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Humana Group Medicare HMO
A great choice for broad coverage and value
The Humana Group Medicare Health Maintenance Organization (HMO) plan gives members broad coverage and predictable out-of-pocket costs.
The plan includes all the benefits of Original Medicare and many extras, with added savings through our extensive provider network. |
Doctor-patient relationship is the key
With the HMO plan, members work one-on-one with a primary care physician (PCP) who coordinates their care and provides referrals to other in-network providers when necessary.* Plus, members aren't locked in once they choose a PCP – they can switch to another in-network doctor who is accepting new patients at anytime.
Members also have access to a variety of programs and services that promote healthy living and aging – at no additional cost. Value-added features include SilverSneakers ® Fitness Programs (in most markets) and Humana Active Outlook SM.
And since Humana is one of the largest and most experienced Medicare benefits providers in the country, you and your clients have the advantage of working with a company that understands what employers and consumers want in their Group Medicare benefits.
*PCP referrals not required in Louisiana and Puerto Rico.
How the plan works
With the Humana Group Medicare HMO plan, members enjoy several features and benefits:
- Choice of a primary care physician in the plan network
- Low copayments for medically necessary doctor's visits and annual routine physicals
- Coverage for most annual screenings
- Emergency coverage anywhere in the world
Add a Humana prescription drug plan to give members coverage equal to or better than the minimum requirements for a Medicare Part D plan.
Advantages for employers
The products and our people who are part of Humana Group Medicare place the focus on what's important to your clients and their Medicare-eligible retirees. We deliver the service and support you need, every step of the way, and give your clients the value they want for their health benefits dollar.
You and your clients can depend on Humana for:
- Flexibility in choosing medical and prescription benefits, contribution amounts, and cost-sharing levels
- Dedicated account executive and implementation team
- Initial and annual enrollment meeting support
- Dedicated call center for members
- Fast and accurate claims payment
- Money-saving features such as our health resources and RightSourceSM, Humana's mail-order prescription drug service
MEMBER RESOURCES
Value-Added Services for Medicare Advantage Members
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Humana offers fitness programs to help Medicare members live healthy lifestyles. |
This life-enrichment program includes regular educational mailings, online content, seminars, discounts, and money-saving product offerings. |
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Group Medicare members with Humana prescription drug coverage have access to RightSource – a convenient mail-order prescription drug service. |
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