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Extra programs and services

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 with managed medical assistance (MMA) coverage.

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Extras for our members

Take advantage of the extras you get as a Humana Healthy Horizons in Florida member with managed medical assistance (MMA) coverage, including:

General Expanded Benefits
Benefit/Service Description Copayments waived for all services Copayments waived for all services Cellphone coverage Free cellphone through the Federal Lifeline Program, per household. Members who are under 18 will need a parent or guardian to sign up.

This benefit covers per lifetime:

  • 1 phone
  • 1 charger
  • 1 set of instructions
  • 350 minutes per month
  • 4.5 GB data per month
  • Unlimited text messages per month
  • Training for members and caregivers at their first case manager orientation visit, for members enrolled in care management

This benefit also includes unlimited calls to Humana Member Services for health plan assistance and to 911 for emergencies (even if member runs out of minutes)

Benefits are subject to change by the Federal Communications Commission (FCC) under the Lifeline program

Members must make at least 1 phone call or send 1 text message each month to keep this benefit

You also may qualify for enhanced benefits through the Affordable Connectivity Program (ACP) that provides:

  • Unlimited minutes
  • 5 GB hotspot
  • 25 GB of data

Members can opt into this benefit by:


 Circumcision One per lifetime for males Doula services
  • Emotional and physical support to the laboring mother and her family
  • 4 prenatal visits
  • 4 postpartum visits
  • 1 visit for delivery assistance per pregnancy

Learn more about our Moms First program for our pregnant and new moms  Legal guardianship
  • Up to $500 per lifetime for members ages 17 and older in a skilled nursing facility (SNF) or private duty nursing (PDN) setting, and their parent is obtaining guardianship to protect individuals unable to care for their own well-being
  • If your child receives Private Duty Nursing (PDN) services, you can report missed nurse visits. If your child’s nurse does not arrive at the scheduled time, please call the toll-free number 24 hours per day, 365 days per year, including holidays and weekends 800-530-1446. The on-call coordinator will notify your Care Manager and work with you and your home health agency to find a resolution within 24 hours of reporting the missed visit.

    To report missed visits please contact us by either email or phone. This email and telephone will be available 24 hours per day, 365 days per year:

    • During the hours of Monday-Friday 8:00AM-5:00PM, please call your Care Manager or 800-530-1446.
    • After hours, on weekends, or on holidays, please call our new toll-free number 800-530-1446.
    • You may email HumanaFLMedicaidPEDPDN@Humana.com to report the missed PDN missed visits.

    When you email or leave a message, please include the following information about yourself (or our member, if someone is reporting an issue on behalf of our member):

    • First and last name
    • Date of birth
    • Humana Member ID or Medicaid ID, if available
    • How to get back to you (for example, best contact phone number, email address)
    • Date & time of PDN missed visit & reason for missed visit

Care manager approval required Meals Members, after discharge from a hospital or nursing home, can have 10 home-delivered meals per discharge

Care manager approval required

Members, before a hurricane or other disaster, can get one box of 10 shelf-stable meals (twice per year)

Call Member Services at 800-477-6931 (TTY: 711), Monday – Friday, from 8 a.m. – 8 p.m., Eastern time for more information.

Administrative approval required Pharmacy over-the-counter allowance $25 per household per month to spend on an approved list of products. Amounts not used do not roll over.

Visit our Pharmacy webpage for more information, opens new window Prenatal services
  • Rental of hospital-grade breast pump: 1 per year

    Prior authorization required
  • Rental of regular breast pump: 1 every 2 years
  • 14 prenatal visits (during low-risk pregnancy)
  • 18 prenatal visits (during high-risk pregnancy)
  • 3 postpartum visits within 90 days after delivery

Learn more about our program for pregnant members and new moms , opens new window Prevention kit – Flu/Pandemic prevention kit A flu/pandemic prevention kit that includes:

  • 10 3-ply face masks
  • Hand sanitizer
  • Oral digital thermometer

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

Adult Expanded Benefits (For members 21 and older)

Benefit/Service Description Acupuncture services Unlimited visits for pain management Behavioral health assessment/evaluation services Unlimited Behavioral health computerized cognitive behavioral therapy Unlimited Behavioral health day services/day treatment Unlimited Behavioral health group therapy Unlimited Behavioral health home visits by a clinical social workers Unlimited Behavioral health individual and family therapy Unlimited Behavioral health intensive outpatient treatment Unlimited Behavioral health medical services (e.g., medication management, drug screening, etc.) Unlimited:

