Humana Group Medicare PPO
Freedom to choose, ways to save
The Humana Group Medicare Preferred Provider Organization (PPO) plan gives members freedom to choose providers, with the opportunity to reduce their costs by using in-network providers.
The plan includes all the benefits of Original Medicare, plus many extras, and offers predictable copayments and coinsurance.
Easier budgeting for healthcare
Humana's local and regional PPO plans have predictable copayments and coinsurance, so it's easier for your Medicare-eligible employees and retirees to budget for healthcare costs. Plus members can take advantage of lower out-of-pocket costs when they choose in-network providers.
Members also have access to a variety of programs and services that promote healthy living and aging – at no additional cost. Extra benefits and services include fitness programs and Humana Active OutlookSM, Humana's award-winning health and wellness program.
And since Humana is one of the largest and most experienced Medicare benefits providers in the country, you have the advantage of working with a company that understands what employers and consumers want in their Group Medicare benefits.
How the plan works
With the Humana Group Medicare PPO plan, members enjoy several features and benefits:
- Freedom to choose any doctor or hospital, but pay less for services from in-network providers
- Referral-free visits to any provider nationwide
- Low copayments for doctor's visits and annual routine physicals
- Emergency coverage anywhere in the world
Add Humana prescription drug coverage to give members coverage equal to or better than the minimum requirements for a Medicare Part D plan.
Advantages for employers
Humana Group Medicare – our products and our people – places the focus on what’s important to you and your Medicare-eligible retirees. We deliver the service and support you need, every step of the way, and give you the value you want for your health benefits dollar.
As an employer, you 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 RightSourceRxSM, Humana's mail-order prescription drug service
MEMBER RESOURCES
Value-Added Services for Humana PDP Members
SilverSneakers® Steps Program
A self-directed physical activity and walking program for Humana PDP members in most states.
Humana Active Outlook®
This life-enrichment program includes regular educational mailings, online content, seminars, discounts, and money-saving product offerings.
RightSourceRx Mail-Order Prescriptions
Group Medicare members with Humana prescription drug coverage have access to RightSourceRxSM – Humana's prescription home delivery service by mail.

