Humana Medicare Advantage Plans Ohio 2025
Need to know about Humana Medicare Advantage plans in Ohio for 2025? Our article delivers key insights on coverage options, enrollment timelines, and cost considerations specific to the updated Humana Medicare Advantage plans Ohio 2025.
Uncover what’s new in the Humana lineup and prepare to select a plan that best serves your healthcare needs in the coming year.
Key Takeaways
- This year Humana offers a range of Medicare Advantage plans in Ohio, including HMO, PPO, and PFFS, with comprehensive coverage extending to dental, vision, and hearing services, and includes specialized options like SNPs for those with chronic conditions or who qualify for both Medicare and Medicaid.
- Enrollment in Humana plans is subject to specific periods with annual election from October 15 to December 7 and an open enrollment period from January 1 to March 31, alongside special enrollment circumstances for eligible individuals.
- Humana ensures a broad network of healthcare providers and partners with preferred pharmacies to offer cost-saving options on prescription drugs, enhancing the affordability of healthcare for Ohio Medicare Advantage plan members.
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Understanding Humana Medicare Advantage Plans in Ohio
Humana is a celebrated provider of various Medicare Advantage plans in Ohio. These encompass Health Maintenance Organization (HMO), Preferred Provider Organization (PPO), and Private Fee-For-Service (PFFS) plans. Each plan is structured to provide optimal care tailored to the individual health needs of every enrollee.
Potential enrollees are accommodated by the specifically formulated enrollment periods for Humana Medicare Advantage plans in Ohio.
The designated enrollment periods consist of the Annual Election Period, which occurs from October 15th to December 7th annually, and the Medicare Advantage Open Enrollment Period, which extends from January 1 to March 31.
Types of Humana Medicare Advantage Plans
Humana provides an array of Medicare Advantage Plans, including Medicare Advantage HMO PPO options, each designed to cater to distinct healthcare requirements. Their Health Maintenance Organization (HMO) plans are designed to provide comprehensive coverage within a designated network of doctors and hospitals.
On the other hand, Preferred Provider Organization (PPO) plans offer more flexibility by allowing members to see any Medicare-approved doctor whether within or outside the provider network.
Additionally, Humana offers Private Fee-For-Service (PFFS) plans, which allow members to receive care from any Medicare-approved provider that agrees to accept the plan’s terms and conditions.
This plan is particularly beneficial for individuals who value the ability to choose their healthcare providers.
Enrollment Periods and Eligibility
A contract renewal is a prerequisite for enrollment in any Humana plan. The commencement period for enrolling in Humana Medicare Advantage plans starts 3 months prior to turning 65, extends through the birthday month, and concludes 3 months after.
This provides ample time for potential enrollees to explore their options and make an informed decision.
In addition to the ordinary enrollment periods, Humana offers special enrollment periods for those who qualify. These include the Medicare Special Enrollment Period and the Open Enrollment Period, granting flexibility to enrollees who may miss the regular enrollment window.
Key Features of Humana Medicare Advantage Plans in Ohio
Humana Medicare Advantage plans in Ohio are crafted considering the needs of the beneficiaries.
They offer comprehensive coverage, encompassing Medicare Parts A and B benefits, in addition to benefits such as dental, vision, and hearing coverage, and allowances for eligible groceries, over-the-counter products, utilities, and rent. This extensive coverage ensures that enrollees are well catered to in terms of their healthcare needs.
Moreover, Humana members have access to a vast network of healthcare professionals and facilities. This extensive network means that no matter where a member is located, there is a high possibility of finding a healthcare professional within reach.
Furthermore, members can access discounted prescriptions from preferred pharmacies such as CenterWell Pharmacy™ for mail-order prescriptions.
Comprehensive Coverage
Humana Medicare Advantage plans are created to provide extensive coverage, surpassing the basic Medicare benefits. This coverage extends to consultations with healthcare professionals, hospital admissions, and preventive care, pr oviding a wide range of healthcare services.
Moreover, Humana Medicare Advantage plans also encompass prescription drug coverage, offering a convenient solution for members to address their medication requirements through the plan.
In addition to the standard Medicare benefits, Humana Medicare Advantage plans provide a range of supplementary benefits, including:
- Vision services
- Hearing services
- Allowances for qualifying out-of-pocket expenses such as groceries, over-the-counter products, as well as utilities and rent in specific circumstances.
