Humana Medicare Advantage PPO Plans

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At a glance:

• $0 premium Medicare Advantage plans available in some areas¹
• Many plans offer prescription drug coverage and vision and dental benefits
• Over 5 million people are enrolled in a Humana Medicare Advantage Plan²

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Humana offers several types of Medicare Advantage plans, including a type of Medicare Advantage plan called a Preferred Provider Organization (PPO).

Like any Medicare Advantage plan, a Humana PPO plan provides the same coverage as Original Medicare (Medicare Part A and Part B). Certain Humana Medicare Advantage plans also offer additional benefits such as coverage for prescription drugs, dental and vision care.

This article will detail more about Humana PPO plans and some other Humana Medicare Advantage plan options. Your plan options may vary depending on your location.

Humana Medicare Advantage PPO Plans

A Humana PPO plan is a Medicare Advantage plan that offers a broad network of health care providers to choose from for your healthcare needs. Plan members can also seek care from any Medicare-approved doctor, hospital or specialist outside of the plan network who accepts Humana’s plan terms and agrees to bill the plan.³

If you use a doctor or hospital that is outside of the plan’s network, your costs could be higher.

A Humana PPO plan does not require you to select a primary care physician (PCP) within the plan network. This type of plan also does not require you to get a referral from your PCP in order to see a specialist.

How Much Does a Humana PPO Plan Cost?

If you are enrolled in a Humana PPO plan, your monthly costs will vary depending on which medical facilities you visit and what medical services you need.

Humana PPO plans offer monthly premiums as low as $0 in some areas.¹

What Benefits May Humana PPO Plans Offer?

Humana Medicare Advantage plans provide the same coverage benefits as Medicare Part A (hospital insurance) and Part B (medical insurance). Certain Humana Medicare Advantage plans offer additional benefits not covered by Original Medicare.

Some of these added benefits and resources may include:

• Caregiver support and resources
• Convenience and potential savings for prescription drugs when using preferred cost-sharing mail-delivery pharmacy
• Membership in the SilverSneakers® fitness program
• No additional cost for most annual preventive screenings

What Are My Humana Medicare Advantage Plan Options?

Humana offers four Medicare Advantage plan types:

• Humana HMO Plans
• Humana PPO Plans
• Humana PFFS Plans
• Humana Medicare Advantage Special Needs Plans (SNPs)

Humana HMO plans have affordable out-of-pocket costs and may offer $0 monthly premiums in some areas. Unlike a Humana PPO plan, a Humana HMO plan requires you to use in-network doctors.⁴

Humana PFFS plans have mid-range out-of-pocket costs. With this type of plan, you can visit almost any Medicare-approved doctor, as long as they accept Humana’s plan terms and agree to bill the plan.⁵

Humana Medicare Advantage Special Needs Plans (SNPs) are a type of Medicare Advantage plan available to beneficiaries who meet certain criteria. Humana offers SNPs to beneficiaries who are eligible for both Medicare and Medicaid, and beneficiaries who have certain qualifying medical conditions.

In addition to combining Medicare Part A and Part B benefits with prescription drug coverage, these plans are tailored to better meet the needs of the beneficiaries they serve. You must meet the specific conditions of the SNP to be eligible.⁶

How Do I Enroll in a Humana Medicare Advantage Plan?

Call 1-855-298-6309 1-855-298-6309 TTY Users: 711 24 hours a day, 7 days a week to speak with a licensed sales agent⁷ and to find a Medicare plan from Humana that may be right for you. There is no obligation to enroll in a plan.

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