Long-Term Care Services
$0 copayments on all services | Copayments waived for all services |
Assisted living facility/adult family care home (bed hold days) | Coverage for up to 30 days
Prior authorization required |
Assisted living facility move-in basket | Get up to $50 worth of items once per lifetime A move-in basket is available to members 21 and older who:
Members can pick between two baskets:
To pick your basket, talk to your care manager |
Durable medical equipment/supplies |
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Healthy living benefit | Members can choose 2 healthy lifestyle aids, once per lifetime, to help maintain independence in their home:
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Hearing services |
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Individual therapy sessions for caregivers | Unlimited counseling visits for the people who help take care of our members |
Legal guardianship |
Care manager approval required |
Meal stipend (available for long-distance medical appointment day-trips) | $200 per day (up to $1,000 per year) for same-day medical trips greater than 100 miles from home. Care manager approval required. Humana will reimburse member after member submits receipts Call Member Services at 888-998-7732 (TTY: 711), Monday – Friday, from 8 a.m. – 8 p.m., Eastern time for more information |
Nursing facility-to-community setting transition assistance | $5,000 per lifetime to help a member move, for members who are:
Care manager approval required |
Outpatient hospital services | The $1,500 fiscal year dollar limit for non-emergency outpatient services is waived. |
Pharmacy over-the-counter allowance | |
Prevention kit – Flu/Pandemic prevention kit | A flu/pandemic prevention kit that includes:
Available to first 1,000 Humana Healthy Horizons in Florida members (18 and older) who get a flu vaccine We will send kits to qualifying members |
Smartphone Coverage | Through the Federal Lifeline Program, households may be eligible for 1 smartphone with monthly minutes, text and data. Members who are under 18 will need a parent or guardian to sign up. Smartphone training for you and your caregiver during your case manager visits can be requested. Members may also qualify for enhanced benefits through the Affordable Connectivity Program (ACP) that provides additional minutes, data and/or hotspot access. Visit SafeLink at Limitations may apply and are subject to change per FCC guidelines. |
Transportation assistance for caregivers | For members living in an assisted living facility, eligible caregivers get four one-way trips per month to visit the member in the facility To set up transportation, call member’s care manager |
Transportation (non-medical) | 3 round trips per month (within your local area) for members who live in a home- or community-based setting Care manager approval required |
Vaccine – Influenza | Unlimited |
Vaccine – Pneumonia | Unlimited |
Vaccine – Shingles | One per year |
Vision services | One eye exam per year and one of the following:
*Member pays any cost that exceeds $75 for luxury frames |
Covered Health Management Programs
Care management | For all members, complex care management and care management for chronic conditions, including:
Call Member Services at 888-998-7732 (TTY: 711), Monday – Friday, from 8 a.m. – 8 p.m., Eastern time for more information |
Specialty program | For all members, access to specialty programs and services related to:
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