These additional benefits can enhance your healthcare coverage and provide additional support for your needs.
Network of Providers
A broad network of healthcare providers is a feature of Humana Medicare Advantage plans. This network includes primary care physicians, specialists, and hospitals, ensuring that members can access a wide array of healthcare services.
Furthermore, Humana’s PPO plans offer out-of-network options, granting members the flexibility to consult any Medicare-approved doctor who accepts the terms of the plan.
This extensive network allows members to:
- Choose their preferred healthcare providers
- Ensure access to comprehensive healthcare services
- Receive routine check-ups
- Receive specialized treatment
The Humana network is equipped to provide the necessary care in the right place.
Lower Cost Preferred Pharmacies
Humana understands that prescription drug costs can be a significant burden for many individuals. To combat this, they have partnered with preferred pharmacies that offer prescriptions at reduced costs compared to standard pharmacies.
These pharmacies, including CenterWell Pharmacy™, provide discounted prices, including reduced copayments or coinsurance rates, making medications more affordable for members.
While the savings on prescription drugs through preferred pharmacies may vary, access to such benefits can make a substantial difference in the overall healthcare costs for members.
With Humana Medicare Advantage plans, members are not only assured of comprehensive healthcare coverage but also cost-effective solutions for their prescription drug needs.
Special Needs Plans for Ohio Residents
Humana’s Special Needs Plans (SNPs) in Ohio are designed to cater to the unique healthcare requirements of individuals. These plans provide a combination of benefits from Original Medicare along with additional coverage.
Starting in 2025, all Humana SNPs in Ohio will encompass supplementary benefits such as dental, vision, and hearing coverage.
These plans are available to:
- Individuals entitled to both Medicare and Medicaid
- Individuals with specific chronic conditions or diseases
- Those who qualify for residence in long-term care facilities.
Dual Eligible Special Needs Plans
Humana’s Dual Eligible Special Needs Plans (D-SNPs) are specialized Medicare Advantage plans designed for individuals who qualify for both Medicare and Medicaid.
These plans, available in various states including MD, ME, MI, MN, aim to integrate care and offer specific benefits for this group, making healthcare more accessible and cost-effective.
The benefits of D-SNPs include prescription drug coverage and potentially supplementary benefits for dental, vision, and hearing. This comprehensive coverage is a testament to Humana’s commitment to providing healthcare solutions that cater to the diverse needs of its members.
Chronic Condition Special Needs Plans
Chronic Condition Special Needs Plans (C-SNPs) are another category of Medicare Advantage plans offered by Humana.
These plans are tailored to meet the needs of individuals with severe or disabling chronic conditions by offering additional support and customized healthcare management.
These health plans encompass prescription drug coverage, regular dental, vision, and hearing care, and integrative care services aimed at enhancing the quality of life for individuals with chronic conditions such as diabetes or cardiovascular disorders.
Enrolling in these plans can be done by contacting Humana or visiting the Medicare website.
Navigating Costs, Coverage, and Benefits
Grasping the costs, coverage, and benefits of Humana Medicare Advantage plans in Ohio is vital for choosing an appropriate plan. The estimated average monthly premium for a Medicare Advantage plan with Humana in Ohio for 2025 is $18.50.
Additional expenses may encompass co-pays, deductibles, and there will be set out-of-pocket limits.
The coverage and benefits vary between different plans. Some plans may encompass dental, vision, and hearing, while others may also provide allowances for over-the-counter products or even utilities and rent. It is crucial to consider your individual healthcare needs when choosing a plan.
Comparing Plan Options
Humana offers a variety of Medicare Advantage plans, each shaped to address healthcare needs. These plans include HMO, PPO, and PFFS plans, all of which encompass dental, vision, and hearing coverage.
When comparing these plans, one should consider factors such as costs, coverage, network, star ratings, and available tools and resources.
To compare these plans, individuals can utilize the Humana comparison tools on their website, the Medicare plan finder, or refer to comparison guides.
These resources facilitate a straightforward comparison of costs, coverage, and benefits across the different Medicare Advantage plans, helping individuals to make an informed decision.
