If you live in the state of Washington and have both Medicare and Medicaid, a Medicare Advantage Dual-Eligible Special Needs Plan (D-SNP) may be right for you.
Washington Dual-Eligible Special Needs Plans (D-SNPs)
How a D-SNP works
Medicare Advantage D-SNPs offer special benefits, including prescription drug coverage, with every plan. Select Humana D-SNPs include a Humana Healthy Options Allowance to help pay for covered over-the-counter (OTC) items like vitamins, pain relievers and first aid supplies. Plus, you may also use this money for eligible groceries, utilities, rent and more if you have an eligible chronic condition that meets certain criteria. Some eligible members may also qualify for the Washington State Health Home Program .
Who can enroll
You must be a resident of the state of Washington and eligible for both Medicare and Medicaid to enroll. Humana coordinates your benefits to help you get the most out of your coverage.
Our WA service areas
Adams, Benton, Chelan, Clark, Columbia, Cowlitz, Douglas, Ferry, Franklin, Garfield, Grant, Island, Jefferson, King, Kitsap, Klickitat, Lewis, Lincoln, Mason, Okanogan, Pend Oreille, Pacific, Pierce, San Juan, Skagit, Skamania, Snohomish, Spokane, Stevens, Thurston, Wahkiakum, Walla Walla, and Whatcom counties.
Select plans offer $0 Rx copay and Healthy Options Allowance rollover
Most Humana D-SNPs offer $0 copays on Tier 1 and Tier 2 drugs for hundreds of covered prescriptions. Also, a Healthy Options Allowance rollover is included in some D-SNPs. While enrolled in the plan, any unused balance from 1 month will roll over to the next month and expire at the end of the plan year.
Learn about palliative care
Palliative care is a specialized form of medical care designed to improve the quality of life for individuals facing serious or chronic illnesses. Here are some important details to know.
What is palliative care?
Palliative care is specialized medical care for people living with a serious illness. A dedicated care team works closely with you, your family and healthcare providers to provide medical, social and emotional support as long as necessary.
Palliative care:
- Does not require a terminal diagnosis
- Can begin at diagnosis and the same time as treatment
- Aims to optimize quality of life and match goals to treatment choices
How can palliative care help?
Palliative care can help in many ways, such as:
- Give symptom relief for pain, anxiety, stress and more
- Provide education about your condition and treatment options
- Connect you with support groups
- Connect you with a religious leader or other spiritual advisor
Who may be involved in your palliative care?
Your palliative care team may include:
- Physicians
- Nurses
- Therapists
- Social workers
What palliative care services are covered under Humana Medicare Advantage D-SNP plans?
Palliative care services are generally covered by Original Medicare and Medicare Advantage. However, Humana also covers many palliative care services under our regular plan benefits when approved by your primary care physician.
Covered palliative care services may include outpatient services (physician visits), medical equipment, home health services, inpatient care, skilled nursing services, short-term rehabilitation.
Who do I contact for palliative care assistance?
Here are some common contacts to consider:
- Contact your primary care physician to discuss your care and request a referral to a palliative care specialist
- Contact Humana Case Management by phone: 866-868-5092 (TTY: 711) Monday – Friday, 5 a.m. – 3 p.m., Pacific time, or by email: SNP_Intermountain_Coordination@humana.com
- Humana Case Management is also available to assist and coordinate with Medicaid.
- For information about Palliative Care under Apple Health (Medicaid) go to: Palliative care | Washington State Health Care Authority
Advanced care planning with MyDirectives
The MyDirectives® tool makes it easy to create a legally recognized online advanced care plan. You can answer questions in your own words, add video responses and attach documents like physician orders. You can also share your plan with your loved ones, caregivers and healthcare providers so they know your wishes.
Go to our MyDirectives® page to learn more about this easy-to-use tool.
2026 plan documents
Documents for Humana Gold Plus SNP-DE H5619-165 (HMO D-SNP)
Summary of Benefits – Select Counties in WA – English
Summary of Benefits – Select Counties in WA – Spanish
Evidence of Coverage – Select Counties in WA – English
Evidence of Coverage – Select Counties in WA – Spanish
2025 Medicare Star Ratings – English
2025 Medicare Star Ratings – Spanish
Documents for Humana Gold Plus SNP-DE H5619-166 (HMO D-SNP)
Summary of Benefits – Select Counties in WA – English
Summary of Benefits – Select Counties in WA – Spanish
Evidence of Coverage – Select Counties in WA – English
Evidence of Coverage – Select Counties in WA – Spanish
2025 Medicare Star Ratings – English
2025 Medicare Star Ratings – Spanish
Documents for Humana Gold Plus SNP-DE H5619-167 (HMO D-SNP)
Summary of Benefits – Select Counties in WA – English
Summary of Benefits – Select Counties in WA– Spanish
Evidence of Coverage – Select Counties in WA – English
Evidence of Coverage – Select Counties in WA – Spanish
2025 Medicare Star Ratings – English
2025 Medicare Star Ratings – Spanish
Documents for Humana Gold Plus SNP-DE H1036-324 (HMO D-SNP)
Summary of Benefits – Select counties in WA– English
Summary of Benefits – Select counties in WA – Spanish
Evidence of Coverage – Select counties in WA – English
Evidence of Coverage – Select counties in WA – Spanish
2025 Medicare Star Ratings – English
2025 Medicare Star Ratings – Spanish
Documents for Humana Gold Plus SNP-DE H1036-325 (HMO D-SNP)
Summary of Benefits – King and Snohomish Counties – English
Summary of Benefits – King and Snohomish Counties – Spanish
Evidence of Coverage – King and Snohomish Counties – English
Evidence of Coverage – King and Snohomish Counties – Spanish
2025 Medicare Star Ratings – English
2025 Medicare Star Ratings – Spanish
Documents for Humana Gold Plus SNP-DE H1036-326 (HMO D-SNP)
Summary of Benefits – Select counties in WA – English
Summary of Benefits – Select counties in WA – Spanish
Evidence of Coverage – Select counties in WA – English
Evidence of Coverage – Select counties in WA – Spanish
2025 Medicare Star Ratings – English
2025 Medicare Star Ratings – Spanish
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 more about Medicare Advantage D-SNP plans
How would you like to get started?
Shop online
Enter your ZIP code below to see the Humana plans available in your area.
Call us
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1-855-202-4081 (TTY: 711)