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Plan information

Explore the health benefits that are available to you.

View plan details

See what’s new with your plan

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

Humana’s Medical healthcare plans offer a variety of benefit designs and include prescription drug coverage and offer telemedicine.  You can select a plan based on cost, provider network, or your medical needs based on your location.

HMOs

  • Fixed copays, no deductibles
  • In-network only, referrals may be required

Consumer Driven Health Plan

  • $1,000 benefit allowance to use before coinsurance
  • In- and out-of-network benefits, no referrals required

Value Plan

  • Lowest cost Point of Service plan
  • In- and out-of-network benefits, no referrals required

High Deductible Health Plan

  • Health Savings Account/Health Reimbursement Account provided
  • In- and out-of-network benefits, no referrals required

Puerto Rico POS Plan

Puerto Rico members may choose to obtain benefit coverage for medical services using one of three methods:

  • Services directed by the Primary Care Physician (PCP), referrals required
  • Services not directed by the PCP using Plan providers, no referrals required
  • Services not directed by the PCP using non Plan providers, no referrals required

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

View plan overview

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.

Learn more about your 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

Learn more about your plan options

Tools and resources

2023 Plan Year Updates

Medical Plan Enhancements

High Deductible Health Plan added to Kentucky service area

The current High Deductible Health Plan will now be offered to the Lexington, Kentucky and Louisville, Kentucky service area for 2023. Select the Medical tab above to see all eligible service areas.

CoverageFirst/Value Plan, High Deductible Health Plan service area

We have expanded the Atlanta, Georgia service area to include additional counties. Select the Medical tab above to see all eligible service areas.

Dental Plan Enhancements

High PPO annual maximum will be changed from $5,000 to unlimited.

Standard Advantage EPO benefit will increase from 2 to 3 routine cleanings per calendar year.

Humana’s PPO recent network expansion now includes over 100,000 dental providers!

Virtual Benefits Fair (Chat)

The Virtual benefits fair is an online “health fair” that houses plan information in a single online location. This enables Federal employees to browse exhibits, view content and connect with program representatives via an online chat. The Virtual Benefits Fair is available 24/7 during the entire Open Season.

You can access this fair by registering online

Live chat representatives will be available to answer questions and obtain specific information on the following dates:

Tuesday, Nov.15, 2022
Tuesday, Nov. 22, 2022
Thursday, Dec. 1, 2022
Thursday, Dec. 8, 2022

Drug lists

2023 Rx5 Drug List

2023 Rx4 Traditional Drug List – Puerto Rico only

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.

Learn more about this program

Tobacco cessation summary

Covered products

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.

Humana primary preventive care

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). This program is subject to change at any time and not available where prohibited by law.

For general information, visit the Special Discounts page on Humana.com. 

To see all of the discounts available to you, log in to MyHumana and go to the Special Discounts page under the Coverage menu. 

Special Discounts highlights

Weight loss program

Members will receive a 50% discount off every Nutrisystem® plan, 7 free high-protein shakes and free shipping on all orders.

Lasik

With nearly 600 locations nationwide, members may choose any in-network provider and receive:

  • 15% off standard prices
  • 5% off promotional prices
  • Free Lasik exam
  • Affordable financing options

Teeth whitening

Humana teamed up with ProSmileUSA™ to offer up to 70% off teeth whitening. ProSmileUSA specializes in Hi-Intensity™, competitive strength, professional teeth bleaching.

Identity monitoring and protection services

Protect yourself with identity monitoring and protection services provided by CyberScout®. This benefit provides expert support to help detect fraud, monitor credit activity and resolve any identity-related issues.

Alternative medicine

You’ll get on-the-spot discounts of up to 30% when you receive services from the WholeHealth Network® providers.

Choose from services such as:

  • Chiropractic
  • Massage therapy
  • Acupuncture

Hearing aids

Humana provides you access to the TruHearing® program, which may save you 30% to 60% on hearing aids. TruHearing provides hearing solutions for virtually every type of hearing loss, care from a local professional in your area and a worry-free purchase with a 45-day trial and 3-year warranty.

Vision discount

Humana medical and dental members receive our vision discount program at no cost. The program offers access to more than 119,000 vision provider locations (access points), including LensCrafters®, Pearle Vision® and Target Optical®. To locate a network provider, members can call 866-995-9316 or navigate to Humana.com > Member Resources > Find a Doctor > Vision care.

Individual plans

Humana offers individual dental and vision plans.

Learn more about Humana’s individual plan options

Important note

These benefits are neither offered nor guaranteed under contract with the FEHB 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

Mail-order pharmacy

Find in-network pharmacies

Drug list search (Select Rx5, if Puerto Rico, Rx4 Traditional)

Quick links

Member forms

Communication assistance

Humana help and support

FSAFEDS

Explore your options with the Federal Flexible Spending Account Program (FSAFEDS)

FEHB Expedited/Urgent Appeals Form

Appeals form (English)

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 :

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

Enter your ZIP code to find in-network providers by plan

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. 

PPO Dentist finder

EPO Dentist finder

Support for you

My Humana Web