Value-added services for Humana Healthy Horizons in Oklahoma members

Humana Healthy Horizons® in Oklahoma members get added benefits along with medical coverage. These extra benefits, tools, and services are at no cost to you. Take some time to read through your extra benefits in order to maximize your plan.

Expanded benefits reimbursement form pdf opens in new window

Child being pushed on a swing by an adult.
Benefit Name
Age Limit
Description
Breast Pumps
All
Female members can receive 1 non-hospital grade breast pump every 2 years, or 1 rental of a hospital-grade breast pump if your baby has an inpatient stay in a neonatal intensive care unit (NICU)

Convertible Car Seat or Portable Crib

All

Pregnant members who enroll and actively participate in our HumanaBeginnings Care Management Program and complete a comprehensive assessment and at least 1 follow-up call with a HumanaBeginnings Care Manager can select 1 convertible car seat or portable crib per infant, per pregnancy.

Disaster Preparedness Meals
All

1 box of 14 shelf-stable meals before or after a natural disaster twice per year.

Member must not live in a residential facility

The Governor must declare the disaster in the member’s county of residence for the member to be eligible for the meals

Disaster Preparedness/Relief Kit
18 and older
1 disaster relief kit per year before or after a natural disaster

Kit includes: a backpack with food bars, emergency water, hygiene pack, first aid kit, flashlight, rain poncho, disaster guide, whistle, blanket, and disposable mask
GED Testing
16 and older

GED test preparation assistance, including a bilingual advisor, access to guidance and study materials, and unlimited use of practice tests. Test preparation assistance is provided virtually to allow maximum flexibility for members. Also includes test pass guarantee to provide members multiple attempts at passing the test

Healthy Food Produce Box for Food Insecurity

18 and older

Up to 4 boxes of in-season nutritious, fresh fruits and vegetable annually for members identified as food insecure.   

Plan approval required.

Hearing Services
21 and older
  • 1 assessment for hearing aids every 3 years
  • 1 hearing aid per ear and dispensing fee every 3 years
  • 2 hearing aid fitting/checking visits every 3 years
  • 48 batteries per hearing aid per year

Home-Based Interventions for Asthma
All

Asthmatic members in our Care Management or Disease Management Programs can receive an allowance up to $350 per year for allergen free bedding, an air purifier, and/or carpet cleaning

Care Manager approval required

Housing Assistance
18 and older
Get short-term help so you can stay in your home during an emergency. This benefit gives you up to $350 per year to help pay late apartment rent, trailer park lot rent, or mortgage payments. This benefit is for members 18 and older who may lose their home. Talk to your Care Manager or Humana Member Services to learn more 


Plan approval required

  • Member must not live in a residential facility or nursing facility
  • Funds will not be paid directly to the member
  • If the bill is in the spouse's name, a marriage certificate may be submitted as proof
Native American Traditional Medicine
All
Reimbursement of up to $300 per calendar year for Native American members to help cover costs for Native American Traditional and/or Ceremonial Services

Member is required to provide a signed verification form
Newborn Care Kit

All ages 

1 newborn kit per birth

Kit includes: diaper bag, diapers, wipes, diaper rash cream, baby blanket, thermometer, bulb syringe

Covered for members 0-6 months old, pregnant members, postpartum members up to 6 months after delivery, or a parent/legal guardian with a child who is a Humana member between 0-6 months old 

Non-Emergency Medical Transportation (NEMT) – Additional Passengers

All ages

Members using non-emergency medical transportation may be allowed to bring up to 3 children when childcare is not available

  • Total number of passengers, including the driver, cannot exceed more than 5
  • Each child must be younger than 13
  • Each child must be the members by birth, marriage, legal adoption, foster child or legal guardianship
  • Each child must have his/her own car seat provided by the member if required by OK state law

Non-Emergency Medical Transportations (NEMT) – Hospital/NICU Visit

All ages

To supplement State NEMT benefits, Humana provides 1 in-State round trip (or 2 instate 1-way trips) per day for a parent/guardian to visit their child during a NICU or inpatient hospital stay.

