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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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"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