Plan information
Explore the health benefits that are available to you.
1095-B reporting
Beginning with the 2022 tax year (Jan. 1, 2023), only Members living in states with laws that require reporting of health coverage will continue to automatically receive a paper copy of the Form 1095-B for state filing tax purposes. All other members wanting a paper copy will need to request one by visiting MyHumana or calling 800-4HUMANA (800-448-6262).
An electronic copy of form 1095-B will be posted to myhumana.com for all members whom Humana files a 1095-B with the IRS and states. All members will have the ability to download and print the form themselves.
Form 1095-B will be made available to you no later than the annual deadline set by the IRS. Please visit Humana’s website and click the “Through your employer” tab for additional information.
Plan highlights
Welcome Value Plan members to Humana Medicare Advantage
Here are some of your plan highlights.
- $1200 giveback in annual Part B premium
- Enroll in this Medicare Advantage Prescription Drug plan at no additional cost to your Humana Value Plan
- No out-of-pocket costs for Medicare covered services
- Medicare Part D prescription drug coverage
- Flexibility to see any Medicare healthcare provider
- Access to gym memberships, many online wellness programs, and more
A plan exclusively for enrolled Humana Medicare Advantage Value Plan members
(Must be enrolled in Medicare Part A and Part B)
To verify if the Humana Value Plan is available in your service area, visit the Medical page and enter your ZIP code.
Humana Medicare Advantage PPO: What is it?
The Humana Medicare Advantage preferred provider organization (PPO) plan is offered to eligible members of the Federal Employees Health Benefits (FEHB) Program. It’s a nationwide plan that takes a total approach to your health by covering your doctors, hospitalization and prescription drugs in 1 simple plan.
Humana Dental Plan with High PPO and Standard Advantage EPO Options
For federal members including TRICARE® retirees, Humana offers two great plans to help you achieve better oral health.
Both plans offer an unlimited annual maximum benefit, implant coverage, Adult and Child orthodontia, no waiting periods and no referrals required.
Dental High PPO Plan highlights:
- In and out-of-network coverage
- Preventive care at no additional cost (3 cleanings, exams, and X-rays)
- Periodontal maintenance covered with no deductible – covered up to 4 times/year
- Adult orthodontia coverage with no deductible
- No waiting periods
Dental Standard Advantage EPO Plan highlights:
- No waiting period for any service
- Coverage for adult and child orthodontic services
- Coverage for implants
- No annual deductible
- Unlimited annual maximum
Tools and resources
For FEHBP Puerto Rico members ONLY:
You may submit your Health Risk Assessment (HRA) using the digital form (in English) or print the form in Spanish and fax to 855-408-7841.
The form should be completed and signed in all parts.
All other FEHBP members:
Please visit Quest Diagnostics to complete your Health Risk Assessment and schedule a wellness screening.
You will be asked to enter the registration key “FEHBP23” during the registration process.
Read the Quest instructions for more information on how to register, complete your HRA and schedule a screening at Quest Diagnostics.
If you have questions regarding these instructions, call Quest Service Center at 855-623-9355.
How the assessment works
You’ll answer some basic questions to get a confidential health profile tailored just for you. Once you complete your Health Assessment and your wellness screening, a personal report comes with recommendations for improving your health that you can share with your doctor.
The knowledge you’ll gain from the report may help you discover some additional ways to get or stay healthy.
How the wellness screening works
A voluntary biometric screening helps give you a true picture of your health. You’ll not only know your numbers, but you’ll be able to understand them, so you can take charge of your health. It may help you feel more empowered to make healthier choices so you can be your best self.
The voluntary Biometric Screening measures a range of health indicators, such as waist circumference, body mass index (BMI), blood pressure, cholesterol, triglycerides and blood sugar. You will receive a report of your results and can learn about possible risk factors you have.
Note: You will be required to read and acknowledge a Notice Regarding Wellness Program prior to completing the Biometric Screening.
Before your visit
Limit your food intake
While fasting is not required, it’s often suggested that you not eat or drink (aside from water) for 9 to 12 hours before your test to get the most accurate results. Talk with your doctor if you are uncertain whether you should fast or not.
Carry your cards
Bring your Humana member identification card and a valid photo ID.
