Humana Fully Integrated

Dual Special Needs Plans

Do you have both Medicare and Medicaid? A Medicare Advantage Dual-eligible Special Needs Plan (D-SNP) may be right for you.

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How a DSNP works

Medicare Advantage D-SNPs offer special benefits, including prescription drug coverage. Many of our D-SNPs include a Healthy Options Allowance to help pay for things like food, pet supplies, utility bills or rent.

Who can enroll

You must be eligible for both Medicare and Medicaid to enroll. Plans vary by location, so you must live in a state where we offer D-SNPs. Humana coordinates your benefits to help you get the most out of your coverage.

If you live in the state of Virginia and have both Medicare and Medicaid, explore our Virginia Dual-Eligible Special Needs Plans.

Select plans offer $O Rx copay and Healthy Options Allowance rollover

Many Humana D-SNPs offer $0 copays for hundreds of covered prescriptions. There’s no deductible and no copay for all covered Part D prescriptions—even name brand ones.

Also, a Healthy Options Allowance rollover is included in some D-SNPs. While enrolled in the plan, any unused balance from 1 month will rollover to the next month and expire at the end of the plan year.

Humana Healthy Horizons in Virginia

Let us help you choose a plan

In just a few simple steps, we can help you narrow down your choices based on what’s most important to you.

Learn about Medicare Advantage D-SNP Plans

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Medicare basics

Medicare vs. Medicaid: What’s the difference?

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Enrollment and eligibility

Learn about Medicare enrollment and eligibility

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Medicare programs

Humana Healthy Options allowance

Humana Inc. and its subsidiaries comply with applicable Federal civil rights laws and do not discriminate or exclude people because of their race, color, religion, gender, gender identity, sex, sexual orientation, age, disability, national origin, military status, veteran status, genetic information, ancestry, ethnicity, marital status, language, health status, or need for health services. We also provide free language interpreter services. See our full accessibility rights information, non-discrimination disclosure, and language options.

If you are requesting membership in a Dual Eligible Special Needs Plan (D-SNP), the following statement applies: I understand this plan is for individuals with both Medicaid and Medicare. My ability to enroll is based on verification that I am entitled to both Medicare and medical assistance under Medicaid.

Medicare beneficiaries may also enroll in Humana Medicare plans through the CMS Medicare Online Enrollment Center located at https://www.medicare.gov.

Benefit(s) mentioned may be part of a special supplemental program for chronically ill members with one of the following conditions: diabetes mellitus, cardiovascular disorders, chronic and disabling mental health conditions, chronic lung disorders, chronic heart failure. This is not a complete list of qualifying conditions. Having a qualifying condition alone does not mean you will receive the benefit(s). Other requirements may apply.

For certain plans, the Healthy Options Allowance may be subject to additional eligibility requirements. Allowance amounts cannot be combined with other benefit allowances. Limitations and restrictions may apply.

Our health benefit plans have exclusions and limitations and terms under which the coverage may be continued in force or discontinued. For costs and complete details of the coverage, refer to the plan document or call or write your Humana insurance agent or the company. In the event of any disagreement between this communication and the plan document, the plan document will control.

Other pharmacies may be available in our network. You can locate network pharmacies by visiting Humana.com/finder/pharmacy. CenterWell Pharmacy is the preferred cost-sharing mail-order pharmacy under many Humana MAPD and PDP plans. There are other pharmacies, including preferred cost-sharing retail pharmacies, are available in our network. Members can choose any network pharmacy for their prescriptions.

Humana is a Medicare Advantage HMO, PPO and PFFS organization and a stand-alone prescription drug plan with a Medicare contract. Humana is also a Coordinated Care plan with a Medicare contract and a contract with the state Medicaid program. Enrollment in any Humana plan depends on contract renewal.

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Last Updated: 5/30/2025