Plan name: Humana Gold Plus SNP-DE H6622-015 (HMO D-SNP) More about Humana Gold Plus SNP-DE H6622-015 (HMO D-SNP) As amember of this plan, you will not be responsible for cost sharing for plan benefits. . Humana.com. Humana Gold Plus Integrated (Medicare-Medicaid Plan) 2021 Provider and Pharmacy Directory Introduction This Provider and Pharmacy Directory includes information about the provider and pharmacy types in Humana Gold Plus Integrated (Medicare-Medicaid Plan) and listings of all the plan s providers and pharmacies as of the date of this Directory. . 20%. Not only do we offer competitive dental and medical benefits from a vast network of healthcare providers, but we work harder to learn more about you so that we can get you the coverage you needand the preventive services . Humana Basic Rx Plan premiums range from $19.70 to $45.00 per . Get 2020 Medicare Advantage information on Humana Gold Plus H1036-025 (HMO) from Humana. Humana Value Plus H6622-049 (HMO) . To join Humana Gold Plus H6622-001 (HMO), you must be entitled to Medicare Part A, be enrolled in Medicare Part Band live in our service area. Find out . $587 per day for days 1 through 3 / $0 per day for days 4 through 90. Outpatient group therapy visit with a psychiatrist. Enrollment in this Humana plan . Plan name: Humana Gold Plus H1468-013 (HMO) How to reach us: If you're amember of this plan, call toll-free: 1-800-457-4708 (TTY: 711) . Medical Plans. Virtual Visits. You may view the formulary at www.humana.com. To locate and use the physician finder, go to the Humana.com home page, and click on Search under Find a Doctor. This is a list of Humana Gold Plus Integrated (Medicare-Medicaid Plan) s network providers for IL: Bond, Clay, Clinton, Crawford, Effingham, Fayette, Franklin, Hamilton, Jackson, Jasper, Jefferson, Madison, MondayFriday 8am 8pm ET. H1036_SB_MAPD_HMO_137000_2021_M H1036137000SB21 Summary of Benefits Humana Gold Plus H1036-137 (HMO) Charlotte Charlotte Metro Area Our service area includes the following county/counties in North Carolina: Anson, Burke, Cabarrus, Caldwell, Catawba, Gaston, Iredell, Mecklenburg, Rowan, Stanly. *Plan. Humana Gold Plus H6622-025 (HMO-POS) Western North Carolina Western North Carolina Area Our service area includes the following county/counties in North Carolina: Avery, Buncombe, Cherokee, Clay, Graham, Haywood, Henderson, Jackson, Macon, Madison, McDowell, Mitchell, Polk, Rutherford, Swain, Transylvania, Watauga, Yancey. Call 1-888-204-4062 (TTY: 711), Monday - Friday, 8 a.m. to 8 p.m., local time or request a call Source Email a copy of the Humana Gold Plus H4461-031 (HMO) benefit details. TTY users should call 1-877-486-2048, 24 hours a day/ 7 days a week or consult www.medicare.gov; the Social Security Office at 1-800-772-1213 between 7 a.m. and 7 p.m., Monday through Friday. To get detailed information about your health care coverage, please see your Evidence of Coverage. Humana One is a great health insurance provider and probably one of the top 5 nationwide health insurance companies but in this matchup United Healthcare comes out ahead. Page 2 of 49 2019 Top Docs *= Vegas Inc. **= Desert Companion >=Closed Panels 03/01/2021 Prior Authorization Dept. Get all the information related to Humana Drug Plan Sign In - Make website login easier than ever For Employers. . Plan name: Humana Gold Plus SNP-DE H6622-015 (HMO D-SNP) More about Humana Gold Plus SNP-DE H6622-015 (HMO D-SNP) As amember of this plan, you will not be responsible for cost sharing for plan benefits. Humana will auto-assign a primary care provider (PCP) to you when you enroll in this HMO plan. Humana is a Medicare Advantage HMO, PPO and PFFS organization and a stand-alone prescription drug plan with a Medicare contract. Robert Johnson, NP, DCNP, MSN. To join Humana Gold Plus H1036-081D (HMO), you must be entitled to Medicare Part A, be enrolled in Medicare Part Band live in our service area. Unlike Humana's other Part D plans, the Humana Basic Rx Plan lets you pick your pharmacy, as long as it's in the plan's network. If you're not amember of this plan, Humana Gold Plus Integrated (Medicare-Medicaid Plan) 2022 Provider and Pharmacy Directory This directory is current as of 5/01/2022. At Humana, our goal is to help people reach their best health. Routine Hearing Exam. $40 copay. Plan name: Humana Gold Plus H6622-061 (HMO) How to reach us: If you're amember of this plan, call toll-free: 1-800-457-4708 (TTY: 711) . Plan name: Humana Gold Plus H6622-002 (HMO) How to reach us: If you're amember of this plan, call toll-free: 1-800-457-4708 (TTY: 711) . 