Humana Medicare Advantage Plans Tennessee 2025
Stepping into Humana Medicare advantage plans Tennessee 2025, Humana’s Medicare Advantage plans in Tennessee are poised to offer a diverse suite of healthcare options that cater to every individual’s unique needs.
Humana is committed to delivering high-quality services that place your health at the forefront. Let’s delve into the world of Humana Medicare Advantage Plans now and discover the benefits that await Tennessee residents in the year 2025.
Key Takeaways
- Humana Medicare Advantage plans in Tennessee for 2025 provide a range of HMO and PPO options, with most members enrolled in plans rated 4 stars or higher by CMS, encapsulating various services inclusive of additional benefits like prescription drugs, vision, and dental coverage.
- Costs for Humana Medicare Advantage plans vary, with an estimated average premium of $18.50 per month, and factors like plan selection, co-pays, deductibles, and out-of-network expenses can affect overall costs, emphasizing the importance of evaluating plan specifics before enrollment.
- Humana offers personalized healthcare experience with services like CenterWell for home and center-based care. Enrollment processes are streamlined and accessible during specific periods and members have access to various customer support channels to address questions, complaints, and to utilize educational resources.
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Discovering Humana Medicare Advantage in Tennessee for 2025
Humana is ready to meet the needs of Medicare-eligible individuals in Tennessee with their meticulously crafted Medicare Advantage and Prescription Drug Plan offerings for 2025.
These offerings are designed based on a comprehensive research process and the Medicare contract between Humana and the government. The result? A robust healthcare plan that ensures your needs are well catered for, irrespective of your circumstances.
Humana’s Medicare Advantage plans are renowned for their high quality. Did you know that in 2025, 94% of Humana’s Medicare Advantage members are enrolled in plans that have received a rating of 4 stars and above by CMS?
Additionally, nearly 3.6 million, or 61%, of members are in plans that have been rated 4.5 stars and above.
This high-quality healthcare service, which has served Medicare beneficiaries, extends across various states, encompassing CA, CT, DC, DE and the following: MD, ME, MI, MN.
We shouldn’t stop at just the surface. We should explore the specifics of these plans, particularly the Health Maintenance Organization (HMO) and Preferred Provider Organization (PPO) options.
Understanding Medicare Advantage HMO and PPO Options
What is it that distinguishes Medicare Advantage HMO PPO plans? It all boils down to the network of healthcare providers. HMO plans require members to utilize a primary care physician (PCP) and acquire referrals for specialist care. On the other hand, PPO plans allow members the flexibility to consult any healthcare provider without a referral.
Humana offers both HMO and PPO Medicare Advantage plans in Tennessee, ensuring you have the freedom to choose a plan that suits your healthcare needs.
Selecting an HMO Medicare Advantage plan substitutes Original Medicare with comparable Part A and B coverage, potentially encompassing supplementary benefits like prescription drug, vision, or dental coverage.
Opting for a PPO plan amalgamates Original Medicare’s benefits with additional choices, and the increased flexibility to consult in-network and out-of-network providers. However, note that out-of-network services might come with higher expenses.
Regardless of your origin, age, disability, or marital status, Humana ensures that all members have access to these plans and benefits.
Evaluating Plan Costs, Coverage, and Benefits
Evaluating costs, coverage, and benefits is a crucial step when considering a healthcare plan. The expenses for Humana Medicare Advantage plans in Tennessee for 2025 may vary based on the specific plan.
The estimated average premium is $18.50 per month, but it’s crucial to consider additional expenses such as co-pays, deductibles, and out-of-pocket costs.
Premiums, deductibles, and out-of-pocket expenses are determined based on various factors, including the chosen plan.
Monthly premiums differ by plan, and out-of-pocket expenses such as copayments, coinsurance, and deductibles depend on the terms of the plan and the healthcare services utilized.
These factors apply to Humana Medicare Advantage plans in numerous states, including:
- California
- Connecticut
- District of Columbia
- Delaware
So, plan selection truly is paramount.
