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Find the Humana Medicare Advantage plan that is right for you.
Humana Gold Plus® HMO
MEMBER NAME
Member ID: XXXXXXXXXX
Card Issued: MM/DD/YYYY
Member ID: XXXXXXXXXX
Card Issued: MM/DD/YYYY
Health Maintenance Organization (HMO) plans:
| • | Affordable monthly premium payments. |
| • | Typically save money when you use in-network doctors & hospitals |
| • | You may pay less for out-of-pocket medical services. |
| • | No claims to file – Humana pays your doctors and hospitals directly. |
MEMBER NAME
Member ID: XXXXXXXXXX
Card Issued: MM/DD/YYYY
Member ID: XXXXXXXXXX
Card Issued: MM/DD/YYYY
HumanaChoice® PPO
Preferred Provider Organization (PPO) plans:
| • | Receive care from any Medicare-approved doctor or hospital who accepts Humana’s plan terms you choose. |
| • | Save even more by choosing in-network doctors & hospitals. |
| • | No referrals required. |
| • | No claims to file – Humana pays your doctors and hospitals directly. |
MEMBER NAME
Member ID: XXXXXXXXXX
Card Issued: MM/DD/YYYY
Member ID: XXXXXXXXXX
Card Issued: MM/DD/YYYY
Humana Dual-Eligible Special Needs Plan
Eligible for Medicare and Medicaid? You may qualify for a Dual-Eligible (D-SNP) plan:
| • | Plan provides all the benefits of Original Medicare and coordinates with your Medicaid benefits, plus provides even more coverage and benefits in one easy to manage plan. |
| • | You may also qualify for help paying for your premiums, deductibles, and prescription drugs. |
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Description 1/8
These plans cover everything Original Medicare Parts A and B cover and more! Choose from plans that may help lower your out of pocket costs, provide additional coverage for prescription drugs, dental, vision, and hearing, and include extra benefits and services like fitness programs and gym memberships, provide access to mail-delivery pharmacies, and health education programs. With lots of plan options to choose from you can find the right coverage to meet your needs.
Medicare Advantage (Part C)
Maximum Out of Pocket
Deductible
Part B
Premium
Dual Eligible Special Needs Plan
Part A
Prescription Drug Coverage (Part D)
Description 2/8
Expenses you are required to pay for covered medical care, prescriptions and other healthcare services. These include coinsurance, copayments and deductibles. Once the maximum dollar amount for medical care has been reached, the plan pays 100% of the costs for most covered services for the rest of the plan year.
Medicare Advantage (Part C)
Maximum Out of Pocket
Deductible
Part B
Premium
Dual Eligible Special Needs Plan
Part A
Prescription Drug Coverage (Part D)
Description 3/8
The amount you pay for medical services or prescriptions before your plan begins to pay.
Medicare Advantage (Part C)
Maximum Out of Pocket
Deductible
Part B
Premium
Dual Eligible Special Needs Plan
Part A
Prescription Drug Coverage (Part D)
Description 4/8
Helps cover doctor visits, outpatient and preventive care. It also helps pay for services Part A doesn’t cover, like occupational and physical therapies.
Medicare Advantage (Part C)
Maximum Out of Pocket
Deductible
Part B
Premium
Dual Eligible Special Needs Plan
Part A
Prescription Drug Coverage (Part D)
Description 5/8
The payment you make to Medicare, a private insurance company, or healthcare plan for medical or prescription drug coverage, usually on a monthly basis.
Medicare Advantage (Part C)
Maximum Out of Pocket
Deductible
Part B
Premium
Dual Eligible Special Needs Plan
Part A
Prescription Drug Coverage (Part D)
Description 6/8
Plans for individuals who are enrolled in both Medicare Part A and/or Part B and receive full Medicaid benefits and/or assistance with Medicare premiums. These plans combine the benefits of Medicaid and Medicare and include even more coverage and benefits in one easy to manage plan.
Medicare Advantage (Part C)
Maximum Out of Pocket
Deductible
Part B
Premium
Dual Eligible Special Needs Plan
Part A
Prescription Drug Coverage (Part D)
Description 7/8
Helps cover hospital, skilled nursing, home health and hospice care.
Medicare Advantage (Part C)
Maximum Out of Pocket
Deductible
Part B
Premium
Dual Eligible Special Needs Plan
Part A
Prescription Drug Coverage (Part D)
Description 8/8
A plan that can help manage the costs of your prescription medications.
Medicare Advantage (Part C)
Maximum Out of Pocket
Deductible
Part B
Premium
Dual Eligible Special Needs Plan
Part A
Prescription Drug Coverage (Part D)
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Medicare Advantage (Part C)
Maximum Out of Pocket
Deductible
Part B
Premium
Dual Eligible Special Needs Plan
Part A
Prescription Drug Coverage (Part D)
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"Fact Sheet 2018 Medicare Advantage and Part D Prescription Drug Program Landscape." 2018 Medicare Advantage and Part D Prescription Drug Program Landscape | CMS, www.cms.gov/newsroom/fact-sheets/2018-medicare-advantage-and-part-d-prescription-drug-program-landscape
*$0 premium plans are not available in all areas. Plan premiums and benefits vary.
**2017 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.
*$0 premium plans are not available in all areas. Plan premiums and benefits vary.
**2017 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.
1 Most popular plans based on 2018 plan year enrollment.
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.
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.
This information is not a complete description of benefits. Call 1-844-882-7607 TTY: 711 for more information.
Medicare beneficiaries may also enroll in Medicare Advantage Plans through the CMS Medicare Online Enrollment Center located at http://www.medicare.gov.
For residents of Florida: Sponsored by Humana and the State of Florida, Agency For Health Care Administration.
For residents of Tennessee: NOTICE: TennCare is not responsible for payment for these benefits, 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.
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.
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Last Updated: 05/15/2019
Last Updated: 05/15/2019