Choose flexibility with

Medicare Advantage PPO

plans

Enjoy the freedom of seeing any doctor or specialist you choose, that accepts Humana plans, without network restrictions.

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How do PPO plans work?

A PPO allows you the freedom to choose your provider and doesn’t require you to have a primary care physician.

No referrals are needed for specialists or the hospital.

Our most popular Medicare Advantage PPO

plan1 in County Name

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Monthly premium

Why is this $0

Humana can make this plan available for a $0 premium because the federal government pays us a flat fee to provide your Medicare benefits. We are able to add extra benefits because our plans are structured to help keep healthcare affordable.

(in addition to your Medicare Part B premium)

Additional benefits

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General Costs Close Open
Premiums & deductibles In-network Out-of-network
Monthly premium
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Why is this $0

Humana can make this plan available for a $0 premium because the federal government pays us a flat fee to provide your Medicare benefits. We are able to add extra benefits because our plans are structured to help keep healthcare affordable.

Medical deductible
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Prescription drug deductibles
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The out-of-pocket maximum is the maximum amount that you will be required to pay a year for deductibles, copayments, coinsurance on covered services. It does not include the amount you pay for monthly premiums.
Additional Benefits
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Our standard coverage across all plans

Medicare Advantage, also referred to as Medicare Part C, covers the same services as Original Medicare except for hospice.

Hospital stays

Doctor and specialist visits

Preventive care and vaccines

Lab work, X-rays, screenings, and imaging

Outpatient care and procedures

Emergency transportation

Medical supplies and equipment

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How can we help you?

Whether you’re unsure about coverage, your doctor, or a prescription, we can answer those questions and more.

1Most popular plans based on 2024 plan year enrollment. 

 

Plans not available in all areas. Costs, coverage, and benefits vary by location.

 

Humana is a Medicare Advantage PPO 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. 

 

Humana Inc. and its subsidiaries (collectively, “Humana”) comply with applicable Federal civil rights laws and do not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or expression, transgender status, marital status, military or veteran status, or religion. Humana does not exclude people or treat them differently because of race, color, national origin, age, disability, sex, sexual orientation, gender identity or expression, transgender status, marital status, military or veteran status, or religion. We also provide free language interpreter services. See our full accessibility rights information and language options.

 

Florida residents: FL Dual-Eligible Special Needs Plans are sponsored by Humana and the State of Florida, Agency For Health Care Administration. 

 

Tennessee residents: NOTICE: TennCare is not responsible for payment for those benefits offered by TN Dual-Eligible Special Needs Plans, except for appropriate cost sharing amounts. TennCare is not responsible for guaranteeing the availability or quality of these benefits. Any reference to more, extra, or additional Medicare benefits, is applicable to Medicare only and does not indicate increased Medicaid benefits. 

 

Ohio residents: For the Humana Cleveland Clinic Preferred HMO and D-SNP plans, other ancillary providers such as labs and durable medical equipment suppliers, and pharmacies are available in our network.

 

Other Pharmacies/Physicians/Providers are available in our network. 

 

The Humana Premier RX Plan (PDP) and the Humana Walmart Value RX Plan (PDP) Prescription Drug Plan pharmacy networks include limited lower-cost, preferred pharmacies in urban areas of AR, CT, DE, IA, IN, KY, MA, ME, MI, MN, MO, MS, NC, ND, NJ, NY, OH, PR, RI, SD, TN, WI, WV; suburban areas of CT, DE, MA, MI, MN, MT, ND, NJ, NY, OH, PA, PR, RI, WV; and rural areas of IA, MN, MT, ND, NE, SD, VT, WY. There are an extremely limited number of preferred cost share pharmacies in urban areas in the following states: DE, ME, MI, MN, MS, ND, OH; suburban areas of MT and ND; and rural areas of ND. The lower costs advertised in our plan materials for these pharmacies may not be available at the pharmacy you use. For up-to-date information about our network pharmacies, including whether there are any lower-cost preferred pharmacies in your area, please call Customer Care at 1-800-281-6918 (TTY: 711) or consult the online pharmacy directory at Humana.com.

 

Limitations on virtual visit healthcare and prescription services delivered via remote access technology and communications vary by state. Virtual visit services are not a substitute for emergency care and are not intended to replace your primary care provider or other providers in your network. 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.

 

Out-of-network/non-contracted providers are under no obligation to treat Humana members, except in emergency situations. Please call our customer service number or see your Evidence of Coverage for more information, including the cost-sharing that applies to out-of-network services. 

 

The Part B Giveback Benefit pays part or all of your Part B premium and the amount may change based on the amount you pay for Part B.

 

Allowance amounts cannot be combined with other benefit allowances. Limitations and restrictions may apply.

 

*Benefit(s) mentioned may be part of a special supplemental program for chronically ill members with one of the following conditions: Diabetes mellitus, Cardiovascular disorders, Chronic and disabling mental health conditions, Chronic lung disorders, Chronic heart failure. This is not a complete list of qualifying conditions. Having a qualifying condition alone does not mean you will receive the benefit(s). Other requirements may apply.

 

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Last Update: 10/3/2024