If you’ve already made the decision to go with a Medicare Advantage (Medicare Part C) plan, you still have some decisions to make. One of these is the insurance provider that will supply your coverage.
Humana is a for-profit health insurance company based in Kentucky and is approved by Medicare to sell Part C plans. We’ll talk about the plans Humana offers, their costs, what they cover, and more.
Humana Medicare Advantage HMO plans
Humana Medicare Advantage Plans 2021 are attractive to many people because of their affordability. In many ZIP codes, there are plans available for $0 monthly premium.
Low-cost copays will be required when you see providers, such as specialists. These fees vary, based upon location, but range from about $0 to $50 in most locations. In many instances, your primary care physician will not require a copay.
Annual deductibles for Humana HMO plans vary from $0 to around $800, based on your location and the plan you choose.
There may be an annual deductible for prescription drug coverage as well. These vary from $0 to about $445, based on your location and the plan you choose.
Your annual maximum out-of-pocket costs will also vary based on the plan you choose, but the max for any Medicare Advantage plan is $7,550 in 2021.
Required by law, these plans cover at least as much as original Medicare, so you can be assured of getting hospitalization coverage, medical coverage, and preventive care, including annual screening appointments and vaccines.
As with any HMO, you are required to choose your doctors, including your primary care physician (PCP), from within the plan’s provider network. Humana offers a Point-of-Service (HMO-POS) plan that lets you choose out-of-network providers in certain circumstances.
You will need referrals from your PCP to see specialists and other providers.
Humana’s HMOs cover emergency medical care outside of the United States.
Some of Humana’s HMOs also include prescription drug coverage that is equal to or better than stand-alone Medicare Part D plans.
Most of these plans include free membership to many local gyms and health clubs. Not every fitness facility is included on this list.
Humana Medicare Advantage PPO plans
Preferred Provider Organization (PPO) plans give you the freedom to choose any Medicare-approved doctor you wish to see. However, out-of-plan providers will cost more in most instances.
Your monthly plan premiums and copays may be higher than HMOs in some ZIP codes but are still affordable. Copays for specialists range from $20 to $40 in most instances.
Most annual preventive screenings can be obtained at no cost.
Again, your annual maximum out-of-pocket costs will also vary based on the plan you choose but cannot exceed $7,550.
As required by law, these plans cover at least as much as original Medicare, so you can be assured of getting hospitalization and outpatient medical coverage.
You will not need a referral to see a specialist.
These plans provide in-network home health care. They also offer optional add-ons, such as vision, dental, prescription drug coverage, and fitness programs.