2022 Medicare Advantage Plan Details. The Comprehensive Benefit Chart shows the benefits you will receive from Humana and how Medicaid covers your cost sharing for . Some network providers may have been added or removed from our network . * required field. Enrollment in any Humana plan depends on . If you're not amember of this plan, call toll free: 1-800-833 . Review the provider directory (or ask your doctor) to make sure the doctors you see now are in the network. 1-800-472-2986 TTY: 711; 24/7. CareOne PLATINUM (HMO-POS): This plan covers certain services received from out-of-network providers in Brevard and Indian River counties in Florida. LOUISVILLE, Ky.--(BUSINESS WIRE)-- Humana Inc. (NYSE: HUM) today announced details of its 2022 Medicare product offerings, including many Medicare Advantage and Prescription Drug Plans that are built to address the needs of diverse populations and people eligible for Medicare who are challenged by critical social determinants of health - such as food security and access to transportation for . Phone #: 318-2402 Prior Authorization Dept. They cover the basic Medicare Part A and part B expenses, as we have explained earlier long, in addition to the emergency medical care . While we strive to keep this list up to date, it's always best to check with your health plan to determine the specific details of your coverage, including benefit designs and Sutter provider participation in your provider network. To join Humana Gold Plus H6622-061 (HMO), you must be entitled to Medicare Part A, be enrolled in Medicare Part Band live in our service area. This directory continues with the partial listing of network providers available with Humana Gold Plus Integrated (Medicare-Medicaid Plan). Plan name: Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP) More about Humana Gold Plus SNP-DE H4461-022 (HMO D-SNP) As amember of this plan, you will not be responsible for cost sharing for plan benefits. If you're not amember of this plan, Discount Type Dental Vision Rx Alt Medicine. HMO 076/609 Humana is a Medicare Advantage HMO plan with a Medicare contract. If you're not amember of this plan, call toll free: 1-800-833 . Some Humana networks may have additional participation criteria providers must meet in order to be granted participation status. Outpatient individual therapy . Most popular medical specialty of providers who accept Humana Health: Family Doctor. The Comprehensive Benefit Chart shows the benefits you will receive from Humana and how Medicaid covers your cost sharing for . Humana group medical plans are offered by Humana Medical Plan, Inc., Humana Employers Health Plan of Georgia, Inc., Humana Health Plan, Inc., Humana Health Benefit Plan of Louisiana, Inc., Humana Health Plan of Ohio, Inc., Humana Health Plans of Puerto Rico, Inc. License # 00235-0008, Humana Wisconsin Health Organization Insurance Corporation, or Humana Health Plan of Texas, Inc . Call or request a call Licensed Humana sales agents are ready to help guide you through the process of choosing the coverage that's best for you. For Investors. Medicare Advantage plans have maintained its good name due to the various coverage plans it carries, and most importantly, those tailor-made to meet the seniors' needs. Fax #: 318-2404 Provider Services Dept. Please call 8005421146 to speak to a customer service representative who will assist you in locating a provider in your area. Plus and QMB. How to join the Humana network. To get the most up -to -date information about Humana Gold Plus HMO or Humana Gold Plus HMO D -SNP network providers in your area, or for questions about the information in this directory, you can visit Humana.com or call Customer Care at 1 -800 -457 -4708 . If they are not listed, it means you will likely have to select anew doctor. Find out more about the Humana Gold Plus SNP-DE H5619-082 (HMO D-SNP) plan -including the health and drug services it covers -in this easy-to-use guide. Providers in Puerto Rico