  • Drug screening
  • Verbal interaction
  • Medication management
 Behavioral health medication-assisted treatment services Unlimited Behavioral health psychosocial rehabilitation Unlimited Behavioral health screening services Unlimited Behavioral health substance abuse treatment or detoxification services (outpatient) Unlimited Behavioral health targeted case management Unlimited Behavioral health therapeutic behavioral on-site services Unlimited Chiropractic services Unlimited visits for pain management Durable medical equipment/supplies
  • CPAP machines and oxygen
  • Glucose pods
  • Glucose monitoring supplies

Members under care management for congestive heart failure can get 1 weight scale every three years

Members under care management for hypertension can get 1 digital blood pressure cuff every three years

May need prior authorization or care manager approval Financial literacy Access to a financial resource center, opens new window, for:

  • Personal financial coaching
  • Investment education
  • Tax consultation
  • 25% discount on tax preparation
  • Up to 6, no-cost, life-coaching sessions for money management/budgeting

To get started, call 855-330-8053 and select option 3 Hearing services
  • One hearing aid assessment, fitting, checking, and evaluation every two years
  • One in-ear monaural hearing aid per ear each year
  • One hearing aid, all other types, per ear every two years
Housing assistance $500 per household, per lifetime maximum

Call Member Services at 800-477-6931 (TTY: 711), Monday – Friday, from 8 a.m. – 8 p.m., Eastern time for more information Massage therapy Unlimited visits for pain management

Referral required (but it does not need to be from your primary care provider) Meals Members 21 and older can get up to 10 home-delivered meals per year. Care manager approval required. Call Member Services at 800-477-6931 (TTY: 711), Monday – Friday, from 8 a.m. – 8 p.m., Eastern time for more information. 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 800-477-6931 (TTY: 711), Monday – Friday, from 8 a.m. – 8 p.m., Eastern time for more information Nutritional counseling Unlimited necessary nutritional counseling with providers

May need prior authorization or primary care provider referral Occupational therapy One evaluation and re-evaluation per year, and up to seven therapy treatments per week

No prior authorization needed for initial assessment

Prior authorization required for ongoing treatment Outpatient hospital services The $1,500 fiscal year dollar limit for non-emergency outpatient services is waived Physical therapy 1 evaluation and re-evaluation per year, and up to seven therapy treatments per week

No prior authorization needed for initial assessment

Prior authorization required for ongoing treatment Primary care services Unlimited primary care provider visits for non-pregnant members Respiratory therapy 1 evaluation and re-evaluation per year, and 1 therapy treatment per day

No prior authorization needed for initial assessment

Prior authorization required for ongoing treatment Speech therapy
  • Once yearly: evaluation and re-evaluation
  • Once yearly: Evaluation of oral and pharyngeal swallowing function
  • Up to seven therapy treatments per week
  • One augmentative and alternative communication (AAC) initial evaluation and re-evaluation per year
  • Up to 4 30-minute AAC fitting, adjustment, and training sessions per year

No prior authorization needed for initial assessment

Prior authorization required for ongoing treatment Vaccine – Influenza Unlimited Vaccine – Pneumonia Unlimited Vaccine – Shingles One per year Vaccine – TDaP One vaccine per pregnancy Vision services One eye exam per year and one of the following:

  • One pair of frames* a year, or
  • A six-month supply of contact lenses with a doctor’s prescription

*Member pays any cost that exceeds $75 for luxury frames

Expanded Benefits (For members under 21)

Benefit/Service Description Go365 for Humana Healthy Horizons® Access to a pediatric wellness program

Learn more about Go365 for Humana Healthy Horizons , opens new window Swimming lessons (drowning prevention) $200 a year for up to 1,000 enrollees (children up to age 21)

Humana will reimburse member after member submits receipts

Call Member Services at 800 477 6931 (TTY: 711), Monday – Friday, from 8 a.m. – 8 p.m., Eastern time for more information Tutoring Members in grades K-12 can access online tutoring services for 2 hours per week

Learn more about this expanded benefit, PDF opens new window

Covered Health Management Programs

Benefit/Service Description Care management For all members, complex care management and care management for chronic conditions, including:

  • Asthma
  • Chronic Obstructive Pulmonary Disease (COPD)
  • Heart failure
  • Hypertension

Call Member Services at 800-477-6931 (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:

  • Alzheimer’s Disease
  • HIV/AIDS
  • Pain management
  • Palliative care
  • Sickle cell disease
  • Social work

Download a copy of this chart, PDF opens new window

Check out the expanded benefits available to our members who have a long-term care plan, opens new window

Check out your Member Handbook for more information about your covered services and extra benefits, opens new window

Humana Healthy Horizons in Florida

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