Contract Renewal and Its Impact on Your Coverage
The process of contract renewal significantly influences coverage options as enrollment in plans hinges upon its completion.
It’s crucial for policyholders to stay informed about any changes that may occur because of the renewal process. Humana is committed to providing equal access to their plans and services, regardless of national origin or age disability.
The process of contract renewal includes:
- Evaluation of plans by Medicare using a 5-star rating system, which determines eligibility for enrollment in any Humana plan
- Annual contract renewal doesn’t directly impact current coverage options, as Medicare Advantage plans usually renew automatically
- Any changes made by the provider to the plan could affect benefits and coverage.
Personalizing Your Health Care with Humana
At Humana, personalized healthcare is not merely a promise, it’s a reality. Offering personalized, high-touch service to assist individuals in:
- Enrolling in a plan
- Locating healthcare specialists for managing chronic conditions
- Accessing comprehensive and high-quality health care that is customized to individual needs
Humana Insurance Company is committed to providing accessible, comprehensive, and high-quality health care that is customized to individual needs. By utilizing digital innovation and strategic partnerships, Humana is all set to elevate personalized experiences in healthcare, putting your health at the forefront of their mission.
With their expertise in Humana insurance services, you can trust them to cater to your unique requirements.
CenterWell Health Care Services, a division of Humana Inc., functions as Humana’s senior-focused primary care business.
It offers in-home and center-based care for seniors, ensuring that you receive comprehensive healthcare right at your doorstep or at a center tailored to your needs.
With Humana’s extensive network of healthcare providers in Tennessee, you can access a wide range of professionals to cater to your unique health needs.
You can easily find healthcare providers within the Humana network by accessing the Humana provider directory on their website.
Centerwell Health Care Services and Other Providers
Centerwell Health Care Services is a specialized provider of home healthcare services, delivering care directly to patients’ residences and operating primary care centers tailored to seniors in collaboration with Humana’s Medicare Advantage program in Tennessee.
Humana’s Tennessee network encompasses a wide range of healthcare providers, enabling members to locate doctors based on location, provider type, or name.
Humana ensures the quality of services through the implementation of annual medical record documentation reviews, provision of resources for providers, and participation in value-based care arrangements.
The specific benefits and coverage of each Humana plan depends on the plan selected by the member.
Special Services for Unique Needs
Humana understands that healthcare requirements are unique to everyone. That’s why they offer specialized services such as:
- Home health and home care services
- Specialized healthcare through Medicare Special Needs Plans (SNPs)
- Access to Humana Neighborhood Centers with special events and programs aimed at enhancing physical and mental health
These unique services ensure that your dual eligible special needs healthcare requirements are addressed comprehensively.
To access these specialized services, all you need to do is to log into your Humana member account online. Through your account, you can:
- Access member support
- Access various resources, tools, and forms
- Receive assistance in maximizing the benefits of your plan
- Find healthcare providers within the Humana network using the online provider directory.
Access to Lower Cost Preferred Pharmacies
Saving on prescription costs is another benefit that Humana offers its members. The preferred pharmacy network of Humana provides cost savings for members by offering prescriptions at a lower cost than standard in-network pharmacies.
Accessing Humana’s preferred pharmacy network is as easy as signing into your Humana member account online or contacting their customer support at 800-457-4708.
You can choose any network pharmacy for your prescriptions, and Humana Customer Care is always available to assist you with any questions or concerns regarding your pharmacy network.
Enrollment Essentials for Humana Plans in Tennessee
Enrolling in Humana Medicare Advantage plans in Tennessee is an easy and straightforward process for Tennessee residents.
To be eligible for enrollment, individuals must meet the eligibility criteria for both Medicare and Medicaid. Additionally, enrollment is open to individuals aged 65 and above and those with a qualifying disability.