Humana’s health programs provide tools, resources and personalized care. These programs help members meet their health needs, control costs and keep them on the path to wellness.
HumanaBeginnings®
HumanaBeginnings® is a program that advises members on how best to care for themselves during their pregnancy. Experienced, registered nurses provide education, support and guidance throughout pregnancy.
All members who enroll receive individualized support. Educational focuses include:
- Healthy habits during pregnancy
- Fetal development
- Changes to expect during each phase of pregnancy
- Importance of avoiding early delivery
- Preterm labor risk factors, prevention and symptoms
- What to expect during labor
Explore the HumanaBeginnings program
Tobacco cessation
Quitting tobacco is not easy, but you don't have to do it alone. Your Federal Employee Health Benefits can help. You have access to proven cessation treatments that can ease withdrawal symptoms and help you succeed in quitting.
The benefit covers treatment for all forms of tobacco use, including cigarettes, snuff and chewing tobacco. It includes 2 quit attempts per year with up to 4 tobacco cessation discussion sessions of at least 30 minutes each, including proactive telephone discussions, group discussions and individual discussions.
Case and care management
Humana offers a variety of programs for patients who need care for medical situations, support for chronic conditions, maternity and transplant services. Through these programs, care managers collaborate with physicians and other healthcare professionals to help patients manage their healthcare needs while addressing their physical, behavioral, cognitive, social and financial needs.
Telemedicine (also known as telehealth or virtual care) uses information technology and telecommunications to provide virtual clinical care to patients. Patients can interact with providers through video and app technology by using smartphones, tablets and laptops.
With Humana’s telemedicine benefit delivered by Doctor On Demand, you can:
- Connect with a physician from one of Doctor On Demand’s U.S. board-certified doctors. For Puerto Rico members, connect with a physician of MDLive’s U.S. board-certified doctors with a state license.
- See a doctor 24 hours a day, 7 days a week from any location.
- Only pay your Primary Care Physician co-payment (for Puerto Rico members, only pay your non-directed primary care physician copayment).
Your primary care physician can access your telemedicine visit at your request. If medically necessary, the telemedicine doctor can send a prescription to a preferred pharmacy.
Telemedicine Member Flyer
Telemedicine Member Flyer (Puerto Rico members only)
You may be eligible for additional benefits including individual insurance. These benefits are neither offered nor guaranteed under contract with the Federal Employees Health Benefits (FEHB) Program. They are made available to all enrollees and family members who become members of Humana.
Humana Special Discounts Program
Humana’s Special Discounts Program is designed to help you achieve lifelong well-being with valuable discounts and exclusive deals on popular health and wellness services. As a Humana member, you have access to this valuable program (program eligibility varies based on your service area). The Program is not available to members of group policies issued in Illinois, Missouri, New Mexico and Texas. This program is subject to change at any time and not available where prohibited by law.
To access Humana’s Special Discounts Program, sign in to MyHumana.com, go to the “Menu” tab at the top and scroll down to “Coverage” and then scroll down to “Special Discounts.”
Special Discounts highlights
Teeth whitening
Smile big and proud with a fresh set of pearly whites. Humana teamed up with ProSmileUSA™ to offer up to 70% off teeth whitening. Just go online and order the ProSmileUSA state-of-the-art whitening system. You’ll be on your way to glimmering teeth. ProSmileUSA, a division of United Networks of America, is a national dental lab that specializes in Hi-Intensity™, competitive-strength, professional teeth bleaching.
NEW! Truthbrush
(NonFederal Benefit) offered through Humana’s Special Discounts Program
Truthbrush is an innovative dental health device that includes a tracker that attaches to any toothbrush and automatically keeps track of every brushing session. This information is then stored in the Truthbrush app, where users can understand their current brushing behavior, see personalized feedback, and can allow parents to monitor the progress of their children. Truthbrush helps improve dental care habits by easily becoming part of your normal dental health routine. Members receive 20% off Truthbrush trackers.
Vision
QualSight LASIK Network
Many of today’s common vision problems, including nearsightedness, farsightedness and astigmatism, can be treated with LASIK. QualSight has more than 800 locations nationwide.
