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Humana Medicare Benefit 2021 Assessment 


Humana is the second-largest supplier of Medicare Benefit plans [1], and the supplier that’s out there to the most individuals, with plans provided in additional than 8 out of 10 U.S. counties. Most of its Medicare Benefit clients are in high-quality plans rated 4 stars or larger by the Facilities for Medicare & Medicaid Companies, and the corporate presents some good perks with many plans.

Though most of Humana’s Medicare beneficiaries are in high-rated plans, some contracts get decrease scores on buyer satisfaction than others, so it’s value doing all your analysis earlier than you signal on.

Right here’s what it’s best to learn about Humana Medicare Benefit.

Humana Medicare Benefit execs and cons

Humana’s choices have benefits and drawbacks:

Professionals

  • Most generally out there: With plans out there in 2,703 U.S. counties (or 84%), Humana is an choice for extra Individuals than some other supplier.

  • High quality plans: Though Humana has plans with decrease star rankings from the CMS, the supplier has 15 contracts rated 4 stars or larger (out of 5) that embody 92% of its present Medicare Benefit members.

  • COVID-19 perks: Humana presents $0 copays for COVID-19 testing, and for members with a COVID-19 analysis, there’s a $0 copay for therapy and 14 days of home-delivered meals.

  • Entry to a top-rated mail-order pharmacy. Ordering your common prescriptions for mail supply can lower your expenses, and Humana Pharmacy tops the listing in buyer satisfaction, in line with J.D. Energy [2].

Cons

  • Particular wants plans aren’t out there all over the place: At the moment, Humana’s Twin-Eligible SNPs can be found in about half of U.S. states (26), and the corporate’s Persistent Situation SNPs can be found in solely 12 states [3].

  • Combined evaluations: Though J.D. Energy ranked Humana third-highest Medicare Benefit insurer in its 2020 member satisfaction examine, a variety of plans had been ranked 3.0 or beneath out of 5 by the Nationwide Committee for High quality Assurance.

Obtainable Medicare Benefit plans

Humana presents a number of sorts of Medicare Benefit plans, and so they range when it comes to construction, prices and advantages out there. Many plans provide dental and imaginative and prescient advantages, worldwide emergency care, and health advantages by SilverSneakers.

Generally, Humana presents Medicare Benefit Prescription Drug Plans in addition to stand-alone Prescription Drug Plans and Medicare Benefit Plans with out drug protection. It’s additionally value noting that Humana Honor, the corporate’s Medicare Benefit plan that’s aimed towards U.S. navy veterans, has been expanded into 46 states in its second 12 months of operation.

Different plan choices embody the next varieties:

Obtainable Half D prescription drug plans

Whereas a lot of Humana’s Medicare Benefit plans embody Medicare Half D drug protection, the corporate additionally sells stand-alone Half D prescription drug plans. These plans are supposed to accompany Medicare Half A and Half B and don’t present medical protection.

Humana presents three stand-alone prescription drug plans in 2021, with common month-to-month premiums that vary from $17.20 to $72.50:

  • Humana Walmart Worth Rx Plan: Month-to-month premium of $17.20, prices as little as $1 copay and $0 deductible on Tier 1 and Tier 2 medication, and entry to a large community of pharmacies, together with however not restricted to Walmart.

  • Humana Premier Rx Plan: Month-to-month premium of $58.30 to $72.50, prices as little as $0 copay and $0 deductible on greater than 900 Tier 1 and Tier 2 medication, and a broad community of pharmacies.

  • Humana Primary Rx Plan: Month-to-month premium of $19.70 to $45, prescription deductible of $445 on all tiers. This plan is aimed toward members who qualify for Additional Assist, who might be able to get the total price of premiums coated. Additional Assistance is a Medicare program that gives help to individuals with restricted earnings and sources.

Further advantages

Humana Medicare Benefit presents most members entry to routine imaginative and prescient and dental protection. A lot of its plans provide different advantages as nicely. Listed here are just a few standouts:

Customer support

Humana members can contact their plan’s customer support within the following methods:

Humana Medicare Benefit service space

Humana presents Medicare plans and Medicare prescription drug plans in all 50 states, Washington, D.C., and Puerto Rico, and the corporate presents Medicare Benefit plans in 46 states and Puerto Rico. In all, Humana Medicare Benefit is obtainable in 84% of counties — essentially the most of any supplier [4]. Eighty-seven p.c of Medicare beneficiaries have the choice of a Humana plan.

