Humana Plan F Benefits

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LOUISVILLEKy.--(BUSINESS WIRE)--Humana Inc. (NYSE: HUM) today announced details of its 2021 Medicare product offerings, including Medicare Advantage and Prescription Drug Plans that are built with the benefits and options people eligible for Medicare need most. Beneficiaries will also have new choices through the launch of 69 new MAPD plans across hundreds of additional counties.

In part because of the ongoing coronavirus pandemic, Humana has expanded its online and telephonic enrollment capabilities in order to protect people with Medicare as they explore their health care options. People eligible for Medicare can connect with Humana sales agents and brokers through telephonic appointments and can view online presentations to help them feel safe and confident while choosing the best plan for their needs.

Humana has served Medicare beneficiaries for more than 30 years, with nearly 8.4 million Medicare members in all 50 states, Washington, D.C. and Puerto Rico, as of June 30, 2020. Nearly 4.5 million of those members are enrolled in a Medicare Advantage plan.

Medicare Advantage Plans

Medicare Advantage plans include all the benefits of Original Medicare (Parts A and B) in addition to offering additional health and wellness benefits and services. Many Medicare Advantage offerings combine medical and prescription drug coverage into one, easy-to-use plan.

In 2021, most Humana Medicare Advantage members will continue to have access to Go365TM, a wellness and rewards program designed to motivate and reward members for taking steps to improve and continue their healthy behaviors.

In addition, eligible Humana Medicare Advantage members who need help remaining independent at home have access to their own personal care manager through Humana At HomeSM. Humana At Home Care Managers will call qualifying Medicare Advantage members regularly and provide personalized education and assistance in accessing resources for medications, transportation and more. Eligible members leaving a hospital who are at high risk to be readmitted can get help from Humana at Home Care Managers with understanding and accessing the support they need to make the transition back home as smooth as possible.

Humana Inc. (NYSE: HUM) is committed to helping our millions of medical and specialty members achieve their best health. Our successful history in care delivery and health plan administration is helping us create a new kind of integrated care with the power to improve health and well-being and lower costs. Our efforts are leading to a better quality of life for people with Medicare, families, individuals, military service personnel, and communities at large.

Humana is a Medicare Advantage HMO and PPO organization with a Medicare contract. Enrollment in any Humana plan depends on contract renewal. This information is not a complete description of benefits. Call 1-800-213-5286 (TTY: 711), Monday through Friday from 8 a.m. to 8 p.m. local time, for more information.

Limitations on telehealth services, also referred to as virtual visits or telemedicine, vary by state. These services are not a substitute for emergency care and are not intended to replace your primary care provider or other providers in your network. Any descriptions of when to use telehealth services are for informational purposes only and should not be construed as medical advice. Please refer to your evidence of coverage for additional details on what your plan may cover or other rules that may apply.

Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our full accessibility rights information and language options.

Humana group medical plans are offered by Humana Medical Plan, Inc., Humana Employers Health Plan of Georgia, Inc., Humana Health Plan, Inc., Humana Health Benefit Plan of Louisiana, Inc., Humana Health Plan of Ohio, Inc., Humana Health Plans of Puerto Rico, Inc. License # 00235-0008, Humana Wisconsin Health Organization Insurance Corporation, or Humana Health Plan of Texas, Inc., or insured by Humana Health Insurance Company of Florida, Inc., Humana Health Plan, Inc., Humana Health Benefit Plan of Louisiana, Inc., Humana Insurance Company, Humana Insurance Company of Kentucky, or Humana Insurance of Puerto Rico, Inc. License # 00187-0009, or administered by Humana Insurance Company or Humana Health Plan, Inc. For Arizona residents, plans are offered by Humana Health Plan, Inc. or insured by Humana Insurance Company. Administered by Humana Insurance Company.

Humana individual dental plans are insured or offered by Humana Insurance Company, HumanaDental Insurance Company, Humana Insurance Company of New York, The Dental Concern, Inc., CompBenefits Insurance Company, CompBenefits Company, CompBenefits Dental, Inc., Humana Employers Health Plan of Georgia, Inc., Humana Health Benefit Plan of Louisiana, Inc., or DentiCare, Inc. (DBA CompBenefits). Discount plans are offered by HumanaDental Insurance Company, Humana Insurance Company, or Texas Dental Plans, Inc. Arizona residents insured by Humana Insurance Company. Texas residents insured or offered by Humana Insurance Company, HumanaDental Insurance Company, or DentiCare, Inc. (DBA CompBenefits).

