Humana Medicare Advantage Plans 2024
Are you considering a Medicare Advantage plan for 2024? Humana offers a diverse range of options to cater to your unique needs, preferences, and budget.
With plans such as Health Maintenance Organization (HMO), Preferred Provider Organization (PPO), and Private Fee-for-Service (PFFS) available, you can find the perfect plan to help you maintain your health and wellness.
In this article, we will guide you through the various aspects of Humana Medicare Advantage plans 2024, including their benefits, costs, enrollment process, and the support resources available for beneficiaries.
Key Takeaways
- Humana offers a wide selection of Medicare Advantage plans in 2024, including HMO, PPO and PFFS options with comprehensive benefits.
- Plans offer no additional monthly premium and an estimated average plan premium of $18.50. Varying cost-sharing structures apply across plans.
- Customer support is available to assist beneficiaries in navigating their plan options based on individual needs.
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Comparing Top Medicare Advantage Providers in 2024
In 2024, Humana continues to provide a wide array of Medicare Advantage plans, including HMO, PPO, and PFFS options, to cater to the diverse needs and preferences of Medicare beneficiaries.
With an estimated 3,959 Medicare Advantage plans available for individual enrollment, Humana serves Medicare beneficiaries across the nation. These plans offer a comprehensive range of benefits beyond Original Medicare, such as dental, vision, and hearing aid benefits, and a selection of wellness, clinical, and fitness programs.
Humana’s commitment to customer experience quality has earned them the No. 1 ranking among health insurers for three consecutive years. As a nationally recognized Medicare Advantage insurance provider, Humana focuses on:
- Retiree healthcare
- Whole-person health
- Serving individuals of all backgrounds, including those with disabilities
- Serving individuals regardless of sex or sexual orientation.
Comparing Humana’s 2024 Medicare Advantage Offerings
Humana’s 2024 Medicare Advantage plans come in three main types:
- HMO: This plan type features a more stringent network compared to PPO and PFFS plans, which provide more flexibility in choosing healthcare providers.
- PPO: This plan type offers more flexibility in choosing healthcare providers compared to HMO plans.
- PFFS: This plan type also provides more flexibility in choosing healthcare providers compared to HMO plans.
- SNPs: Special Needs Plans – Unique plans for those who qualify with certain conditions
Each plan type offers unique characteristics in terms of network restrictions, cost-sharing, and benefits.
We will now explore the unique features of each plan type and their impact on your healthcare experience in the next few sections.
Humana Medicare HMOs
HMO plans have the following characteristics:
- Require beneficiaries to use in-network providers
- Require referrals for specialist visits
- More affordable but less flexible
- Approximately 56% of Medicare Advantage plans available in 2024 are HMOs
- Offer the same copay structure for in-network services
One notable drawback of HMO plans is that their network restrictions may pose challenges for beneficiaries in rural areas to access healthcare providers.
Nevertheless, Humana’s 2024 HMO plans boast benefits such as extensive dental, vision, and hearing coverage, enhanced dental benefits, and a potential cap on annual out-of-pocket costs, including hearing benefits.
To find in-network providers for Humana’s 2024 HMO plans, you can use their online searchable directory.
Humana Medicare PPO Plans
PPO plans provide more flexibility than HMO plans, allowing beneficiaries to see out-of-network providers at a higher cost.
The cost-sharing structure of Humana’s PPO Medicare Advantage plans includes copayments for services and prescription drugs, with the exact amounts varying depending on the plan and services received.
For example, in the Humana Group Medicare Advantage PPO plan, the annual deductible for services is $0, with primary care physician visits at no cost and a $5 copayment for Tier 1 prescription drugs at participating retail pharmacies within Humana’s network.
When comparing Medicare Advantage HMO PPO options, it’s essential to consider the differences in flexibility and cost-sharing.
Beneficiaries enrolling in Humana’s PPO Medicare Advantage plans can expect the following out-of-pocket costs:
- A monthly Medicare Part B premium ($174.70 in 2024)
- A deductible of $240 for Part B services
- Once the deductible is met, beneficiaries typically pay 20% of the Medicare-approved amount for most doctor services
- These plans also feature an annual limit on out-of-pocket costs, providing financial protection for beneficiaries.