- Save 25%–40% off the national average price for LASIK†
- $1,395 per eye for Custom Wavefront and $1,795 per eye for Custom Wavefront Bladeless procedures
- Credentialed surgeons who have collectively performed more than 6.5 million procedures
U.S. Laser Network
Members enjoy significant savings and expanded access to approximately 600 LASIK locations nationwide including Preferred Providers LasikPlus, TLC Laser Eye Centers and The LASIK Vision Institute.
- Savings of $1,000 on LASIK with a preferred provider‡
- Guaranteed financing with preferred providers
- Save 15% off standard or 5% off promotional pricing with all other in-network providers
Weight loss
Nutrisystem provides unique solutions for weight loss and weight management by delivering delicious, portion-controlled meals directly to the home. Members will receive a 50% discount off every Nutrisystem plan, seven free high-protein shakes, and free shipping on all orders.
Health and wellness discounts
Members get 10–40% off health and wellness products and local providers including acupuncture, chiropractic, massage, and many more:
- Fitbit devices—10%–15% off
- Vitamin Shoppe®—20% off your purchase
Hearing aids
Humana provides access to hearing aid options to meet your specific hearing needs.
- NEW Audicus—a unique online solution gets you hearing aids and support, with up to 65% savings, from the convenience of your home.
- TruHearing®—provides care from a professional in your area with savings up to 60% on hearing aids.
Identity monitoring and protection services
Protect yourself and your loved ones with identity monitoring and protection services provided by CyberScout®. At every stage of life, this benefit provides expert support to help detect fraud, monitor credit activity and resolve any identity-related issues. There are three packages available to Humana members. You can choose the package that fits your budget. All options include:
- Medical identity theft monitoring
- Internet monitoring
- Credit bureau monitoring, including credit score
- Unlimited access to expert fraud specialists for proactive and identity theft resolution assistance
Important note
These benefits are neither offered nor guaranteed under contract with the FEHBP or FEDVIP Program, but are made available to all enrollees and family members who become Humana members.
Understanding and using your plan
Glossary of health coverage and medical terms
Understanding common payment terms
Pharmacy resources
Drug list search (Select Rx5, if Puerto Rico, Rx4 Traditional)
Quick links
FSAFEDS
Explore your options with the Federal Flexible Spending Account Program (FSAFEDS)
FEHB Expedited/Urgent Appeals Form
For more information about the Appeals and Grievance process in your area, please contact the number on the back of your ID card.
Humana Rights and Responsibilities
Find out more about your rights and responsibilities as a Humana insurance member.
Your rights and responsibilities
Fraud, waste and abuse information
To report suspected fraud, waste or abuse, you can contact Humana :
- Phone: English 800-614-4126
- Fax: 920-339-3613
- E-mail: siureferrals@humana.com
Visit Humana.com to learn more about addressing fraud, waste, and abuse, and for more ways to contact us with your concerns.
Learn more about COVID-19, how to assess your risk, and what we're doing to help support our members.
Humana Medical (Commercial) members
Phone numbers for members: 800-448-6262
Call us toll-free for details about your Humana health plan, enrollment and additional resources for Humana members.
Enrollment hotline: 888-393-6765
In Puerto Rico, Humana Medical members should call toll-free 800-314-3121.
Hours of operation:
January through September, Monday through Friday, 8 a.m. to 7 p.m. Eastern time
October through December, Monday through Friday, 8 a.m. to 8 p.m. Eastern time
Humana Dental members
Phone numbers for members
Customer care: 877-692-2468
Enrollment: 877-888-3337
Hours of operation:
Open Season, 8 a.m. to 9 p.m. Eastern time
Last day of Open Season, 8 a.m. to midnight Eastern time
After Open Season, 9 a.m. to 7 p.m. Eastern time
Humana Medicare Advantage
Phone number for members
Customer care: 855-235-8579
Monday – Friday, 8 a.m. – 8 p.m., Eastern time
Online Resources
Find a doctor
Find contact information and maps for doctors, hospitals and other healthcare providers near you.
Find a doctor near you
Find a dentist
Our network includes dentists and specialists near you, with office hours that work for you. Our Find a Dentist tool will show you dental providers covered by your plan.
Support for you
