Special need plan

Humana Medicare Advantage Special Needs plans

Specialized coverage for your health needs

What is a Special Needs plan?

  • Special Needs plans are a type of Medicare Advantage plan that combines all the benefits of Original Medicare (Parts A and B) with prescription drug coverage (Part D).
  • Special Needs plans provide personalized guidance and resources that help members get the right care and information.
  • Unlike other Medicare Advantage plans, Special Needs plans are only available to people with specific conditions who qualify.
  • Many of Humana’s Special Needs plans have a $0 or low monthly premium. Depending on the specific plan, benefits may also include routine dental, vision, hearing, non-emergency transportation, fitness membership, over-the-counter items and more.

Humana offers the following types of Special Needs plans:

  • Chronic Condition Special Needs plans for individuals with one or more of the following conditions: diabetes mellitus, cardiovascular disorders, chronic heart failure, chronic lung disorders
  • Humana’s Chronic Condition Special Needs plans that offer specialized care by tailoring benefits to help meet the needs of people with conditions like yours and by offering provider choices and drug formularies
  • Dual Eligible Special Needs plans for individuals who are entitled to Medicare and who are eligible for some level of assistance from the State Medicaid Program

Where does Humana offer Special Needs plans?

Humana offers Dual Eligible Special Needs plans in the following states: AL, AR, CA, FL, GA, IL, IN, KY, LA, ME, MS, MO, NY, NC, OH, PR, SC, TN, TX, VA and WA.

Humana offers Chronic Condition Special Needs plans in the following states: AZ, FL, GA, IL, IN, KY, LA, MO, MS, NC, NV, OH, TX and VA.

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- Plans available
State
Cardiovascular Disorders
Chronic Heart Failure
Diabetes Mellitus
Chronic Lung Disorders
End-stage renal disease requiring dialysis
AZ
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FL
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GA
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IL
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IN
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KY
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LA
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MO
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MS
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NC
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NV
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OH
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TX
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VA
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Who can enroll in a Special Needs Plan?

Special Needs plans are available to anyone who meets the specific eligibility requirements of the plan, lives in the plan’s service area and is enrolled in both Medicare Part A and Part B through age or disability. Due to the specific eligibility requirements of Special Needs plans, they are currently not available for online enrollment. Plan availability varies by state. If you want to find out more, please call Humana at the number below.

Questions? Call 1-888-371-9538 (TTY: 711) to speak to a licensed Humana sales agent about Special Needs plans.

Humana is a Coordinated Care plan with a Medicare contract. Enrollment in a Humana plan depends on contract renewal. This plan is available to individuals with certain chronic diseases. To qualify for a Chronic Disease Special Needs plan, physician diagnosis of the disease must be verified. Enrollees who do not have the condition will be disenrolled.

Humana is a Coordinated Care plan with a Medicare contract and a contract with the state Medicaid program. Enrollment in a Humana plan depends on contract renewal. This plan is available to anyone who has both Medical Assistance from the State and Medicare. Premiums, co-pays, co-insurance and deductibles may vary based on the level of extra help you receive. Please contact the plan for more details.

Sponsored by Humana Medical Plan, Inc. and the State of Florida, Agency For Health Care Administration.

The benefit information provided is a brief summary, not a complete description of benefits. For more information contact the plan. Limitations, copayments and restrictions may apply. Benefits, premium and/or member cost-share may change on January 1 of each year.

You must continue to pay your Medicare Part B premium.

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