For the 2021 plan 12 months, Humana expanded its HMO choices into 125 new counties and launched native PPO plans in 98 new counties.

General, Humana is the fourth-largest well being insurer within the nation [5], and it’s the second-largest amongst for-profit well being plans [6]. Almost 4.5 million Medicare beneficiaries are enrolled in a Humana Medicare Benefit plan [7], and the corporate added 369,000 new members for the 2021 plan 12 months.

Price

Prices for Medicare Benefit plans will rely in your plan, your geographic location and your well being wants. One of many prices to contemplate is the plan’s premium, and Humana has expanded its choices of $0-premium plans. In 2021, the corporate estimates that just about 6 out of 10 of its members are in $0-premium plans that supply care coordination companies and enhanced advantages not provided underneath Unique Medicare.

At the same time as a Medicare Benefit person, you’ll nonetheless be liable for paying your Medicare Half B premium, which is a minimum of $148.50 in 2021. (Most individuals pay this customary quantity, but when your earnings is above a sure threshold, you will pay extra.)

Different out-of-pocket prices to contemplate embody:

  • Whether or not the plan covers any a part of your month-to-month Medicare Half B premium.

  • The plan’s yearly deductibles and some other deductibles, similar to a drug deductible.

  • Copayments and/or coinsurance for every go to or service. As an example, there could also be a $10 copay for seeing your major physician and a $45 copay for seeing a specialist.

  • The plan’s in-network and out-of-network out-of-pocket maximums.

  • Whether or not your medical suppliers are in-network or out-of-network, or how usually chances are you’ll go out-of-network for care.

  • Whether or not you require further advantages, and if the plan costs for them.

To get a way of prices, use Medicare’s Plan Finder to check info amongst out there plans in your space. You possibly can choose by insurance coverage provider to see solely Humana plans, or evaluate throughout carriers. You can even store instantly from Humana’s web site by coming into your ZIP code, and also you’ll be capable to evaluate the plans out there.

Medicare star rankings

The Facilities for Medicare & Medicaid Companies preserve its personal database of star rankings on each Medicare Benefit and separate Medicare Half D plan, starting from finest (5 stars) to worst (1 star). The company bases these rankings on plans’ high quality of care and measurements of buyer satisfaction, and rankings might change from 12 months to 12 months. You’ll find a plan’s score with the Medicare Plan Finder.

Based mostly on the latest 12 months of information, Humana’s Medicare Benefit plans get a median score of three.6, and the corporate’s prescription drug plans (Half D) get a median rating of three.8. The general common rating for Humana’s plans is 3.7 [8]. For comparability, the common star score for plans from all suppliers was 4.06 [9].

That stated, Humana notes that 92% of its Medicare Benefit members who’re in rated contracts (4.1 million individuals) are in contracts with 4 stars or extra in 2021 [10]. Three Medicare Benefit contracts obtained 4.5 stars, and one contract — CarePlus Well being Plans Inc. — obtained 5 stars and covers roughly 164,300 members. There have been additionally 12 Humana contracts that had been too new to be measured.

Third-party rankings

There are just a few corporations that weigh in on well being plans or on the energy of the corporate in query, and we’ve included three right here:

Discover the best Medicare Benefit plan

It’s essential to do your analysis earlier than deciding on a well being plan for your self. Listed here are some questions to contemplate asking:

  • What are the plan’s prices? Do you perceive what the plan’s premium, deductibles, copays and/or coinsurance can be? Are you able to afford them?

  • Is your physician in-network? You probably have a most popular medical supplier or suppliers, be certain they take part within the plan’s community.

  • Are your prescriptions coated? Should you’re on treatment, it’s essential to know how the plan covers it. What tier are your pharmaceuticals in, and are there any protection guidelines that apply to them?

  • Is there dental protection? Does the plan provide routine protection for imaginative and prescient, dental and listening to wants?

  • Are there extras? Does the plan provide any further advantages, similar to health memberships, transportation advantages or meal supply?

You probably have further questions on Medicare, go to Medicare.gov or name 1-800-MEDICARE (1-800-633-4227, TTY 877-486-2048).

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