To enroll, simply follow these steps:
- Visit the Humana website
- Select the Medicare Advantage plan that best suits your needs
- Click on ‘Enroll’ to begin your Medicare Advantage enrollment
- Complete the enrollment form with your information
- Follow the prompts to provide any additional required information
- Review your details
- Submit your application
The primary enrollment periods for Humana Medicare Advantage plans are the Initial Enrollment Period (IEP), which starts three months before the month of an individual’s 65th birthday, and the Medicare Advantage Open Enrollment Period (OEP), which extends from January 1st to March 31st annually.
However, if you wish to transition from a different Medicare plan to a Humana Medicare Advantage plan in Tennessee, you can do so during the Medicare Advantage Open Enrollment Period (OEP).
When and How to Enroll in Medicare Advantage
The annual open enrollment period for Medicare Advantage plans in Tennessee is from January 1 to March 31. Furthermore, individuals who meet the criteria for a special enrollment period are eligible to enroll in or modify a Medicare Advantage plan outside of the standard enrollment periods.
Additional details regarding these special enrollment periods can be accessed on the Humana website.
To enroll in a Humana Medicare Advantage plan online, follow these steps:
- Choose the plan that best suits your requirements.
- Click on the ‘Enroll’ button available on the official Humana website.
- Provide your personal details on the enrollment form.
- Follow the instructions provided to finalize the enrollment process.
Transitioning from Other Plans to Humana
Transitioning to Humana Medicare Advantage can be done during the Annual Open Enrollment Period from October 15th to December 7th, or during the Medicare Advantage Open Enrollment Period from January 1st to March 31st.
To make the switch, you have a few options:
- Join a new Humana Medicare Advantage plan
- Switch from your existing plan to a Humana Medicare Advantage plan
- Drop your current Medicare Advantage or Medigap plan during the designated enrollment periods
However, bear in mind that delayed enrollment may result in penalties such as the Medicare Part D late enrollment penalty or the Part B late enrollment penalty, which could increase your monthly premiums.
Humana’s Commitment to Inclusivity and Accessibility
Humana steadfastly commits to inclusivity and accessibility. They have implemented network resource groups and regard inclusion and diversity as strategic elements essential for fostering innovation, quality, and growth.
Their dedication to cultivating an inclusive workplace has been recognized by Forbes and reinforced by their adherence to non-discriminatory policies based on:
- race
- color
- religion
- sex
Humana ensures accessibility for members with disabilities by following inclusive design best practices and web accessibility standards for digital experiences.
They also offer tailored resources for individuals with disabilities, such as language and disability resources, interpreter services, and talking prescription labels for those in need.
Indeed, Humana provides complimentary language interpreter services. These services can be accessed by reaching out to Humana Customer Care using the contact number specified on the member’s ID card.
This commitment to inclusivity and accessibility underscores Humana’s dedication to their members and their healthcare needs.
Respecting Diversity
Humana upholds inclusion and diversity as fundamental values. They have a non-discrimination policy based on:
- Race
- Religion
- Gender
In their employment, military service personnel often face unique challenges, including putting health as a top priority. They endeavor to eliminate obstacles to healthcare access and tackle social determinants of health for their members.
Humana ensures inclusivity for individuals of different races by:
- Paying close attention to the varying needs and health outcomes associated with race/ethnicity
- Implementing diverse hiring practices
- Fostering an inclusive culture through network resource groups
- Adopting a comprehensive approach to healthcare to ensure equitable access for all.
Providing Free Language Interpreter Services
Humana provides complimentary language interpreter services to guarantee that members can communicate with clarity and effectiveness. This includes:
- Oral interpretation services in 200 languages
- Video interpretation in 27 languages, which includes American Sign Language
- Partnering with IBM Watson Health to support call center staff in accurately addressing customer inquiries.
The process for accessing Humana’s free language interpreter services involves calling the Humana Language Line at 1-877-228-9235 or speaking to an interpreter through Humana Customer Service.
There are no specific restrictions or limitations regarding the use of Humana’s free language interpreter services, making them widely accessible to those who require assistance.
