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 can take advantage of special features such as more predictable costs, which make it easier to budget monthly healthcare expenses and international coverage for medical emergencies.
In Wisconsin Humana offers the following Medicare Advantage plans for individuals:
These plans include the benefits of Original Medicare and more. They typically have low out-of-pocket costs but only cover care from network providers.
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.
This type of plan allows clients to see almost any doctor as long as the provider accepts the PFFS terms and conditions of payment.
In Wisconsin 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 Unit (ASU) at 1-800-309-3163, Monday through Friday, 8 a.m. to 9 p.m., Eastern time.
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 prescription drug coverage to their Original Medicare (Parts A and B) coverage.
In Wisconsin Humana offers the following Medicare prescription drug plans for individuals:
Low premium nationwide— $18.40 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 at Humana Pharmacy®, the mail-order pharmacy that offers preferred cost-sharing.
Prescription drug plan coverage with retail pharmacy copays as low as $1 for Tier 1 prescriptions when filled at pharmacies such as Walmart and Sam’s Club.
Humana’s broadest prescription drug plan coverage, with fixed copayments and no deductible.
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 Wisconsin Humana offers the following Medicare Supplement Insurance plans for individuals:
The Basic Medicare Supplement Plan offers basic coverage as well as coverage for Part A Skilled Nursing Facility coinsurance, inpatient and outpatient mental health, home health care, and Part B coinsurance. Additionally, optional riders can be purchased to accompany the Basic plan providing coverage for the Medicare Part A and B deductibles, additional home health care, Part B excess charges, and coverage in the event of an emergency while in a foreign country.
This plan offers basic coverage plus 50% coverage of the Medicare Part A deductible and hospital coinsurance, hospice care, skilled nursing facility coinsurance, and other services. There is an annual out-of-pocket maximum.
This plan offers basic coverage plus 75% coverage of the Medicare Part A deductible and hospital coinsurance, hospice care, skilled nursing facility coinsurance, and other services. There is an annual out-of-pocket maximum.
The high-deductible option includes all of the basic coverage, like those offered in the Basic plan, plus coverage of the Part A and Part B deductibles, Part B excess charges (the difference between what the provider charges and what is accepted by Medicare) as well as additional services. An annual, calendar year deductible must be met before benefits will begin.
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. Please note the High Deductible plan is not included in the Humana Healthy Living Medicare Supplement plan offering.
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 Unit (ASU) at 1-800-309-3163, Monday through Friday, 8 a.m. to 9 p.m., Eastern time.
Agency inquiry form (78 KB)
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*Humana Pharmacy mail delivery shipments for new prescriptions are typically received within 7-10 days from the date of your order and in 5-7 days for a refill. If you don’t receive your shipment within this time frame, call 1-800-379-0092 (TTY: 711). Humana Pharmacy is available Monday – Friday, 8 a.m. – 11 p.m., and Saturday, 8 a.m. – 6:30 p.m., Eastern time.
The pharmacy network and/or provider network may change at any time. You will receive notice when necessary.
Humana MyOptionSM optional supplemental benefits (OSB) are only available to members of certain Humana Medicare Advantage (MA) plans. Members of Humana plans that offer OSBs may enroll in OSBs throughout the year. Benefits may change on January 1 each year.
Enrollees must continue to pay the Medicare Part B premium, their Humana plan premium, and the OSB premium. Enrollees must use network providers for specific OSBs when stated in the Evidence of Coverage (EOC); otherwise, covered services may be received from non-network providers at a higher cost.
Humana’s pharmacy network, for both the Humana-Walmart and Humana-Preferred prescription drug plans, offers limited access to pharmacies with preferred cost sharing in urban areas of AL, CA, CT, DC, DE, GA, IA, IL, IN, KY, MA, MD, ME, MI, MN, MO, MS, MT, NC, ND, NH, NJ, NY, OH, OR, PA, RI, SC, SD, TN, VA, VT, WA, WV, WY; suburban areas of AZ, CA, CT, DE, HI, IL, IN, MA, MD, ME, MI, MN, MO, MT, ND, NH, NJ, NY, OH, OR, PA, PR, RI, VT, WA, WV; and rural areas of AK, DC, IA, MN, MT, ND, NE, SD, VT, WY. There are an extremely limited number of preferred cost share pharmacies in urban areas in the following states: CT, MA, MI, MO, MS, NC, NY, OH, RI, SC and VT. The lower costs advertised in our plan materials for these pharmacies may not be available at the pharmacy you use. For up-to-date information about our network pharmacies, including pharmacies with preferred cost sharing, please call Customer Care at 1-800-281-6918 (TTY: 711) Monday - Sunday 8 a.m. – 8 p.m., or consult the online pharmacy directory at Humana.com