Humana Medicare Plans in Florida: Humana Medicare supplement & Medicare Advantage Plans in Florida

Varying from state to state in terms of prices, dependent on specific regulations, Humana offers Medicare Plans A through N. These plans are often referred to as Medigap Insurance.

Humana offers eight of the usual ten supplemental Medicare plans.

PLAN A: This plan is one of the better options for those who want an increased level of coverage versus Medicare Parts A and B, however, it is not recommended to utilize a high number of healthcare services under this plan.

PLAN B: This plan offers increased coverage if hospitalization were to occur.

PLAN C: This plan covers deductibles or coinsurance for nursing facilities, hospitalization, medical and outpatient expenses as well as payment assistance for medical emergencies when traveling internationally.

PLAN F: This plan offers the most well-rounded complete coverage out of all of the Medicare supplemental plan options. However, this plan has one of the higher deductibles.

PLAN G: This plan covers all of Medicare Part B charges minus the deductible. This plan also offers all of the same benefits that Plan A, B, and C provide.

PLAN K: This plan is unique in that it pays a percentage of your costs to provide lower payments as well as all charges after the out-of-pocket maximum is reached.

PLAN L: This plan covers a higher percentage of costs while offering a lower annual out-of-pocket limit.

PLAN N: This plan covers all of Medicare Part B coinsurance costs, but only after a small copay for in office and ER visits.

Humana Medicare Advantage Plans : Humana Gold Plus, Humana Choice

Depending on your situation, you might be interested in Humana Medicare Advantage Plans like Humana Gold Plus, Humana Choice etc. instead of Humana Medicare Supplement.

The PROs and CONs of Humana Medicare Advantage

PROs

  • Offers coverage that regular Medicare doesn’t (i.e. dental, vision, hearing)
  • Overall affordability and value for money with some high rated plans being less expensive than their competing products from other Medicare carriers
  • Varieties of HMO and PPO plans as well as PFFS (private fee for service) and SNP (special needs) plans. (Keep in mind there are regional (local) PPO and local HMO plans too. The PPO’s region will either be a full state (Florida is one, for example) or many — there are 26 regions in the country, depending on the plan.)
  • Offers the Silver Sneakers fitness program
  • -Policyholders are able to access over 15,000 participating fitness centers nationwide
  • -Policyholders also have access to on-demand workout videos from home
  • Expanded prescription drug coverage at participating Walgreens, Walmart, Kroger Health, Sam’s Club and other pharmacies
  • Preventive care and specialist visits
  • Lab work, X-rays, screenings and imaging
  • Outpatient care and procedures
  • Medical supplies and equipment
  • Go365,  a Rewards program structured on healthy habits and behaviors
  • Humana Well Dine, a meal delivery program for members recovering from hospitalizations or managing a chronic condition
  • Comprehensive expansion of integrated Medicare provider networks
  • 24-hour access to a certified nurse practitioner by phone
  • MyHumana savings program offers discounts on eye exams, contact lenses, glasses, over the counter medications, massage therapy, weight loss programs and much more.
  • Access to Humana Transplant Centers
  • Coverage when travelling internationally
  • Telehealth, virtual visits, behavioral health clinical support. Telehealth visits help reduce the risk of exposure to the coronavirus COVID-19.

Original Medicare does not have any out-of-pocket maximum. You keep spending some of the cost of services as you utilize them. A Humana Medicare Advantage plan, by law, comes with an out-of-pocket maximum of no more than $6,700 per year.

CONs

  • Not all plans cover prescription drugs
  • Special Needs Plans are only available in participating states. As of 2020, only 20 states include Special Needs Plans
  • Zero-dollar premium plans are only available in select areas
  • Short-Term plans are not offered
  • If requiring international coverage, it increases the cost

There might be other reasons why Humana Medicare advantage might not be for you, talk to licensed Humana Medicare Advisor to compare Medicare supplement and Advantage plans.

More information on different types of Humana Medicare Plans

Humana Health Maintenance Organization (HMO) plans:

HMO Plans generally consist of a regional network of health care professionals and hospitals who are contractually obligated to charge previously established rates and copays. To receive referrals to specialists, you will need to have an established PCP or Primary Care Physician and stay within the Humana HMO Network to avoid paying full price.

