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 healthcare providers, hospitalization and prescription drugs in 1 simple plan.
How it works
You’ll continue to pay your Part B premium with the Humana Medicare Advantage plan. It provides the same coverage as Original Medicare, but with the addition of a $0 deductible and prescription benefits. Plus, the plan includes a Part B giveback benefit that will reduce your Medicare Part B premium by $100 per month (up to $1200/year). You’ll also get access to programs that may help you reach your health potential, such as SilverSneakers® fitness membership and more.*
And you can continue to see your doctors or any healthcare provider licensed to receive Medicare payment and willing to accept the Humana plan.
*Must be enrolled in the Humana Value Plan.
Switch your plan, not your doctor
This plan offers a “passive” network, which allows you to continue seeing your current healthcare provider regardless of being in or out of Humana’s network. Similar to what you are experiencing today, the healthcare provider will need to participate with Medicare and agree to bill the Medicare Advantage plan carrier. FEHB retirees’ in-network and out-of-network benefits are the same. Humana is dedicated to an easy transition. This means you don’t need to find a new doctor. As long as your healthcare provider participates in Medicare and agrees to bill Humana, you can continue with the doctor you know and trust.
Note: The provider network may change at any time.
Out-of-network/non-contracted healthcare providers are under no obligation to treat plan members, except in emergencies. Please call our Customer Care number or check your Evidence of Coverage for more information, including the cost sharing that applies to out-of-network services.
Here are some of your plan highlights.
- $1,200 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
How to enroll
Enroll in the Humana Value Plan (if you are not already a member) Enroll in the Humana Value Plan through the Office of Personnel Management (OPM) Retirement website or by calling the OPM Information Center at 888-767-6738 (TTY: 800-878-5707), Monday – Friday, 9 a.m. to 6 p.m.
*Once you’re enrolled in the Humana Value Plan through OPM, your basic information will be transferred to Humana. (Please allow 7–10 business days.)
Enroll in the Humana Medicare Advantage Plan (once you are a Humana Value Plan member)
Once a member of the Humana Value Plan, you have the option to enroll in the Humana Medicare Advantage Plan by calling our Customer Care number at 855-235-8579 (TTY:711), Monday – Friday, 8 a.m. – 8 p.m., Eastern time.
It is recommended to provide the following to complete your enrollment in Humana Medicare Advantage:
- Your Original Medicare effective date(s)
- Your Medicare Beneficiary Identifier
You may call us at 855-235-8579 and provide us with this information. If you are over age 65, you’ll receive a reminder postcard.