Humana Medicare PFFS Plans
PFFS plans offer the most flexibility among the three plan types, allowing beneficiaries to:
- See any Medicare-approved provider that accepts the plan’s terms and conditions
- Determine the amount they will pay providers and the amount beneficiaries will need to pay for services
- Incorporate prescription drug coverage and emergency coverage both in and out of the U.S.
To access healthcare providers under a PFFS plan, beneficiaries can visit any Medicare-approved doctor who accepts Humana’s PFFS terms of service and conditions of payment, as well as Medicare.
Despite this flexibility being beneficial, you must ensure your chosen healthcare provider accepts the terms and conditions of the PFFS plan prior to receiving services.
Humana Medicare Special Needs Plans
A Special Needs Plan (SNP) is a unique type of Medicare Advantage plan that bundles together all the advantages of Original Medicare (Parts A and B) along with prescription drug coverage (Part D). These plans are specifically designed for individuals who have an additional qualifying condition or meet the criteria for both Medicare and Medicaid.
Varieties of Special Needs Plans
- Chronic Condition Special Needs Plans (C-SNPs) are tailored to provide specialized care for individuals dealing with chronic health issues such as diabetes, cardiovascular disorders, chronic heart failure, chronic lung disorders, and other qualifying conditions.
2. Dual-Eligible Special Needs Plans (D-SNPs) are designed for individuals who are eligible for both Medicare and Medicaid. With a D-SNP, you can consolidate all your Medicare and Medicaid benefits into a single, user-friendly plan for easier management.
Premiums and Cost-Sharing: What to Expect in 2024
In 2024, a majority of Humana’s Medicare Advantage plans will have no additional monthly premium, making them an affordable option for many beneficiaries.
The cost-sharing structure for services and prescription drugs varies across plans, with the Humana Group Medicare Advantage PPO plan, for example, featuring a $0 annual deductible for services and a $5 copayment for Tier 1 prescription drugs at lower cost preferred pharmacies in Humana’s network.
It is estimated that 99% of beneficiaries will have access to a Medicare Advantage plan with prescription drug coverage (MA-PD) and no additional monthly premium in 2024.
With the projected average monthly plan premium for Medicare Advantage enrollees being $18.50 in 2024, Humana’s Medicare Advantage plans offer a cost-effective solution for many Medicare beneficiaries.
Additional Benefits Provided by Humana
Some of Humana’s Medicare Advantage plans may offer extra benefits that enhance the overall value of the plans. These benefits include:
- Dental coverage
- Vision coverage
- Hearing coverage
- Fitness services
- Telehealth services
The extent of dental coverage may differ among plans, with most subject to an annual limit on the amount covered by the plan.
In addition to these extra benefits, Humana’s Medicare Advantage plans also include telehealth services, providing beneficiaries with remote access to healthcare providers and telemonitoring services.
These additional benefits can significantly improve the healthcare experience for served Medicare beneficiaries and contribute to their overall well-being.
Enrollment Process and Key Dates for 2024
The enrollment process for Humana’s 2024 Medicare Advantage plans depends on the individual’s situation, with specific deadlines and requirements for new, existing, and retiring members.
In the subsequent sections, we will detail the enrollment process and crucial dates for each category of members to facilitate a seamless transition to your chosen Medicare Advantage plan.
New Members
New members can enroll in a Humana Medicare Advantage plan during the Annual Election Period (AEP) from October 15 to December 7, 2023, for coverage starting January 1, 2024. To enroll in a plan, new members should follow these steps:
- Confirm eligibility, which typically requires being at least 65 years old or having received Social Security Disability Insurance (SSDI) benefits for 24 months, and ensure that their national origin, age, and disability status do not affect their enrollment.
- Research the available Medicare Advantage plans in their area.
- Compare benefits, costs, and network coverage.
- Choose the right plan for their needs.
Once a suitable plan has been selected, new members can enroll during the AEP by contacting Humana, either online, by phone, or in person.
After enrollment, new members should select a primary care physician (PCP) from Humana’s network and coordinate any other insurance coverage they may have, such as employer-sponsored retiree health benefits, to ensure a seamless transition to their new Medicare Advantage plan.
Existing Members
Existing Humana Medicare Advantage plan members can make changes to their plan during the Annual Election Period (AEP) from October 15 to December 7, 2023, or the Medicare Advantage Open Enrollment Period (OEP) from January 1 to March 31, 2024. During these periods, existing members can compare different Medicare Advantage plans and make changes to their coverage if desired.
