If you need help finding a network provider, please call 1-855-298-6309 TTY Users: 711 24 hours a day, 7 days a week or visit www.humana.com/finder/search to access the online directory. If you would like a provider directory mailed to you, you may call the number above or request one at the website link provided above.
Full Answer
What is the provider network for Humana?
Certain doctors and hospitals, or “in-network” providers, may offer medical care at a lower cost than those outside of the network. Some Humana members are required to use in-network providers. The resources below will guide you to find a doctor within the network. Check your coverage details and discover specific advantages of your plan.
How do I find a provider for Humana Medicare?
Feb 17, 2022 · Humana makes it easy to find an in-network doctor. Begin by using the Humana online provider search tool. Choose your search radius, zip code and coverage type. Then, you may narrow your search even further by selecting a specialty, name or other criteria before clicking “Search.”. The results page will display a list of Humana in-network ...
Do Humana Medicare Advantage plans cover out-of-network doctors?
Jan 18, 2017 · Humana is a Medicare Advantage HMO, PPO and PFFS organization and a stand-alone prescription drug plan with a Medicare contract. Enrollment in any Humana plan depends on contract renewal. “Humana” is the brand name for plans, products and services provided by one or more of the subsidiaries and affiliate companies of Humana Inc. (“Humana ...
What is a network provider in a PPO plan?
health care provider, or hospital in PPO Plans. PPO Plans have network doctors, other health care providers, and hospitals. Each plan gives you choice to go to doctors, specialists, or hospitals that aren't on the plan's list, but it will usually cost less if you get your care from a network provider. Private Fee-for-Service (PFFS) Plans
What is Humana Choice Regional PPO?
Is Humana owned by Walmart?
Does Humana have a nationwide network?
What is Humana HPN Network?
Who bought out Humana?
Who is Humana owned by?
Is Humana honor PPO a Medicare Advantage Plan?
Is Humana National POS open access a PPO?
Is Medicare Advantage the same as Humana?
Is Humana a PCP?
Humana offers family doctors or primary care physicians (PCP) within the network. This option may be cheaper than a regular doctor. You can be sure all of your tests, prescriptions or specialty care are tracked by one trusted provider. Check your healthcare policy for specific details of your plan.
What is Humana program?
Humana offers special health programs that focus on keeping members healthy, detecting early indicators of health risks, ensuring care is delivered safely and efficiently across all levels of care and managing chronic conditions. Our case management program offers supportive services to members who have been hospitalized or suffer from chronic conditions. Humana also offers other programs to help people manage health conditions such as diabetes, congestive heart failure, chronic obstructive pulmonary disorder (COPD). All of these programs are voluntary, and you may discontinue at any time by letting your case manager know.
What is a PPO plan?
Preferred Provider Organization (PPO) Plans. A person or organization that's licensed to give health care. Doctors, nurses, and hospitals are examples of health care providers. , or hospital in PPO Plans. PPO Plans have network doctors, other health care providers, and hospitals.
Can you go out of network with HMO?
Health Maintenance Organization (HMO) Plans. In some plans, you may be able to go out-of-network for certain services. But, it usually costs less if you get your care from a network provider. This is called an HMO with a point-of-service (POS) option.
What is a health care provider?
health care provider. A person or organization that's licensed to give health care. Doctors, nurses, and hospitals are examples of health care providers. , or hospital in PPO Plans. PPO Plans have network doctors, other health care providers, and hospitals.
What is SNP in medical?
Special Needs Plans (SNP) Generally, you must get your care and services from doctors or hospitals in the Medicare SNP network, except: Emergency or urgent care, like care you get for a sudden illness or injury that needs medical care right away. If you have. End-Stage Renal Disease (Esrd)
What is end stage renal disease?
End-Stage Renal Disease (Esrd) Permanent kidney failure that requires a regular course of dialysis or a kidney transplant. and need out-of-area dialysis. Medicare SNPs typically have specialists in the diseases or conditions that affect their members.
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.
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.
Why do I have to use a doctor who accepts my Medicare Advantage plan?
Medicare Advantage plans are offered by private insurance companies contracted with the Medicare program to provide benefits covered by Part A and Part B (except for hospice care, which is covered under Part A). These private companies look for ways to control health care expenses to help keep costs low for their members.
How do I know if I have to use a doctor who accepts my Medicare Advantage plan?
This depends on the type of Medicare Advantage plan you choose. Some of the most common types of Medicare Advantage plans are:
Do I need to use a doctor who accepts my Medicare Advantage for routine vision, hearing, dental, or prescription drugs?
Medicare Advantage plans are only required to cover the same services as Part A and Part B, which do not include benefits for routine vision, dental, hearing, and prescription drugs. However, many Medicare Advantage plans do offer additional coverage for these services.
How do I know if a doctor accepts my Medicare Advantage plan?
Most Medicare Advantage plans offer easy-to-use online tools to help you find a doctor who accepts your Medicare Advantage plan. In addition, you can call the customer service number on your plan ID card to get help finding a provider in your area.