Long-Term Care
Do you have a Humana Long-Term Care (LTC) Plan? Your plan includes a care manager, help finding a doctor, and support for caregivers.
Humana Healthy Horizons in Florida
Understanding your long-term care (LTC) coverage
Humana provides long-term support and services to help you continue living in your home and your community. Our goal is to help you live where you want for as long as you want.
Humana Healthy Horizons® members with LTC coverage get to work with a care coach who will:
- Contact your doctor(s) so you can begin your services
- Help you choose the doctor(s) to see
- Work with you, your family, your caregivers, your doctor(s), and other healthcare providers to make sure that your services work with your medical care and other parts of your life
- Work with you and your support system to develop a Person-Centered plan of care
If you have LTC coverage, a care coach will call you a few days after you are enrolled in our Long-Term Care plan.
If you have questions before you speak with your care coach, call Customer Care at 888-998-7732 (TTY: 711), Monday – Friday, 8 a.m. – 8 p.m., Eastern time.
For a full list of services and to learn what is covered, see your
How do I get LTC services?
Space is limited for the in-home and community-based services in the LTC program. Before you can get these services, there is a three-step process you must complete.
Step 1: Screening
Call your local Aging and Disability Resource Center (ADRC) for screening. The ADRC will ask you screening questions in a telephone call. Your screening score and priority rank will decide your wait list placement.
Step 2: Eligibility
If placed on the waitlist, you will be notified when enrollment is available. DOEA Comprehensive Assessment and Review for Long-Term Care Services (CARES) staff will assess your needs and decide if you meet medical eligibility. DCF will decide if you meet financial eligibility for Medicaid and send you a letter in the mail to tell you the outcome.
Step 3: Enrollment
If you are approved for the LTC program, the Agency will send you a welcome packet with information on choosing a plan.
Long-Term Care news
Accessing care
At Humana Healthy Horizons in Florida, we’re dedicated to guiding you through your healthcare journey with expertise and care.
Find a provider
You can choose where to get care. Learn more about your care choices.
To contact your care coach:
- Use the phone number found in your PLOC
- Call Long-Term Care Member Services at 888-998-7732 (TTY: 711)
To find a provider:
- Use our
Find a Doctor service to find a provider near you - Call Customer Care at 800-477-6931 (TTY:711) Monday – Friday, 8 a.m. – 8 p.m., Eastern time
Need care now?
- Call our 24-hour nurse advice line at 800-477-6931 (TTY: 711)
- Dial 911 for life-threatening emergencies, including:
- Shortness of breath
- Uncontrollable bleeding
- Chest pains
- Poisoning
Covered services
Learn what your Humana Healthy Horizons in Florida Long term Care plan covers:
Assistive care
- Adult companion care and attendant nursing care
- Adult day healthcare
- Assistive care services, assisted living, nursing facility services, hospice services, and respite care
- Behavioral management
- Caregiver training
- Care coordination/case management
- Homemaker services
- Intermittent and skilled nursing
Health and wellness services
- Hearing services
- Hospice
- Nutritional assessment and risk reduction
- Personal care services
- Personal emergency response system (PERS)
- Physical therapy, respiratory therapy, occupational therapy, and speech therapy
- Vision services
Supplies and other services
- Home accessibility/adaptation services
- Home delivered meals
- Medical equipment and supplies
- Medication administration and management
- Respite care
- Transportation
Extras from Humana
Humana wants to help you get the most out of your LTC plan by providing extra services and support, including:
- Adult visual aid services
- Assisted living bed holds or reservations
- Assisted living move-in basket
- Day trip meal reimbursement/allowance
- Durable medical equipment (digital blood pressure cuff)
- Fall prevention kit
- Hearing services for adults
- Hospital services (outpatient) $1,500 fiscal year dollar limit for non-emergency outpatient services is waived
- Increased transition assistance out of a nursing facility
- Individual therapy sessions to caregivers
- Over-the-counter (OTC) drug allowance
- Smartphone services
- Support to stay in community living
- Transportation for non-medical trips
- Wavied copays on all services
You may need to get approval (also known as prior authorization) before using these benefits. You always can call Customer Care at 800-477-6931 (TTY:711) Monday – Friday 8 a.m. – 8 p.m., Eastern time if you have questions about what needs prior authorization.
Care coordination
We know keeping everything organized can be a challenge when it comes to your healthcare. Part of your LTC plan is having the help of a care coach.
A care coach is your contact for getting services through Humana’s long-term care program, as well as health and wellness services and disease management.
For full details on care coordination, check your
What does a care coach do?
We provide long-term support and services to help you live in your home and community. Our goal is to help you live where you want for as long as you want. Your care coach makes sure you and your caregiver know your options. If you want to live in an LTC facility, your care coach can give you information about:
- Facilities in your area
- How much living in an LTC facility will cost
- The doctors you may be able to see
Your care coach also will:
- Act as your supporter
- Connect you to community services to help improve your quality of life
- Help you set and reach goals (e.g., personal goals, as well as your goals for transitioning from an LTC facility back to your home and community)
- Review your care plan every 90 days and assess your needs based on your health and living situation
- Visit you where you live (e.g., your home or LTC facility) and make sure the services you get meet your needs
- Work with you, your caregiver, and your doctor to develop a care plan to help you meet your LTC needs
- Work with your doctor to make sure you get behavioral healthcare, if needed
- Work with providers and vendors to ensure your services are provided as scheduled.