To modify your existing plan, follow these steps:
- Review the available options and compare their benefits, costs, and network coverage.
- Once you have chosen a new plan, contact Humana to switch to it during the AEP or OEP. You can do this online, by phone, or in person.
- Keep in mind that the availability of specific plans and benefits may vary depending on your location.
Retiring Members
Retiring medicare members should enroll in a Humana Medicare Advantage plan within the initial three months of their Medicare eligibility for timely coverage. Retiring members who are at least 65 years old and enrolled in Medicare Parts A and B can enroll in a new plan during the fall 2023 annual enrollment period, beginning October 23, for coverage effective January 1, 2024.
To enroll in a plan as a retiring member, follow these steps:
- Confirm your eligibility.
- Research the available plans in your area.
- Select the most suitable option for your needs.
- Enroll during the fall 2023 annual enrollment period by contacting Humana, either online, by phone, or in person.
- Coordinate with any other insurance coverage you may have, such as employer-sponsored retiree health benefits, to ensure a seamless transition to your new Medicare Advantage plan.
Navigating Rural and Urban Coverage Differences
Humana’s Medicare Advantage plans offer varying coverage options in rural and urban areas, with more plan choices and provider networks available in urban locations.
Coverage distinctions between rural and urban areas may include disparities in-network providers, access to specialized care, and availability of healthcare facilities. Reviewing the details of the plan and coverage options offered by Humana for rural and urban areas is necessary to grasp the specific coverage differences in your region.
In rural areas, Humana is offering Medicare Advantage plans, but beneficiaries may have fewer options to choose from compared to urban areas.
Thorough research of available plans in your area, considering aspects like network providers, access to specialized care, and healthcare facilities, is vital when selecting a plan that aligns with your needs and geographical location. Navigating the Medicare Advantage marketplace can be challenging, so it’s essential to weigh all your options carefully.
Customer Support and Resources
Humana provides customer support and resources, including in-home support services, to help beneficiaries navigate their Medicare Advantage plan options.
This support includes phone assistance, online resources, and member support services, ensuring beneficiaries can access the information and help they need.
In addition to customer support, Humana offers the following online tools and educational materials for beneficiaries to make informed decisions about their healthcare coverage:
- A dedicated webpage on the fundamentals of Medicare
- A member portal with tools and documents
- Specific materials related to Medicare Advantage plans for healthcare providers
Leveraging these resources can help beneficiaries comprehend their coverage options, including Medicaid services, and make an optimal choice for their healthcare requirements.
Summary
In conclusion, Humana’s Medicare Advantage plans for 2024 offer a diverse range of options to cater to the unique needs, preferences, and budgets of Medicare beneficiaries.
With HMO, PPO, PFFS, and SNP plans available, beneficiaries can find a plan that provides the right balance of cost and flexibility. Additional benefits such as dental, vision, hearing, fitness, and telehealth services further enhance the value of these plans.
By understanding the enrollment process, navigating rural and urban coverage differences, and utilizing the customer support and resources provided by Humana, beneficiaries can make informed decisions and secure the healthcare coverage that best suits their needs.
Frequently Asked Questions
What’s new for Humana in 2024?
Humana is offering a range of new benefits for its Medicare Advantage plans in 2024. Some plans may include dental, vision, and hearing coverage, a Medicare Part B giveback, and $0 monthly plan premiums.
Customers also have access to special training for Humana Customer Care specialists who have collaborated with USAA to better serve their needs.
Is Medicare premiums going down in 2024?
The standard Medicare Part B premium will not be going down in 2024 and is actually increasing to $174.70/month. The annual deductible for all Medicare Part B beneficiaries will also increase to $240.
What is the biggest disadvantage of Medicare Advantage?
The biggest disadvantage of Medicare Advantage is that plan networks may offer fewer options than Original Medicare when it comes to doctors and hospitals, with smaller plan networks and restrictive networks. Additionally, out-of-pocket costs may be higher and plans change each year.
What are the main types of Humana Medicare Advantage plans available in 2024?
Humana will offer four main types of Medicare Advantage plans in 2024: HMO, PPO, PFFS, and SNP.
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.