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Senior Women with Medicare Advantage Plans

About Medicare Advantage Plans

Humana's Medicare Advantage plans combine the benefits of Original Medicare and Medicare supplements in a single plan that Humana underwrites and administers. The plans may include a Part D rider, eliminating the need for freestanding pharmacy benefits.

How Medicare Advantage works

These plans are approved by the Centers for Medicare & Medicaid Services (CMS). The government simply pays private insurers, like Humana, to administer Medicare Advantage health plans. Members remain in the Medicare program and continue to pay Medicare-applicable premiums – they just receive their Medicare benefits through a private insurance company.

Medicare Advantage (MA) plans aren’t the same as Medicare Supplements – also referred to as Medigap plans. Like MA plans, private health insurance companies sell Medicare supplement plans; however, they aren’t available at the group level. Secondary coverage, also referred to as a supplemental plan, is available to groups.

Reasons to choose Humana Group Medicare Advantage

More efficient – and often less costly – benefits

  • Lower costs – Moving from Original Medicare and secondary coverage to full-replacement Group Medicare Advantage often can reduce costs per member per month.
  • Less complexity – With a single plan, administration is less complex, which translates to additional savings.
  • Data integration – Humana gains a deeper understanding of members' claims data – which helps identify members for clinical programs designed to improve care management and reduce costs

Extra services and benefits

  • Clinical and wellness programs – In addition to our full suite of clinical programs, we offer wellness services such as Humana Active OutlookSM and fitness programs.
  • Member guidance – Resources like SmartSummarySM and the HumanaFirstSM Nurse Advice Line help members make health and benefits decisions with confidence.

Wide choice of products with broad provider access

  • Consultation and predictive modeling – Our experienced actuaries and underwriters, dedicated solely to the Group Medicare market, can help you craft benefits programs with rates that meet your financial and coverage goals.
  • Network footprint – With local PPOs in 423 counties and Puerto Rico, regional PPOs in 23 states, and HMOs in 21 markets and Puerto Rico – plus other options available across the country such as Private-Fee-for-Service and secondary coverage – Humana has one of the largest national footprints of any Group Medicare carrier.

Service and enrollment support

  • Dedicated Customer Care team – This team provides service just for Group Medicare Advantage plan members.
  • Flexibility to design enrollment around your needs – We have the capability to do presentations, enrollment kits, seminars, and in-home appointments.

Download and Print

Group Medicare Overview Brochure
(13.4 MB) Download PDF
English

For more information …

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