Navigating Customer Support and Resources
For Humana members in Tennessee, a variety of customer support options are available. They have the option to:
- Contact 800-457-4708 (TTY: 711) for general inquiries
- Contact 877-877-1051 for individual dental and vision plans
- Log in to their Humana account to access member support, resources, tools, forms, and assistance with plan utilization.
Accessing customer support from Humana in Tennessee is straightforward. To get the help you need, you can contact their customer care team at 877-877-1051.
The team is available from Monday to Friday, 8 a.m. to 8 p.m. Alternatively, you can also engage in online chat through the company’s website.
Humana ensures a smooth process if you need to file a complaint. The process involves contacting Humana’s Customer Care phone number at 877-877-1051, Monday to Friday, from 8 a.m. to 8 p.m.
Additionally, a grievance can be submitted online through the exceptions and appeals section on the Humana website.
Finding Help and Filing Complaints
Reaching Humana’s customer support is as simple as calling Customer Care at 800-477-6931 (TTY: 711) or visiting their website.
Whether you have general inquiries or need help with individual dental and vision plans, Humana’s customer care team is ready to assist you.
If you’re not satisfied with the service you’ve received as a health plan member, complaints can be filed by submitting a grievance request online, by fax, or by mail. Alternatively, you can file an oral grievance or appeal by contacting the Customer Care phone number provided on your Humana ID card.
If the initial response doesn’t meet your satisfaction, you can escalate your complaint by contacting Humana directly.
Educational Tools and Support Networks
In Tennessee, Humana provides its members with a variety of educational tools and resources to help manage their health. These resources are accessible through the Humana member website.
They also provide support networks such as Humana Neighborhood Centers, which provide senior community activities and programs. Moreover, Humana offers member support and access to resources through their online portal.
Humana provides a range of educational resources and support networks, including:
- Programs to educate individuals on plan basics
- Comparing plan types
- Understanding costs
- Comparing benefits of various Medicare Advantage plans
They offer comprehensive information to clarify Medicare details and provide insights into the additional benefits that Medicare Advantage plans may offer.
For further education on Medicare Advantage, Humana offers educational webinars and seminars specifically designed for Medicare Advantage members.
Summary
Humana’s Medicare Advantage plans in Tennessee for 2025 offer a comprehensive suite of healthcare options tailored to meet the unique needs of every individual. From the variety of HMO and PPO options to personalized health care services, Humana is committed to ensuring that members have access to high-quality healthcare services.
With a strong focus on inclusivity and accessibility, Humana is dedicated to delivering personalized experiences in healthcare, putting your health at the forefront of their mission.
Frequently Asked Questions
→ What is new for Humana 2025?
In 2025, Humana introduces the new Humana Walmart Value Rx plan, offering low generic cost shares and robust coverage at an affordable price.
Additionally, all Humana Medicare Advantage plans now offer dental, vision, and hearing benefits.
→ What is the best Medicare Advantage plan for 2025?
The best Medicare Advantage plan for 2025 is offered by Humana, which has received high quality ratings, good customer satisfaction, widespread availability, and numerous $0-per-month plans.
Customers report better quality of health care with Humana compared to AARP/UHC.
→ What are the disadvantages of Humana Medicare Advantage?
The disadvantages of Humana Medicare Advantage include limited choice of doctors and medical offices compared to Original Medicare, as well as potential higher overall costs for those with complex medical needs.
These plans are more suitable for individuals with less expensive medical requirements.
→ What is the Humana over the counter allowance for 2025?
In 2025, Humana offers a $100 quarterly allowance for purchasing approved over-the-counter health and wellness products through their OTC mail order provider. Unused amounts expire at the end of the quarter.
→ What are the Medicare Advantage offerings provided by Humana in Tennessee for the year 2025?
Humana’s Medicare Advantage offerings in Tennessee for 2025 are designed to meet the needs of Medicare-eligible individuals, reflecting thorough research and alignment with their preferences and requirements.
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.