2013 Humana MA Health Maintenance Organization (HMO) Plan
The following documents contain information on HMO, HMO-Point-of-Service (HMO-POS) and HMO SNP (special needs) plans.
HMO Electronic Claims Flier
(234 KB) Download PDF
HMO Frequently Asked Questions
(3.69 MB) Download PDF
2013 Humana MA Preferred Provider Organization (PPO) Plan
PPO Electronic Claims Flier
(236 KB) Download PDF
PPO Frequently Asked Questions
(2.55 MB) Download PDF
2013 Humana MA Non-network Private Fee-for-Service (PFFS) Plan
Non-network PFFS Electronic Claims Flier
Non-network PFFS Frequently Asked Questions
Non-network Reimbursement Methodology
2013 PFFS Terms and Conditions of Payment
Humana Gold Choice (PFFS)
2013 Humana MA Network PFFS Plan
Network PFFS Electronic Claims Flier
(193 KB) Download PDF
Network PFFS Frequently Asked Questions
(4.04 MB) Download PDF
Provider and Medicare Beneficiary Need to Know Flier
(134 KB) Download PDF
Other Medicare Materials
Information in the following documents covers programs and services that support Humana Medicare-participating providers and members.
What is Medicare Risk Adjustment (MRA)?
(75 KB) Download PDF
SilverSneakers® Fitness Program
(1.58 MB) Download PDF
Provider Notice Regarding Influenza Pandemic Emergency
(20 KB) Download Document
Humana's Well Dine Food Program
Well Dine Food Program
* Note: Humana publishes medical guidelines from a number of well-respected national sources. These guidelines may have some differences in recommendations. Information contained in the guidelines is not a substitute for a health care professional's clinical judgment and is not always applicable to an individual. Therefore, the health care professional and patient should work in partnership in the decision-making process regarding the patient’s treatment. Furthermore, using this information will not guarantee a specific outcome for each patient. None of the information in the guidelines is intended to interfere with or prohibit clinical decisions made by a treating health care professional regarding medically available treatment options of patients. Since publication of these guidelines is not a promise of coverage, individuals should review their coverage to determine benefits.
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