Benefits and services for Humana Healthy Horizons in Oklahoma member

The only time you can get care from providers who are not in our network is for:

• Emergency services
• Any out-of-network provider that we approve you seeing

If you are transitioning to SoonerSelect, we will provide continuity of care for a period of 90 days from your enrollment. This means that during the 90-day continuity of care period, prior authorizations, care plans, current services and provider relations can remain in place, without concern that providers are not currently participating providers.

Behavioral health services

When you or your family members need a place to turn for mental health and/or substance use issues, our behavioral health services can help. As your healthcare partner, we want to make sure you get the are you need to be healthy, so you can focus on the days ahead.

Learn more about Behavioral health services

Medical coverage

SoonerSelect provides benefits covered by your plan. Your health benefits help you stay as healthy as possible if you:

• Are pregnant
• Are sick or injured
• Experience a substance use disorder or have other behavioral health care needs
• Need help getting to the doctor’s office
• Need medications

You can find more information about all benefits covered by Humana Healthy Horizons in your Member Handbook or by calling Member Services at 855-223-9868 (TTY: 711), Monday – Friday, 8 a.m. – 5 p.m., Central time.

You can get some services without going to your primary care provider (PCP). Refer to your Member Handbook  for more information.

Covered medical services include:

• Allergy testing
• Alternative treatment for pain management
• Ambulance or emergency transportation
• Chemotherapy
• Clinic services
• Diabetes education
• Diagnostic testing
• Emergency room (ER)/department
• Family planning services
• Hearing services
• Home health services
• Vaccines and immunizations
• Inpatient hospital services
• Laboratory, X-ray, diagnostic imaging and imaging scans
• Prescription drug coverage
• Preventive care and screenings
• School-based health-related services
• Telehealth
• And more!

Additional benefits and services

To support your journey to good health, Humana Healthy Horizons members get additional benefits and services that can help make your life easier. You can participate in Go365 for Humana Healthy Horizons^® , which lets you earn rewards for completing healthy activities.

Learn about the extra programs and services available

Program disclaimer

Go365 for Humana Healthy Horizons is available to all who meet the requirements of the program. Rewards are not used to direct you to select a certain provider. Members need to be in their health plan for 90 days before receiving any rewards from the Go365 for Humana Healthy Horizons rewards program. 

Gift cards cannot be used to purchase prescription drugs or medical services that are covered by Medicare, Medicaid, or other federal healthcare programs; gambling, alcohol; tobacco; e-cigarettes; or firearms. Gift cards must not be converted to cash. Rewards may be limited to once per year, per activity.

Pharmacy

As a Humana Healthy Horizons member, your prescription medicines and some over-the-counter (OTC) medicines are covered at little to no cost to you. You can also access a full range of safe and effective medicines from our Preferred Drug List (PDL). The PDL helps your doctor to choose the best medicine to treat you and your condition.

Learn more about the Prescription coverage

Virtual doctor visits

As a Humana member, you can meet with your doctor by audio or video if they offer this type of service. Many doctors offer audio and video visits if you are well or sick. This is called telehealth. During an audio and video visit, you can:

• Discuss your health concerns
• Talk to your doctor about your medications
• And more!

If your doctor does not offer audio and video visits, we can help you find a doctor who does by calling Member Services at 855-223-9868 (TTY: 711), Monday – Friday, 8 a.m. – 5 p.m., Central time.

Learn more about vitual care