HMO Plans also provide incentives and rewards to pursue and maintain a healthy lifestyle as well as offering medications, walking programs, diet and nutrition resources as well as smoking cessation plans. Risk HMOs save money for Medicare, provide expanded benefits, guarantee enrollment, and allow easy disenrollment.

Humana Preferred Provider Organization (PPO) plans:

PPO Plans may appear to cost more, but they provide more benefits than HMO plans. You have the flexibility to see doctors in and out of your network, however, seeing a doctor within the Humana network will ultimately cost less. You are also not required to receive a referral to see a specialist.

Regional local PPO

Besides there’s also one more Medicare Advantage plan type that falls in between the two: a regional (local) PPO. There are local HMO and local PPO plans. The PPO’s region will either be a full state (Florida is one, for example) or many — there are 26 regions in the country. So, for a regional PPO plan, you might be paying $39 per month, $10 for copayments in-network and 30% for out of network doctors. The HMO might be $0 per month premium.

You can see an in depth list of plans available in your area, including the local PPO and local HMO plans and their break-down of the copayments and deductibles for all kinds of coverage, at the Personal Plan Finder at Medicare.gov. It is advisable to talk to a Humana consultant.

Humana Medicare Advantage HMO-POS plans

With Humana Medicare Advantage HMO-POS plans, you have the flexibility to see out-of-network providers for certain services. You may pay more when you go out of network. It’s a coordinated approach to your Medicare coverage that may give you more options.

With a PFFS plan, you do not have to choose a primary care physician. You also will not require a referral to see a specialist. Most annual preventive screenings can be obtained at no cost.

Medicare Supplement or Medigap plans

Humana offers Medicare Supplement plans that cover most out-of-pocket expenses that are not paid for by Original Medicare Plans.

Special Needs plans (SNP)

SNP plans combine all of the benefits of Original Medicare benefits. This includes prescription drug coverage, but is limited to those who have qualifying conditions, such as chronic diseases or those who reside in long term care facilities.

Part D or Prescription Drug Plans:

These plans stand alone and complement Original Medicare Plans and Medicare Advantage Plans.

Humana Indemnity plans:

This is one of the more expensive options, but you have full freedom to choose a provider.

How can you decide which plan is right for you?

You are the only one who can decide what is right for you. Therefore, before enrolling in a plan it is pertinent that you research and compare plans. Talk to licensed Humana Medicare Advisor to compare Medicare supplement and Advantage plans, according to your specific health care needs, your budget, plans available in your area and get quotes on Humana Medicare plans and apply and submit your application today.

Read reviews and summaries of the benefits of varying coverage. Figure out what out-of-pocket costs accompany each plan you are considering.

If after researching you still need some extra assistance, you can reach out to SHIP, or your local State Health Insurance Program for one-on-one advice from an educated source regarding your individual needs.

How to switch from Medicare to Humana?

You can switch to a Medicare Advantage plan from Original Medicare during the Annual Enrollment Period each fall. You can’t enroll in a Medicare Advantage plan from Humana that includes prescription drug coverage if you’re already enrolled in a stand-alone Medicare Prescription Drug Plan. The exception is if you’re enrolled in a Medicare Advantage plan that doesn’t include prescription coverage.

Conclusion

Humana, Aetna and UnitedHealthcare (AARP) offer some of the highest rated Medicare Advantage plans. Humana Medicare Advantage plans are notable for their overall value with many plans deliver great benefits at an affordable price.

CMS has been promoting private Medicare Advantage plans. More than a third of seniors now choose a Medicare Advantage plan over traditional Medicare. The Centers for Medicare and Medicaid Services has released the Medicare Advantage and Part D star ratings for 2021.

The 21 health plans earning 5 stars include KelseyCare Advantage, Kaiser Permanente, UnitedHealthcare, CarePlus by Humana, Tufts Health Plan, Health Partners, Capital District Physicians’ Health Plan, Quartz Medicare Advantage of Wisconsin, Cigna, Health Sun – Anthem, BCBS – Health Now New York and Martins Point.

92% of Humana Medicare Advantage members were enrolled in a plan rated 4 stars or higher by CMS, the agency that oversees Medicare. J.D. Power also ranked Humana third overall in its 2020 U.S. Medicare Advantage Study.

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