Humana Simplicity

Humana Simplicity

At Humana, we don't think a medical plan has to be hard to understand – or afford. That's why we developed Humana Simplicity. It offers your clients outstanding medical coverage at a price that's affordable to them.

Humana Simplicity is different from other medical plans. When a member uses their plan for in-network healthcare services, they pay a copayment for that service – there's no deductible. This straightforward plan design makes it easier to administer, and easier for employees to understand their benefits and payment responsibilities. Which means employees will be more likely to utilize their medical plan effectively.

Key Benefits:

  • Robust plans, and various networks options
  • No in-network deductibles or coinsurance
  • All copayments count toward maximum out-of-pocket expenses. Once the out-of-pocket- maximum has been reached, the plan will pay 100 percent of the eligible charges under the written terms of the policy.
  • Preventive care services are covered at 100 percent for in-network providers
  • Care from any provider in the network without a referral.*
  • Access to urgent care facilities, including Concentra®, for a lower copayment than the emergency room.**
  • Choice of pharmacy plan options and copayments.

HumanaVitalitySM is also included with the plan. It can help employees take control of their health and make healthy choices. Tailored to each person's unique health status and lifestyle, it's designed to be fun and easy for all employees, no matter what their level of fitness. HumanaVitality delivers proven results. In fact, members engaged in the program became healthier. That means you can look forward to lower healthcare costs, greater employee productivity, and a healthier bottom line.

Humana Simplicity is a medical plan with a difference.

For more information on how the Humana Simplicity medical plan can work for your clients, contact your Humana Account Executive.

Humana Simplicity network options

Humana's network offerings for Humana Simplicity vary by area. Your options may include:

  • Humana/ChoiceCare®

    Network is our nationwide PPO network, with more than 550,000 unique providers and approximately 3,500 hospitals; for more details, visit ChoiceCare Network.

  • National POS

    Open Access offers improved discounts and a network of providers that overlaps 95 percent with the national Humana/ChoiceCare Network.

  • HMO Premier

    The largest HMO network available for our members.

For more information on how the Humana Simplicity medical plan can benefit your clients contact your Humana Account Executive.

* Our health benefit plans have limitations and exclusions

** Concentra® locations are not available in all areas

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What is Humana Simplicity?

A new straightforward medical copay plan with no in-network deductible. It's easy to understand and use.