In states, and for products where applicable, the premium may include a $1 administrative fee. If you have purchased an association plan, an association fee may also apply. Some plans may also charge a one-time, non-refundable enrollment fee. (This fee is non-refundable as allowed by state).

Humana group dental plans are offered by Humana Insurance Company, HumanaDental Insurance Company, Humana Insurance Company of New York, Humana Health Benefit Plan of Louisiana, The Dental Concern, Inc., Humana Medical Plan of Utah, CompBenefits Company, CompBenefits Insurance Company, CompBenefits Dental, Inc., Humana Employers Health Plan of Georgia, Inc., or DentiCare, Inc. (DBA CompBenefits).

Humana individual vision plans are insured by Humana Insurance Company, The Dental Concern, Inc., or Humana Insurance Company of New York, or Humana Health Benefit Plan of Louisiana, Inc. Arizona residents insured by Humana Insurance Company. Texas residents insured by Humana Insurance Company.

Humana group vision plans are offered by Humana Insurance Company, HumanaDental Insurance Company, Humana Health Benefit Plan of Louisiana, Humana Insurance Company of Kentucky, Humana Insurance Company of New York, CompBenefits Insurance Company, CompBenefits Company, or The Dental Concern, Inc.

Our health benefit plans, dental plans, vision plans, and life insurance plans have exclusions, limitations and terms under which the coverage may be continued in force or discontinued. Our dental plans, vision plans, and life insurance plans may also have waiting periods. For costs and complete details of coverage, call or write Humana or your Humana insurance agent or broker.

Before applying for group coverage, please refer to the pre-enrollment disclosures for a description of plan provisions which may exclude, limit, reduce, modify or terminate your coverage. View plan provisions or check with your sales representative.

For group plans, please refer to your Benefit Plan Document (Certificate of Coverage/Insurance or Summary Plan Description/Administrative Services Only) for more information on the company providing your benefits.

Statements in languages other than English contained in the advertisement do not necessarily reflect the exact contents of the policy written in English, because of possible linguistic differences. In the event of a dispute, the policy as written in English is considered the controlling authority.

Humana and CVS, two of the largest Medicare Advantage insurers in the country, are poised to seriously downgrade their plan benefits and geographic presence next year as they chase profits in the privately run Medicare program.

The size of the turnover depends on a number of factors. Deciding which benefits to cut versus keep is a tough calculus, and there are guardrails from the federal government limiting cutbacks, experts say.

As growth slows, a tsunami of other pressures are converging on insurers. Seniors are using more medical services than insurers previously expected, increasing spending. In addition, the Biden administration has tweaked MA to tamp down on what regulators view as runaway reimbursement.

CVS expanded its supplemental benefits heavily last year. As a result, its insurance division Aetna added more members for 2024 than any other payer, according to a Chartis analysis. Now, Aetna is being slammed with high medical costs for those members, at the same time a significant star ratings cut lowers its MA bonus payments.

Executives at Humana and CVS reassured Wall Street they will take substantial pricing actions to resuscitate their MA businesses for 2025. Yet such actions come with a potential downside: members moving to other, more generous plans.

Instead, insurers are likely to cut the supplemental benefits that are unique to MA and a huge draw for seniors. Those benefits go well beyond what can be offered in traditional Medicare, and include zero premiums, dental coverage, gym memberships and debit cards for over-the-counter medical supplies.

Insurers have expanded those benefits heavily in past years to attract seniors to their plans. The number of plans offering new supplemental benefits increased more than three-fold between 2020 and 2023, according to ATI Advisory. That makes them a natural area to pare back, according to experts.

Under either plan option, you and your enrolled dependents receive an annual comprehensive eye exam at no charge with a participating optometrist or ophthalmologist. Members may also receive a pair of glasses for a small $10 copay from a special selection available at participating providers. Additional lens features, such as transition, progressive and ultra-violet coating, are also fully covered. Under the Enriched option, lenses and frames are available every plan year. Under the Standard option, lenses are available every year and frames are available every other year. Contact lenses or other frames are available as alternative benefits.

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