may request to join our network by completing an online Service Request Form. Remember, that this is just a general comparison and you can read our detailed reviews and ratings by visiting the Humana review page or the United Healthcare review page. Humana is one of the largest providers of Medicare Advantage plans, and in 2021, Humana will continue to provide a wide range of options through numerous 2022 Medicare Advantage Plans. We will refer to these groups as "network providers" in this Directory. Medicare Plan Features . For Caregivers. Humana's online provider search tool lets you search by your Humana ID number or plan name, and filter results by the type of provider you are looking for. Medicare plan advice at no cost from licensed insurance agents. If you are already a Humana Gold Plus plan member, click on member ID, and enter the identification number on your Humana ID card. Behavioral Health and Substance Abuse - 100% - $10 copay. 2021 - 5 - Summary of Benefits Plan name: Humana Gold Plus H6622-001 (HMO) How to reach us: If you're amember of this plan, call toll-free: 1-800-457-4708 (TTY: 711) . The following hospital and/or physician groups accept Medicare Gold Plus (HMO). If they are not listed, it means you will likely have to select anew doctor. One hearing exam per year; up to $500 reimbursement allowance for hearing aids per year. Enrollment in this Humana plan depends on contract renewal. . Plan name: Humana Gold Plus SNP-DE H1036-276 (HMO D-SNP) More about Humana Gold Plus SNP-DE H1036-276 (HMO D-SNP) As amember of this plan, you will not be responsible for cost sharing for plan benefits. Plan name: Humana Gold Plus H1036-081D (HMO) How to reach us: If you're amember of this plan, call toll-free: 1-800-457-4708 (TTY: 711) . Inpatient hospital - psychiatric. Find out more about the Humana Gold Plus SNP-DE H5619-082 (HMO D-SNP) plan -including the health and drug services it covers -in this easy-to-use guide. If they are not listed, it means you will likely have to select anew doctor. If you use a tablet or smartphone, you can also download the free MyHumana mobile app and use the built-in search tool included in the app. These providers signed a contract with us to provide you services. Plus and FBDE. 2. (July 28, 2021). Go365 Wellness Program. Plus and QMB. Now that you have accessed your account online, you can search for a provider in your plan's network that may offer the care you're looking for. The Comprehensive Benefit Chart shows the benefits you will receive from Humana and how Medicaid covers your cost sharing for Phone #: 318-2468 . When you receive your Humana member ID card, the assigned PCP will be listed on the card. Primary Care - 100%/ Specialist - $10 copay. City Plan name Monthly premium Maximum out of pocket; Olympia, WA: Humana Value Plus H5619-134 (HMO) $25: $6,700 (in network) Humana Gold Plus H5619-062 (HMO) Home | Humana Medicare Advantage. more. You can see your plan's provider directory at . Humana Health Maintenance Organization (HMO) plans can be a good fit for people who like to receive coordinated care through a local primary care physician. Highly recommended. Retrieved from https://humana . Humana Medicare plans are recommended by USAA Beneficiaries can expect simple and secure enrollment both online and over the phone Humana Inc. (NYSE: HUM) today announced details of its 2021 Medicare product offerings, including Medicare Advantage and Prescription Drug Plans that are built with the benefits and options people eligible for Medicare need most. CareOne PLUS (HMO-POS): This plan covers certain out-of-network services for members while visiting Puerto Rico. Insurance Provider: Humana: Plan ID: H1036-025-000: Plan Year: 2020: CMS Rating: Plan Type: HMO: Annual Deductible: $0.00: Out-of-Pocket Maximum: 1900: What To Know About This Plan: This plan has health and drug coverage; This plan is available for 2021 . Visit Humana.com/medicare or call 1-800-833-2364 (TTY: 711) to view acopy of the EOC. If you're not amember of this plan, . Review the provider directory (or ask your doctor) to make sure the doctors you see now are in the network. 