Dual Eligible Special Needs Plans

Our Dual Eligible Special Needs Plans (D-SNPs) help people get the most out of their coverage by coordinating benefits, care, and payments.

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What are Dual Eligible Special Needs Plans?

Dual Eligible Special Needs Plans are designed for people with both Medicaid and Medicare plans. These plans cover all the same benefits of Medicare Part A and Part B but also with special benefits at no added cost.

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Dual Eligible Special Needs Plans make managing benefits easier. Here, you’ll find all the details for plans available near you. 

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Frequently Asked Questions

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

 

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. 
 
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 (PDP) and the Humana Walmart Value RX (PDP) Prescription Drug Plan pharmacy networks include limited lower-cost, preferred pharmacies in urban areas of IA, MN, MT, ND, NE, SD, VT, WY; suburban areas of CT, DE, MI, MN, MT, ND, NJ, NY, OH, PA, PR, RI, WV; and rural 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. There are an extremely limited number of preferred cost share pharmacies in urban areas in the following states: ND; suburban areas of MT and ND; and rural areas of DE, ME, MI, MN, MS, ND, OH. 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. 
 
Enrollees must continue to pay their Medicare Part B premium, their Humana plan premium, and their Optional Supplemental Benefit (OSB) premium.

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Last Update: 12/15/2023