Benefits Vary by Location
Depending on the location, the benefits and coverage of Humana Medicare Advantage Plans in Ohio may differ. Different plans may be offered in different areas, with variation in the benefits, premiums, and out-of-pocket costs that are available to residents.
Therefore, it’s essential to understand that the benefits and coverage provided by Humana may differ based on the individual’s location.
Moreover, the variation in benefits and coverage can be attributed to factors such as:
- the number of enrolled Medicare beneficiaries
- the types of available plans
- specific benefits and coverage options
- additional benefits like dental and vision
- How policy changes affect plan payments.
Support for Diverse Populations
Humana provides comprehensive healthcare services accessible to diverse populations. Their non-discrimination policies affirm that they do not engage in discrimination or exclusion of individuals based on:
- Race
- Color
- National origin
- Age
- Disability
- Sex
Furthermore, they provide resources such as routine dental, vision, and health and wellness benefits and services for diverse populations.
Non-Discrimination Policy
Humana’s non-discrimination policy unequivocally forbids discrimination or exclusion in Medicare Advantage Plans based on factors such as:
- race
- color
- national origin
- age
- disability
- sex
This policy ensures that all individuals, regardless of their race, color, national origin, age, disability, military or veteran status, have equal access to healthcare services.
Additionally, Humana’s non-discrimination policy safeguards patients with disabilities by ensuring that they are not excluded or treated differently based on their disability.
They adhere to relevant federal civil rights laws and offer accessible resources to enhance the web experience for individuals with disabilities.
Free Language Interpreter Services
To eliminate language as a barrier to healthcare services, Humana provides free language interpreter services for its Medicare Advantage plan members in Ohio. These services cover more than 200 languages, ensuring that members can effectively communicate their health concerns and understand their treatment options.
To access these services, members can simply contact the number provided by Humana. This service is provided free of charge, making it easy and convenient for members to overcome language barriers and access the healthcare services they need.
Summary
Navigating the world of Medicare Advantage can be complex, but with the right knowledge and resources, it is possible to find a plan that meets your unique healthcare needs.
This guide has provided an overview of Humana Medicare Advantage plans in Ohio, covering key aspects such as the types of plans available, their features, and the support available for diverse populations.
Choosing a healthcare plan is a significant decision with long-term implications. With Humana Medicare Advantage Plans in Ohio, you have a variety of options at your disposal, ensuring that your healthcare is in capable hands.
Remember, the right plan for you depends on your individual healthcare needs, preferences, and location.
Frequently Asked Questions
→ What is new in Humana in 2025?
In 2025, new developments in Humana include all USAA Honor plans offering a $0 monthly plan premium, Part B giveback, dental, vision, and hearing coverage, and more benefits designed to work alongside Veterans Affairs (VA) health care.
Additionally, all Humana Medicare Advantage (MA) plans now provide dental, vision, and hearing benefits, offering a wider array of options for individuals to choose from.
→ What is the Humana over the counter allowance for 2025?
The Humana over-the-counter allowance for 2025 is $100 quarterly for approved health and wellness products available through their OTC Mail Order provider, with the unused amount expiring at the end of the quarter.
→ What are the disadvantages of Humana Medicare Advantage?
The disadvantages of Humana Medicare Advantage include a limited choice of doctors and medical offices, as well as potential higher costs for those with complex medical needs. It’s best suited for individuals who don’t require expensive treatments or tests.
→ What types of Humana Medicare Advantage Plans are available in Ohio?
In Ohio, Humana offers Health Maintenance Organization (HMO), Preferred Provider Organization (PPO), and Private Fee-For-Service (PFFS) plans as part of its Medicare Advantage offerings.
These options provide a range of choices for individuals seeking coverage.
→ What are the enrollment periods for Humana Medicare Advantage plans in Ohio?
You can enroll in Humana Medicare Advantage plans in Ohio during the Annual Election Period from October 15th to December 7th and the Medicare Advantage Open Enrollment Period from January 1 to March 31.
These are the designated enrollment periods for Ohio.
ZRN Health & Financial Services, LLC, a Texas limited liability company
Russell Noga is the CEO of ZRN Health & Financial Services, and head content editor of several Medicare insurance online publications. He has over 15 years of experience as a licensed Medicare insurance broker helping Medicare beneficiaries learn about Medicare, Medicare Advantage Plans, Medigap insurance, and Medicare Part D prescription drug plans.