How do I find a doctor in Humana gold plus?
To locate and use the physician finder, go to the Humana.com home page, and click on Search under Find a Doctor. If you are already a Humana Gold Plus plan member, click on member ID, and enter the identification number on your Humana ID card.
What is Humana gold plus Medicare Advantage?
Humana Gold Plus is a Medicare Advantage health maintenance organization (HMO) plan that includes all the benefits of Original Medicare and may include prescription drug coverage and many extras. Benefits How it works. With an HMO plan, out-of-pocket costs are generally lower, and they may be more predictable than with other types of plans.
Where can I get healthcare services with my Humana Health Plan?
With your Humana health plan, you have access to healthcare services with doctors, at retail clinics, urgent care centers and hospitals in your plan’s network. Seeing these network providers may save you time and money when you need care. Where to go for care The key terms below may define places to get services and their specific advantages.
Who offers Humana group life plans in New York?
Humana group life plans are offered by Humana Insurance Company or Humana Insurance Company of Kentucky. The website is maintained outside of New York state and the insurer is not authorized to transact the business of insurance in New York.
Why Do I Need to Use Network Providers?
Humana is one of the private companies approved by Medicare to offer health-care benefits under the Medicare Part C (Medicare Advantage) program. A...
How Do I Find Humana Providers?
Humana makes it easy for you to find providers who accept your Humana Medicare health plan. Humana’s online provider search tool lets you search by...
Will I Save Money If I Use Humana Providers?
Indeed, one important reason for using Humana network providers is because they might save you money when you access health care. Your Humana plan...
Why use Humana?
Indeed, one important reason for using Humana network providers is because they might save you money when you access health care. Your Humana plan may cover a higher percentage of your costs, for example, or your copayment or coinsurance amounts may be lower when you use in-network providers.
When does Humana change?
Enrollment in any Humana plan depends on contract renewal. [Benefits, premiums and/or member cost-share] may change on January 1 of each year. The [Formulary, pharmacy network, and/or provider network] may change at any time. You will receive notice when necessary.
What happens if you don't use Humana?
If you don’t use Humana’s network Medicare providers, you may need to pay the full cost of your care. Different plans have different rules; for example, some Humana’s Medicare Advantage plans are Preferred Provider Organizations (PPOs),* which might let you use providers outside the plan network (often at a higher cost to you).
Does Humana cover out-of-network doctors?
Some of Humana’s Medicare Advantage plans require you to get most or all of your care from contracted Humana providers, unless you get medically necessary emergency treatment, which is generally covered even when provided by out-of-network doctors and hospitals.
Is Humana a private company?
Humana is one of the private companies approved by Medicare to offer health-care benefits under the Medicare Part C ( Medicare Advantage) program.
Does Humana accept Medicare?
Humana’s network providers agree to accept the copayment or coinsurance amount specified in your Humana plan as payment in full for your share of your health-care expenses for Medicare covered services. Some of Humana’s Medicare Advantage plans require you to get most or all of your care from contracted Humana providers, ...
How to find doctors that accept Humana Gold Plus?
How Do You Find Doctors That Accept the Humana Gold Plus Insurance Plan? To search for doctors who accept the Humana Gold Plus Medicare Advantage insurance plan, use the search engine on the Humana.com website , reports Humana. Plan members can search using their member IDs, while others can search by selecting a variety of search criteria.
How to find a doctor on Humana?
To locate and use the physician finder, go to the Humana.com home page, and click on Search under Find a Doctor. If you are already a Humana Gold Plus plan member, click on member ID, and enter the identification number on your Humana ID card.
Can you choose a primary care doctor on Humana Gold Plus?
According to the terms of the Humana Gold Plus HMO plan, members must choose a primary care physician from within the plan's network, as explained by Humana. If members are not satisfied with the level of care, they can select another doctor from within the network as often as they want.
Search for a doctor online
This easy search tool helps you find in-network doctors in your area, compare and filter your search results and even leave feedback on doctors.
Search tips
From the drop-down menu, choose whether you want to search for a medical, vision, or pharmacy provider
Does Humana offer HMO?
Humana offers Medicare Advantage health maintenance organization (HMO) plans that include all the benefits of Original Medicare and may include prescription drug coverage and many extras.
Does Humana HMO cover Medicare?
Humana HMO plans cover all the benefits of Original Medicare and much more, including: Choice of a primary care physician from within the plan’s provider network. Affordable monthly plan premiums; $0 premium on some plans in some areas. Prescription drug coverage equal to or better than the standard requirement for a Medicare Part D plan ...
Telehealth
Virtual visits, sometimes called telehealth or telemedicine, make it easy to access care from a healthcare provider via a secure video or phone appointment from your home or on the go.
Doctor
Your primary care doctor is always your first choice, unless it’s an emergency. In fact, visiting your doctor for a preventive care checkup, covered by most plans at no extra cost, gives your doctor a chance to get to know you so he or she can be a true partner in helping you achieve lifelong well-being. Use the find a doctor tool after logging in.
Retail clinic
Retail clinics may be found in supermarkets or drug stores. Pick up your prescriptions, and ask for low-cost treatment for minor problems, such as checking high blood pressure. Check your provider directory for retail clinics available in your plan’s network.
Urgent care center
An urgent care center is another form of retail clinic. For nonemergency medical issues, such as minor burns or sprains or illnesses like the cold or flu, this type of retail clinic is a sensible option. Check which urgent care centers are covered in your plan’s network at MyHumana.com.
Emergency room
When you have a life-threatening injury or condition, always go to the emergency room or call 911. Your plan covers true emergencies at in-network and out-of-network providers, and no referrals or prior authorizations are needed.
Outpatient care centers and surgery centers
Outpatient care centers and surgery centers provide services for some tests and surgeries. They often cost less than a hospital. Check your provider directory to see which outpatient care and surgery centers are available in your plan’s network.
Care in the hospital
You may have to stay in the hospital for some medical problems. Hospital care is usually very expensive, and you may have other options in some cases. Talk with your doctor before you make any decisions about hospital care. Ask your doctor if you can use an outpatient center or urgent care center instead of going into a hospital.
Just looking?
Click on the plan you are considering. A new window will open, allowing you to search for eye doctors within that network.
Already a Humana member?
Please sign in to your vision account. This will allow us to retrieve your personal information so you can quickly find in-network eye doctors in your area.
Did you know?
You can save $35—One Enrollment fee is waived when you purchase vision and dental plans together!