin, age, disability, sex, sexual orientation, gender identity or expression, transgender status, marital status, military or veteran status, or religion. We also provide free language interpreter services. See our full accessibility rights information and language options.
Florida residents: FL Dual-Eligible Special Needs Plans are sponsored by Humana and the State of Florida, Agency For Health Care Administration.
Tennessee residents: NOTICE: TennCare is not responsible for payment for those benefits offered by TN Dual-Eligible Special Needs Plans, except for appropriate cost sharing amounts. TennCare is not responsible for guaranteeing the availability or quality of these benefits. Any reference to more, extra, or additional Medicare benefits, is applicable to Medicare only and does not indicate increased Medicaid benefits.
Ohio residents: For the Humana Cleveland Clinic Preferred HMO and D-SNP plans, other ancillary providers such as labs and durable medical equipment suppliers, and pharmacies are available in our network.
Other Pharmacies/Physicians/Providers are available in our network.
Humana’s pharmacy network includes limited lower-cost, preferred pharmacies in urban areas of AL, CA, CT, DC, DE, GA, IA, IL, IN, KY, MA, MD, ME, MI, MN, MO, MS, MT, NC, ND, NE, NH, NJ, NY, OH, OR, PA, RI, SC, SD, TN, VA, VT, WA, WI, WV, WY; suburban areas of AZ, CA, CT, DC, DE, HI, IA, IL, IN, MA, MD, ME, MI, MN, MO, MT, ND, NH, NE, NJ, NY, OH, OR, PA, PR, RI, SD, VT, WA, WV, WY; and rural areas of AK, IA, MN, MT, ND, NE, SD, VT, WY. There are an extremely limited number of preferred cost share pharmacies in urban areas in the following states: CT, DE, MA, MD, ME, MI, MN, MS, NC, ND, NY, OH, RI, SC, VT, WA; suburban areas of: MT and ND; and rural areas of: ND. The lower costs advertised in our plan materials for these pharmacies may not be available at the pharmacy you use. For up-to-date information about our network pharmacies, including whether there are any lower-cost preferred pharmacies in your area, please call Customer Care at 1-800-281-6918 (TTY: 711) or consult the online pharmacy directory at Humana.com.
Limitations on virtual visit healthcare and prescription services delivered via remote access technology and communications vary by state. Virtual visit services are not a substitute for emergency care and are not intended to replace your primary care provider or other providers in your network. This material is provided for informational use only and should not be construed as medical advice or used in place of consulting a licensed medical professional.
Out-of-network/non-contracted providers are under no obligation to treat Humana members, except in emergency situations. Please call our customer service number or see your Evidence of Coverage for more information, including the cost-sharing that applies to out-of-network services.
Enrollees must continue to pay their Medicare Part B premium, their Humana plan premium, and their Optional Supplemental Benefit (OSB) premium.
Not all members are eligible for Value Based Insurance Design (VBID) benefits. Eligibility will be determined by Humana, after enrollment, based on relevant criteria such as clinical diagnoses or participation in a disease state management program.
In accordance with the federal requirements of the Centers for Medicare & Medicaid Services (CMS), no amounts on the Healthy Foods Card shall be redeemable for cash and no amounts on this card may be applied toward the purchase of any prescription drug or Medicare-covered services under your Medicare plan.
Tennessee residents: NOTICE: TennCare is not responsible for payment for those benefits offered by TN Dual-Eligible Special Needs Plans, except for appropriate cost sharing amounts. TennCare is not responsible for guaranteeing the availability or quality of these benefits. Any reference to more, extra, or additional Medicare benefits, is applicable to Medicare only and does not indicate increased Medicaid benefits.
Ohio residents: For the Humana Cleveland Clinic Preferred HMO and D-SNP plans, other ancillary providers such as labs and durable medical equipment suppliers, and pharmacies are available in our network.
Other Pharmacies/Physicians/Providers are available in our network.
Humana’s pharmacy network includes limited lower-cost, preferred pharmacies in urban areas of AL, CA, CT, DC, DE, GA, IA, IL, IN, KY, MA, MD, ME, MI, MN, MO, MS, MT, NC, ND, NE, NH, NJ, NY, OH, OR, PA, RI, SC, SD, TN, VA, VT, WA, WI, WV, WY; suburban areas of AZ, CA, CT, DC, DE, HI, IA, IL, IN, MA, MD, ME, MI, MN, MO, MT, ND, NH, NE, NJ, NY, OH, OR, PA, PR, RI, SD, VT, WA, WV, WY; and rural areas of AK, IA, MN, MT, ND, NE, SD, VT, WY. There are an extremely limited number of preferred cost share pharmacies in urban areas in the following states: CT, DE, MA, MD, ME, MI, MN, MS, NC, ND, NY, OH, RI, SC, VT, WA; suburban areas of: MT and ND; and rural areas of: ND. The lower costs advertised in our plan materials for these pharmacies may not be available at the pharmacy you use. For up-to-date information about our network pharmacies, including whether there are any lower-cost preferred pharmacies in your area, please call Customer Care at 1-800-281-6918 (TTY: 711) or consult the online pharmacy directory at Humana.com.
Limitations on virtual visit healthcare and prescription services delivered via remote access technology and communications vary by state. Virtual visit services are not a substitute for emergency care and are not intended to replace your primary care provider or other providers in your network. This material is provided for informational use only and should not be construed as medical advice or used in place of consulting a licensed medical professional.
Out-of-network/non-contracted providers are under no obligation to treat Humana members, except in emergency situations. Please call our customer service number or see your Evidence of Coverage for more information, including the cost-sharing that applies to out-of-network services.
Enrollees must continue to pay their Medicare Part B premium, their Humana plan premium, and their Optional Supplemental Benefit (OSB) premium.
Not all members are eligible for Value Based Insurance Design (VBID) benefits. Eligibility will be determined by Humana, after enrollment, based on relevant criteria such as clinical diagnoses or participation in a disease state management program.
In accordance with the federal requirements of the Centers for Medicare & Medicaid Services (CMS), no amounts on the Healthy Foods Card shall be redeemable for cash and no amounts on this card may be applied toward the purchase of any prescription drug or Medicare-covered services under your Medicare plan.
Y0040_GHHKT2KEN_2021
Last Updated: 12/3/2020
Last Updated: 12/3/2020
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