This is a summary of the features of the Humana HDHP, HMO, CoverageFirst and Value Plan. Before making a final decision, please read the Plan’s Federal Brochure (RI 73-820, RI 73-908, RI 73-829, RI 73-025, RI 73-070, RI 73-278, RI 73-862, RI 73-883, RI 73-871 and RI 73-054). All benefits are subject to the definitions, limitations and exclusions set forth in the Federal Brochure.
Humana is a Medicare Advantage HMO, PPO and PFFS organization and a stand-alone prescription drug plan with a Medicare contract. Humana is also a Coordinated Care plan with a Medicare contract and a contract with the state Medicaid program. Enrollment in any Humana plan depends on contract renewal.
To take full advantage of the savings available with your benefits, choose a doctor within your network for routine care. With the exception of emergencies and urgent care situations, it may cost more for covered services received outside the network.
Out-of-network/non-contracted providers are under no obligation to treat Humana plan members, except in emergency situations. Please call our customer service number or see your brochure for more information, including the cost-sharing that applies to out-of-network services.
Limitations on telehealth services, also referred to as virtual visits or telemedicine, vary by state. These services are not a substitute for emergency care and are not intended to replace your primary care provider or other providers in your network. Any descriptions of when to use telehealth services are for informational purposes only and should not be construed as medical advice. Please refer to your evidence of coverage for additional details on what your plan may cover or other rules that may apply.
This material is provided for informational use only and should not be construed as medical advice or used in place of consulting a licensed medical professional. You should consult your doctor to determine what is right for you.
Links to various other websites from this site are provided for your convenience only and do not constitute or imply endorsement by Humana of these sites, any products or services described on these sites, or of any other material contained therein. Humana disclaims responsibility for their content and accuracy.
The discounts offered through the Lifestyle Discount Program (the Program) are not insurance or insured benefits. The Program is subject to change or may be discontinued, without notice and at any time. The Program is not available to members that reside in Illinois and Missouri. Discount on identity theft protection products and services are not available to members that reside in Texas. The Program is only available to Humana commercial group medical members. The Program is not available to Medicare or Medicaid members. The discount vendors may impose additional eligibility requirements, including but not limited to: age, valid social security number, Internet and e-mail access. The Program only provides for discounts on select products or services from participating discount vendors. The relationship between these vendors and Humana is that of independent contractors. The discount vendors are not providers, partners, employees or agents of Humana. Humana has not reviewed or endorsed and makes no representations, express or implied, about these discount vendors or the products or services available form such vendors. The vendors are solely responsible to you for the provision of these products and services. You should independently review the products and services and the discount vendors before purchasing. Humana expressly disclaims all liability for any care or services rendered by these vendors and all liability if vendors refuse to honor the discounts. Some of these third party service providers may make payments to us when covered persons take advantage of these discount programs.
The discounts offered through the Special Discounts Program (the Program) are not insurance or insured benefits. The Program is subject to change and may be discontinued, without notice and at any time. The Program is only available to eligible Humana members. For any non-vision discounts in the Program, members in New Mexico and Vermont are not eligible. Additional exclusions may apply for members of individual policies. The Program is not available to Medicare or Medicaid members. The discount vendors are third party vendors. The vendors are solely responsible to you for the provision of these products and services. The discount vendors may impose additional eligibility requirements, including but not limited to: age, valid Social Security number, internet and email access. You should independently review the products and services and the discount vendors before purchasing. Humana’s contract with the discount vendors does not eliminate a member of any obligations under the policy or change the terms of the policy. Participation in the Program is voluntary. Humana and the discount vendor, including each party's respective affiliates and subsidiaries, are independent, non-affiliated entities. Humana, its parent and affiliates, expressly disclaims all liability for any care or services rendered by these vendors and all liability if vendors refuse to honor the discounts.
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Last Updated: 09/15/2022