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  • Prepare for Enrollment

  • Review Cost and Coverage

  • Understand Coverage Gaps

  • Explore Medicare Advantage

  • Evaluate Your Options

  • Make an Educated Decision

Evaluate Your Options

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More than Half of All People with Medicare Are Enrolled in Medicare Advantage with this source associated. You can enjoy the security that comes with Original Medicare, while filling the gaps in your coverage with added benefits—all for an affordable price. 

Not everyone wants the same things from their Medicare Advantage plan. For example, a Medicare Advantage Prescription Drug plan includes Medicare Part D prescription drug coverage and a Medicare Advantage plan does not. Humana offers a variety of plan types and coverage options to fit your needs.


Healthcare isn’t one size fits all. And
neither are our plans.

View our full suite of plans so you can tailor your coverage
to your unique needs.

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Humana Choice

PPO Plans

A plan that offers the most freedom when choosing doctors, hospitals and specialists

Pick any Medicare-approved doctor, hospital or specialist without a referral—even when you travel.

How it works
MEMBER NAME:: Member ID:: XXXXXXCard Issued:: MM/DD/YYYY

A plan that offers the most freedom when choosing doctors, hospitals and specialists

Pick any Medicare-approved doctor, hospital or specialist without a referral—even when you travel.

How it works
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Humana Gold Plus

HMO Plans

A plan with lower deductibles and copays

Maximize your benefits while minimizing your costs—pay as low as $0 premiums and lower out of pocket costs than other plan options.

How it works
MEMBER NAME:: Member ID:: XXXXXXCard Issued:: MM/DD/YYYY

A plan with lower deductibles and copays

Maximize your benefits while minimizing your costs—pay as low as $0 premiums and lower out of pocket costs than other plan options.

How it works
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Humana Gold Plus

D-SNP Plans

A plan for people who have both Medicare and Medicaid

Combine all the benefits of Medicare and Medicaid, and include additional coverage and extra benefits all in one easy to manage plan.

How it works
MEMBER NAME:: Member ID:: XXXXXXCard Issued:: MM/DD/YYYY

A plan for people who have both Medicare and Medicaid

Combine all the benefits of Medicare and Medicaid, and include additional coverage and extra benefits all in one easy to manage plan.

How it works
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Humana Honor Plans

A Medicare Advantage plan for everyone, but designed with Veterans in mind to complement VA medical benefits*

Get the best of both worlds—continue to use your basic VA medical benefits2 while adding all the perks that come with a Medicare Advantage plan. These plans are available to anyone but built with veterans in-mind. 

How it works
MEMBER NAME:: Member ID:: XXXXXXCard Issued:: MM/DD/YYYY

A Medicare Advantage plan for everyone, but designed with Veterans in mind to complement VA medical benefits*

Get the best of both worlds—continue to use your basic VA medical benefits2 while adding all the perks that come with a Medicare Advantage plan. These plans are available to anyone but built with veterans in-mind. 

How it works
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Humana Value Rx Plan PDP

PDP

A standalone plan for affordable prescription drugs

Save on monthly costs and copays when paying for your prescriptions

How it works
MEMBER NAME:: Member ID:: XXXXXXCard Issued:: MM/DD/YYYY

A standalone plan for affordable prescription drugs

Save on monthly costs and copays when paying for your prescriptions

How it works

What’s covered on all Humana plans?

hospital
1:Hospital Stays
doctor
2:Doctor and specialist visits – including telehealth
 vaccines
3:Preventive care and vaccines
moniter
4:Lab work, X-rays, screenings, and imaging
kit
5:Outpatient care and procedures
car
6:Emergency transportation
blood-sugar
7:Medicare supplies and equipment

Which to choose: HMO vs. PPO?

We break down the differences between the two most frequently selected plans.

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HMO

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PPO

HMO

Health Maintenance Organization

These plans are typically less expensive than PPO plans. Many Humana HMO plans have low or $0 premiums and deductibles. However, there are some additional requirements for care that allow these plans to cost less

  • Their coverage only extends to in-network doctors, hospitals, specialists, and clinics – with few exceptions. If you choose to get treatment from an out-of-network provider, you will be responsible for 100% of the cost. However, Humana has a large network, so check with a licensed Humana sales agent to see if your preferred healthcare providers are in-network.

  • Most HMO plans require you to select a primary care physician. This doctor oversees your medical needs and refers you to specialists, if necessary. Some HMO plans require you to have a referral from your primary care physician before treatment from a specialist will be covered. In some areas, Humana offers HMO plans that waive both requirements completely.

PPO

Preferred Provider Organization

PPO plans typically cost more than HMOs but they come with more flexibility. Most PPO plans require you to pay a monthly premium and have a higher deductible for medical care.

  • Unlike some HMOs, you generally are not required to select a primary care physician and you won’t need a referral for specialist visits.

  • In most cases, you’ll be covered by both in-network and out-of-network doctors and hospitals. However, your out-of-pocket costs will be lower if you get care from in-network providers.

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Find your perfect match

Answer these questions to help us find the plan that’s right for you. 

Pro tip!

Resist the urge to shop based on premium alone. Consider the total out of pocket costs and extra benefits and services you’ll need. Plus make sure you confirm your doctors and specialists will accept the plan and price the cost of your medications. Getting into the right plan can lead to real savings over time.