Non-Medical Transportation (NMT) – Social Needs

18 and older

Up to 15 round trips (or 30 one-way trips) up to 45 miles for non-medical transportation per year to locations such as social support groups, wellness classes, WIC and SNAP appointments, and food banks. This benefit also offers transportation to locations providing social benefits and community integration for members such as community and neighborhood centers, parks, recreation areas, and churches
Over the Counter (OTC) Pharmacy Allowance
All

Up to $30 per household per quarter allowance enables households to purchase products that support common occurring conditions such as:

  • Pain relievers
  • Diaper rash cream
  • Cough and cold relief medicine
  • First aid equipment that do not require prescriptions.
  • Unused amounts do not roll over to the next quarter
Parent-Guardian Self-Care Allowance
All
Reimbursement up to $40 per quarter for members that are a legal parent or guardian of children up to 12 months old to help cover the costs of childcare and enable our new parents/guardians to spend time doing activities independently and relieve stress
Post Discharge Meal
All

14 refrigerated home-delivered meals following discharge from an inpatient or residential facility limited to 4 discharges per year

Prescription Limit Waived for Adults

21 and older

Get your medications easily when you need them. If you are a Humana member age 21 and older, the six-prescription monthly limit does not apply. Members can receive more prescriptions when needed, and there is no limit on the total number of prescriptions you may have. However, members may receive up to two brand-name prescriptions each month. A third brand-name prescription may be approved if your doctor says it is medically needed. For more information, please call Member Services or talk with your pharmacy.

All prescriptions are still subject to state and federal requirements for Drug Utilization Review, safety edits, quantity limits, and Prior Authorizations.

Produce Box for Maternal Care

All ages

To reduce access and cost barriers, Humana provides up to four boxes of in-season, nutritious, fresh food annually to pregnant members from their second trimester to 60 days postpartum, with Care Manager approval. Each box includes an educational pamphlet with recipes and meal ideas tailored to the specific items in the delivery. Participation in HumanaBeginnings is required.

Self-Monitoring Devices – Blood Pressure Monitoring Kit

21 and older
Members under care management may receive 1 digital blood pressure kit once every 3 years. Kit includes the cuff and monitor.

Care Manager approval required
Smartphone Services

18 and older

Access to health-related information and can stay connected to your care team and health plan. Any member who qualifies for the Federal Lifeline program will be eligible to receive a free smartphone with monthly talk minutes, text, and data

Only emancipated minors under the age of 18 can qualify for the program.

Sports Physical
6-18 years
1 sports physical per year
Tobacco & Vaping Cessation Coaching
13 and older

Tobacco Cessation Program is focused on tobacco and vaping cessation coaching for members aged 13 and older. The program is designed as a 6-month engagement for a total of 8 coaching calls, but members have 12 months to complete the program if needed.

Humana’s tobacco and vaping cessation health coaching program offers support for both over the counter (OTC) and prescription nicotine replacement therapy (NRT).

Vision Services
21 and older

1 annual eye exam

Members can choose one of the following every 2 years:

  • Eyeglasses include non-high index polycarbonate lenses and a $100 allowance for the frame, or
  • $100 allowance for the cost of contact lenses, members are responsible for any cost over the allowance
Waived Copays
21 and older

No copays on medical or behavioral health services

Youth Academic Support

5-18 years

Empowering students to reach their full academic potential, this benefit offers personalized tutoring services for members between ages 5 - 18. With up to 20 hours of tutoring available over a 10-week period each year, students receive targeted assistance to enhance their learning experience and excel in their studies.

Youth Development and Recreation
4-18 years

Member can receive reimbursement of up to $250 annually for participation in activities such as:

  • YMCA
  • Programming
  • Swim lessons
  • Computer coding classes
  • Music lessons

Humana Healthy Horizons in Oklahoma

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