Humana’s plans give your Medicare-eligible clients access to coverage choices that help meet their specific needs. We help you understand the range of options and policies available for individuals so you can support your clients and assist them in making the right decisions for their health needs and budget.
To help individuals get more out of their healthcare dollars, Humana offers Medicare Advantage plans that include benefits beyond Original Medicare (Parts A and B). With these plans, clients do not need supplemental insurance and can take advantage of special features such as predictable costs, which make it easier to budget monthly healthcare expenses and international coverage for medical emergencies.
In North Carolina Humana offers the following Medicare Advantage plans for individuals:
This type of plan allows clients to see almost any doctor as long as the provider accepts the PFFS terms and conditions of payment.
The HMO-POS plans cover care from in-network providers and, under certain conditions, care from providers not in the network.
A PPO plan lets clients choose in-network or out-of-network providers. If they decide to go with network providers, their out-of-pocket costs will be lower.
In North Carolina Humana offers Optional Supplemental Benefits (OSBs) with our Medicare Advantage plans. OSBs vary by plan option and may include vision, dental, or other benefits.
You must be a licensed insurance agent appointed by Humana to sell Humana Advantage plans. For contracting information, please complete the Agency Inquiry form below or call Humana's Agent Support Center at 1-800-309-3163.
Humana’s stand-alone Medicare Part D prescription drug plans (PDPs) help individuals balance their health needs and healthcare costs. "Stand-alone” PDPs are separate from Medicare coverage. They let clients add drug coverage to their Original Medicare (Parts A and B) coverage.
In North Carolina Humana offers the following Medicare Prescription Drug plans for individuals:
Low premium nationwide—under $16 per month.
Plan offers copays as low as $1 on certain generic drugs at Walmart and Sam’s Club and mail-order copays as low as $0 for a 90-day supply.
Prescription drug plan coverage with retail pharmacy copays as low as $1, and mail-order copays as low as $0 for a 90-day supply after deductible.
Humana’s broadest prescription drug plan coverage, with no deductible and mail-order copays as low as $0 on 90-day supplies of Tier 1 and Tier 2 prescription drugs.
These plans help cover costs such as deductibles and coinsurance. Clients can keep the same doctors and are still in the Medicare program. They also have all the rights and protections associated with Medicare.
In North Carolina Humana offers the following Medicare Supplement Insurance plans for individuals:
Medicare Supplement Plan A is ideal for people who want more coverage than Medicare Parts A and B, but don't anticipate using a lot of healthcare services. It provides basic coverage for hospitalization, medical expenses, and hospice care. With Plan A, clients pay both Medicare Part A and Part B deductibles.
Plan B provides basic benefits for medical expenses and hospice care. It offers a bit more than basic coverage for hospitalization. It may be a good fit for those who want more coverage than Medicare Parts A and B, especially for hospital expenses. Plan B enrollees are responsible for paying the Part B deductible.
For clients who can pay a little more each month, Plan C offers predictable healthcare costs. Plan C includes more than basic benefits, including coverage for the Part A and Part B deductibles, skilled nursing care, and emergency care abroad.
Plan F offers basic benefits plus coverage for both Part A and Part B deductibles, skilled nursing care, emergency care abroad, and Part B excess charges (the difference between what a provider charges and Medicare will pay).
Benefits from the high deductible plan F include basic benefits, plus coverage for both the Part A and Part B deductibles, skilled nursing care, emergency care abroad, and 100% of Part B excess charges, but coverage does not begin until the member meets the deductible.
Relatively low premiums make these policies best for clients looking to control monthly costs while ensuring fair coverage. Only a percentage of claims are covered. To avoid higher expenses in cases of unforeseen medical need, Plan K offers clients an out-of-pocket maximum that limits what they have to pay annually.
These low-premium plans offer a range of benefits including medical services, hospice care, hospitalization, and Part B coinsurance. The plan pays a percentage of costs, and clients are responsible for a portion. There is an annual out-of-pocket maximum.
This lower-premium policy offers basic benefits as well as coverage for skilled nursing care, Part A deductibles, and travel-abroad coverage in emergencies. In addition to monthly premiums, there is an office copayment and an emergency room copayment.
Along with the benefits described above, coverage for routine vision and dental procedures is included with Humana Healthy Living Medicare Supplement plans. See the Outline of Coverage for details.
There may be a more competitive plan offering in your state. Contact Humana or your agency for more information.
You must be a licensed insurance agent appointed by Humana to sell Humana Medicare Supplement Insurance plans. For contracting information, please complete the Agency Inquiry form below or call Humana's Agent Support Center at 1-800-309-3163.
Agency inquiry form (78 KB)
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