Find your perfect match

Question 1/4

Which base coverage(s) are you starting with? Select all existing insurance plans you have access to.

  • Medicare Part A

  • Medicare Part B

  • Medicaid

  • VA benefits for military veterans

  • A group insurance or retirement policy

Question 2/4

What additional coverage will you need to purchase through a private insurance plan? Select all coverages you need that you’re currently missing.

  • Prescription drug coverage to help cover the cost of your medications

  • Basic dental coverage for things like exams, cleanings, filings, and x-rays / Comprehensive dental for things like root canals, extractions, dentures, implants, and other procedures

  • More comprenhensive dental for things like root canals, extractions, dentures, implants, and other procedures

  • Vision exams, procedures, and corrective eye-wear

  • Hearing coverage, hearing aids, exams, and treatments

Question 3/4

What matters more to you? Choose the plan type that better fits your needs

  • A plan that offers more flexibility choosing doctors, hospitals and specialists (PPO)

  • <p>A plan that may offers lower prices but requires use of network providers (HMO)</p>

Question 4/4

What benefits do you expect to use most? Click on the benefits you’d expect to use most. Select all that apply.

  • <p>A maximum out-of-pocket limit</p>

  • <p>Zero Dollar Premium Plans</p>

  • Alerts to lower cost medications

  • <p>A gym membership through a fitness program</p>

  • Rewards for completing healthy activities

  • Access to Humana’s mail-order pharmacies

  • <p>Coverage for virtual telemedicine doctor visits</p>

  • <p>Worldwide Emergency Coverage</p>

  • <p>Rides to doctor appointments</p>

  • <p>Meal delivery after an inpatient overnighthospital stay</p>

  • <p>An allowance to spend like cash for over-the-counter medications</p>

The coverage and benefits you selected

Congrats! You’ve completed Step 1!

Next Step: Step 6: Make an Educated Decision

Let’s find your plan, however you prefer

Choose your plan card1

Guidance to do it yourself

Compare plans and enroll online. We'll guide you along the way.

choose-your-plan-card

One to one support

Enroll with an expert, right over the phone.

choose-your-plan-card3

Local licensed sales agents you can trust

Meet with your local licensed Humana MarketPoint sales agent.

Virtually or in person

Click the step you’d like to visit below

Click the step you’d like to visit below

  • Prepare for Enrollment

  • Review Cost and Coverage

  • Understand Coverage Gaps

  • Explore Medicare Advantage

  • Evaluate Your Options

  • Make an Educated Decision

1 A Snapshot of Sources of Coverage Among Medicare Beneficiaries" 2025 Medicare Advantage| KFF.org,  https://www.kff.org/medicare/a-snapshot-of-sources-of-coverage-among-medicare-beneficiaries/

2 These basic VA Medical Benefits do not include Tricare for Life/ChampVA.

 

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 Dual Eligible Special Needs [HMO SNP, PPO SNP] 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.

 

The Humana Premier RX Plan (PDP) and the Humana Value RX Plan (PDP) Prescription Drug Plan pharmacy networks include limited lower-cost, preferred pharmacies in urban areas of CT, DE, IA, IN, KY, MA, ME, MI, MN, MO, ND, NJ, NY, OH, RI, SD, WI, WV; suburban areas of CT, DE, HI, IN, MA, MI, MN, MS, MT, ND, NH, NJ, NY, OH, PA, RI, WI, 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, MI, MN, ND; 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.

 

Florida residents: FL Dual-Eligible Special Needs Plans are sponsored by Humana Medical Plan, Inc. and the State of Florida, Agency For Health Care Administration. Humana is a D-SNP with a Florida Medicaid Contract.  The benefit information provided is a brief summary, not a complete description of benefits. For more information contact the D-SNP. Limitations, copayments and/or restrictions may apply. [Benefits, formulary, pharmacy network, premium and/or copayments/co-insurance] may change.

 

Tennessee residents: NOTICE: TennCare is not responsible for payment for these benefits, 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.

 

Humana Gold Plus SNP-DE H4461-038 (HMO D-SNP) is only available for residents in the Qualified Medicare Beneficiary (QMB) Only Program without other Medicaid.

 

FOR FLORIDA: Humana is a D-SNP with a Florida Medicaid Contract.  The benefit information provided is a brief summary, not a complete description of benefits. For more information contact the D-SNP. Limitations, copayments and/or restrictions may apply. [Benefits, formulary, pharmacy network, premium and/or copayments/co-insurance] may change.

 

Humana Insurance Company pays royalty fees to USAA for the use of its intellectual property. USAA means United Services Automobile Association and its affiliates. Use of the term “USAA member” or “USAA membership” refers to membership in USAA Membership Services and does not convey any legal or ownership rights in USAA. Restrictions apply and are subject to change. USAA and the USAA Logo are registered trademarks of the United Services Automobile Association. All rights reserved. No Department of Defense or government agency endorsement.

 

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.

 

The Part B Giveback benefit pays part of your Part B premium and the amount may change based on the amount you pay for Part B. It may take several months before the giveback appears in your social security check.

 

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.

 

Rewards must be earned and redeemed within the same plan year. Rewards not redeemed before Dec. 31st will be forfeited.

 

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

 

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Last updated: 10/01/2026