610636. Persons enrolled in the plan must receive routine health care services from providers within the plan network, and those who enroll must select a primary care physician within the network to coordinate all care. If you would like a provider directory mailed to you, you may call the number above or request one at the website link provided above. Plus and QMB. Nurse Practitioner. Humana Gold Plus H0028-043 (HMO) is aMedicare Advantage HMO plan with a Medicare contract. This directory continues with the partial listing of network providers available with Humana Gold Plus Integrated (Medicare-Medicaid Plan). . This search tool is an important resource to help you find any type of health care provider who is participating in the Humana network for your specific . For plans with Part D Coverage: You may be able to get Extra Help to pay for your prescription drug premiums and costs. And with Availity, you can conduct business online quickly and easily, so you can focus on the well-being of our members. The Humana Gold Plus HMO, a Medicare Advantage plan, requires beneficiaries to continue to pay their Medicare Part B premiums, notes Humana. That's why Humana is committed to supporting your practice with training resources, policy updates, and industry-leading patient care programs. Call: 888-205-9813 / TTY 711. Member Services: 1-800-457-4708 TTY users 711. 5 miles 10 miles 15 miles 20 miles 25 miles 30 miles 40 miles 50 miles 75 miles 100 miles. For Agents & Brokers. Visit Humana.com/medicare or call 1-800-833-2364 (TTY: 711) to view acopy of the EOC. If you're not amember of this plan, *Your Zip Code. 6 years ago and signed with Humana Gold Plus HMO. If you are not yet a member, click on Just Looking, select Medicare or Medicare-Medicaid as coverage . If this is not the doctor or provider you want, you may choose another in-network PCP. You will have to choose one of our network providers who are listed in this directory to be your Primary Care Provider (PCP). Their plan allows for no co pay for Primary care Dr. Additional Benefits. Raleigh, NC. To see if you qualify for Extra Help, call: 1-800-MEDICARE (1-800-633-4227 . Get started. To join Humana Gold Plus H1468-013 (HMO), you must be entitled to Medicare Part A, be enrolled in Medicare Part Band live in our service area. Medicare Plan Name: Humana Gold Plus H1036-137 (HMO) Location: Mecklenburg, North Carolina. Compare Medicare Advantage plans 2021. including a traditional HMO plan (Humana Gold Plus HMO), a PPO plan (Humana Choice PPO), and a unique private fee for service plan (Humana Gold Choice PFFS). 1. Tier 4 - Specialty. Except in emergency or urgent situations, non-contracted providers may deny care. From a young age, Dr. Singh knew she wanted to pursue a career in healthcare. To join Humana Gold Plus H6622-002 (HMO), you must be entitled to Medicare Part A, be enrolled in Medicare Part Band live in our service area. Beneficiaries will also have new . Some Humana members are required to use in-network providers. We move here in Sebring, FL. number listed at the beginning of this booklet and we will send you one. Title: 2021 Summary of Benefits - HMO State of Florida 076/609 Author: Humana . To join Humana Gold Plus H1036-081D (HMO), you must be entitled to Medicare Part A, be enrolled in Medicare Part Band live in our service area. Plan name: Humana Gold Plus H1036-081D (HMO) How to reach us: If you're amember of this plan, call toll-free: 1-800-457-4708 (TTY: 711) . Plan name: Humana Gold Plus H3533-032 (HMO) How to reach us: If you're amember of this plan, call toll-free: 1-800-457-4708 (TTY: 711) . Plan ID: H1036 - 137 - 0 Click to see other plans. Humana Gold Plus Integrated (Medicare-Medicaid Plan) 2022 Provider and Pharmacy Directory This directory is current as of 5/01/2022. Humana for physicians and healthcare providers Our members' health is in your hands. If you're not amember of this plan, Plan name: Humana Gold Plus H1468-013 (HMO) How to reach us: If you're amember of this plan, call toll-free: 1-800-457-4708 (TTY: 711) . Humana Gold Plus SNP-DE H5619-082 (HMO D-SNP) is aCoordinated Care plan with aMedicare contract and acontract with the South Carolina Department of Health and Human Services Medicaid Program . DIRECTORY Provider Network for Humana Gold, Medicare Advantage Products: Humana Gold Plus (HMO) . Call to speak with a licensed sales agent. If you're not amember of this plan,