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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.
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.**
Explore the Benefits of an all-in-one Medicare Advantage Plan
Learn more about the Humana Medicare option that’s good for your health and your wallet. Tap or click on the icons to reveal plan details.
Discover the Benefits of an All-in-One Medicare Advantage Plan
Learn more about the Humana Medicare option that’s good for your health and your wallet. Tap or click on the icons to explore the benefits of Medicare Advantage.
All-In-One Benefits
Dental
Go365™
Hospital Visits - Part A
SilverSneakers®
Max Out-of-Pocket
Mail-Order Pharmacy
Hearing & Vision
Doctor Visits - Part B
Prescriptions
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© Humana 2020
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1Most popular plans based on 2020 plan year enrollment.
2Available to enrollees who qualify.
3Limitations, copayments, and restrictions may apply.
Plans not available 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.
$0 premium plans are not available in all areas. Enrollees must continue to pay their Medicare Part B premium, their Humana plan premium, and their Optional Supplemental Benefit (OSB) premium.
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.
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.
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.
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.
2Available to enrollees who qualify.
3Limitations, copayments, and restrictions may apply.
Plans not available 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.
$0 premium plans are not available in all areas. Enrollees must continue to pay their Medicare Part B premium, their Humana plan premium, and their Optional Supplemental Benefit (OSB) premium.
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.
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.
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.
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_GHHKT48EN_2021
Last Updated: 9/30/2020
Last Updated: 9/30/2020
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