Humana Medicare Advantage Plans Network of Providers

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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 Medicare Advantage plans feature broad networks of health care providers. Depending on your plan, you may be able to visit any Medicare-approved provider who has accepted the terms and conditions of payment of your plan.

Each type of Humana Medicare Advantage plan offers different network coverage. Learn more about each type of Humana Medicare plan and find out which one might be right for you.

If you have questions about whether your doctor accepts a Humana Medicare Advantage plan, you can call a licensed sales agent³ at 1-855-298-6309 1-855-298-6309 TTY Users: 711 24 hours a day, 7 days a week or request a free plan comparison online with no obligation to enroll.

How Do I Find Providers That Accept Humana Medicare Advantage Plans?

Humana makes it easy to find a participating in-network provider by using the Humana physician finder.

• If you are a Humana Medicare Advantage plan beneficiary, you can enter your member ID number.
• If you are not yet a Humana member and do not have a member ID, you may enter your zip code to see a list of participating Humana providers in your area.

Humana members can also download Humana’s MyHumana mobile app. The MyHumana app allows you to find a network provider with just a few clicks and gives you the ability to do things like check a claim or review your coverage.

If you need help finding a network provider, please call 1-855-298-6309 1-855-298-6309 TTY Users: 711 24 hours a day, 7 days a week or visit www.humana.com/finder/search to access the online searchable directory. If you would like a provider directory mailed to you, you may call the number above or request one at the website link provided above.

What Types of Medicare Advantage Plans Does Humana Offer?

The type of Humana Medicare Advantage plan you have plays a role in how you access the provider network for your plan-covered health care.

Humana HMO Plan

Humana Health Maintenance Organization (HMO) plans can be a good fit for people who like to receive coordinated care through a local primary care physician.

A Medicare HMO plan provider network is typically more localized, and there is generally no coverage for services received outside of the plan’s network, except for in the cases of urgent care, emergency care or dialysis received outside of the network.

Monthly premiums can also be as low as $0 in some areas.¹

Humana PPO Plan

Humana Preferred Provider Organization (PPO) plan members enjoy a little more freedom with their selection of providers.

Humana PPO plan beneficiaries can see a provider within the plan’s robust network but also have the benefit of visiting providers outside of the network for approved care.

It may cost more to receive covered care outside of the plan network, however, so members are encouraged to take advantage of the lower costs that are typical with in-network care.

Humana PPO members do not need a referral from a primary care physician in order to see a specialist.

Monthly premiums can also be as low as $0 in some areas.¹

Humana PFFS Plan

Beneficiaries of a Humana Private Fee-For-Service (PFFS) plan can see almost any Medicare-approved doctor they wish, as long as that doctor has agreed to the terms and conditions of the plan.

Humana PFFS Medicare plans can be a good fit for Medicare beneficiaries who want to have greater freedom in selecting their health care providers.

Humana Medicare Advantage Special Needs Plan

Humana also offers Medicare Advantage Special Needs Plans (SNPs) to anyone who meets specific eligibility requirements, lives in the service area of the plan and is enrolled in Medicare Part A and Part B.

Medicare Advantage Special Needs Plans from Humana are available for:

• People with certain health conditions
• People who are eligible for both Medicare and Medicaid
• People who have or are expected to need the services provided in a long-term care or skilled nursing facility setting for more than 90 days

Humana Medicare Advantage Special Needs Plans combine all of the benefits covered by Medicare Part A and Part B into one single plan. Humana SNPs also offer prescription drug coverage (Medicare Part D). Plan availability varies by state and service area.

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 agent³ 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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