Your care plan
You will work with your care coach, your caregiver, and your doctor to create your care plan. The plan will list:
- The services you can get
- How often you get the services
- Your personal and care goals
The plan is based on:
- Your healthcare history
- Current health needs
- Living situation
- The support you have from your family and friends
Your care plan may change as your needs change. Before changing your care plan, your care coach will talk with you and/or your caregiver and your doctor, if possible. Tell your care coach if you have any changes in your:
- Health
- Family support
- Living arrangement
- Care needs
They can help adjust your care to meet your needs
If you have questions about your care plan, ask your care coach.
Emergency plan
Your care coach will help you make an emergency plan. This plan gives details about how to prepare for a disaster or emergency.
The plan may include information like:
- Creating personal and family plans for shelter
- Dealing with special healthcare needs
- Evacuation and emergency preparedness for people with disabilities and their caregivers
- Local shelter listings
- Special needs registries
Disease Management
We designed our disease management program to help our members understand and manage any diseases they have and follow their doctors’ plans of care.
Members enrolled in our disease management program will get support from a nurse who will:
- Provide education and support to help you learn how to control diseases such as:
- Cancer
- Diabetes
- Depression
- Human Immunodeficiency Virus (HIV)
- Acquired Immunodeficiency Syndrome (AIDS)
- Hypertension (High blood pressure)
- Chronic Obstructive Pulmonary Disease (COPD)
- Help you find resources in your community
- Help you talk with your doctor
Learn more about disease management in your
For more information about our disease management program, call us at 800-229-9880 (TTY: 711), Monday – Friday, 8:30 a.m. – 5 p.m., Eastern time.
Caregiver support
Caring for a loved one can be challenging. Humana offers support and resources to help you. Looking for the forms you need to grant a caregiver access? You can find those here, too.
Role of a caregiver
As a caregiver, you have an important role. You may provide/perform:
- Companionship
- Health and wellness support
- Household chores
- Personal care
- Safety checks
You also may help someone:
- Find activities to do together
- Get in and out of the house safely
- Manage finances
- Set up a safe home
- Shop for groceries and cook
- Stay in touch with loved ones
Caregiver access
To let someone access your health information, you must sign and submit a Consent for Release of Protected Health Information (PHI).
This form will let caregivers view your plan information and get access to free support and resources from Humana. Caregivers also will get a free subscription to Humana’s quarterly caregiver newsletter.
You can give a caregiver access:
- Online in
MyHumana - With a paper consent form
Download the necessary consent forms from the contacts and forms tab. Then, work with your loved one to complete them. Your Care Coach will need you or your authorized representative to sign the forms at your face-to-face visits.
Caregiver resources
211 program
The 211 program is a free, private service to help find local resources, including:
- Food and nutrition programs
- Shelter and housing resources
- Utilities support
- Disaster relief
- Employment
- Addiction prevention and rehabilitation programs
- Reentry support for ex-offenders
- Support groups
- Safe help out an abusive situation
Call 211 to speak with a service expert in your area.
Alzheimer’s and dementia information
The
- Sundowning
- Wandering
- Bathing
- Repetition
- Hallucinations
- And more
Caregiver support groups and communities
Most people need emotional support during their time as caregivers. Support can help set boundaries, improve communication, and boost coping skills.
Find a nearby support group by calling your local Area Agency on Aging or using the
Crisis hotlines
Alzheimer’s Association 24/7 Support Line:800-272-3900
Crisis Call Center: Compassionate assistance to people in any type of crisis: 775-784-8090 or 800-273-8255
National Suicide Prevention Lifeline: 800-273-8255
Managing challenging behaviors
Expanded benefits
Humana Healthy Horizons® in Florida members get a Medicaid plan that does more—like more benefits to support your best health so you can focus on the things you love. Learn about the extra benefits and services available to Humana Healthy Horizons in Florida members who have a long-term care plan.
Extras for our members
As a Humana Healthy Horizons in Florida member with long-term care coverage, you get plenty of extra benefits, including:
- $0 copayments on all services
- An assisted-living move-in basket
- Durable medical equipment and supplies
- Individual therapy sessions for caregivers
- Hearing services
- And more!
For more information about expanded benefits, see your
Contacts and forms
Important contact information
CenterWell Pharmacy
800-526-1490 (TTY: 711)
Monday - Friday, 8 a.m. to 6 p.m., Eastern time.
Community Management
813-392-5303 (TTY: 711)
Monday – Friday, 8 a.m. – 4:30 p.m., Eastern time
Customer Care
800-229-9880 (TTY: 711)
Monday – Friday, 8:30 a.m. – 5 p.m., Eastern time.
HumanaFirst Nurse Advice Line
800-477-6931 (TTY:711)
Available 24/7
Long Term Care Customer Care
888-998-7732 (TTY:711)
Monday – Friday, 8:30 a.m. – 5 p.m., Eastern time.
MMA Care Management
800-229-9880 (TTY:711)
Monday – Friday, 8:30 a.m. – 5 p.m., Eastern time
Important LTC forms
Consent for release of Protected Health Information
Medical
Behavioral Health
Long-Term Care
Return completed forms:
By fax: 1-800-633-8188
By mail:
Humana Insurance Company
P.O. Box 14768
Lexington, KY 40512-4168
Living will
A living will is an important document every adult should complete. A living will lets you clarify in writing what you want family or other healthcare proxy to do if you’re not in a position to make healthcare decisions for yourself.
Member Handbook
Do you have any questions about your plan? Check out the Member Handbook to find full details of your plan and benefits. You can find information about the Humana Medical Plan, Humana Long-Term Care Plan, and Humana Comprehensive Plan.