Do Humana Medicare Advantage plans 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.
How do I find a provider for Humana Medicare?
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 your Humana ID number or plan name, and filter results by the type of provider you are looking for.
What kind of doctors are included in Humana Medicare?
Medicare providers in Humana networks may include primary care doctors, specialists, hospitals, pharmacies, outpatient clinics, laboratories, imaging centers, and in some cases, even dentists, eye doctors, and audiologists.
Why should I use Humana network 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 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.
Finding an in-network provider can be easy
Simply select which type of provider you need (e.g., general practice, internist, dermatologist, etc.) and your coverage network type and enter your ZIP code. Now you’ll see a list of the in-network providers in your area along with their contact information.
Staying in network may save you money
Receive the care you need while potentially saving money on your medical costs. Some out-of-network deductibles may be twice as high as in-network deductibles, so it’s important that you choose an in-network doctor whenever possible.
You may save money by staying in network
Our doctor finder tool can help you locate a medical, dental or vision provider in your area who is part of Humana’s provider network.
Tandaleo Gamble, NP
Zocdoc only allows patients to write reviews if we can verify they have seen the provider. Providers can’t request to alter or remove reviews.
Dr. Hosam Atoom, MD
Zocdoc only allows patients to write reviews if we can verify they have seen the provider. Providers can’t request to alter or remove reviews.
Tandaleo Gamble, NP
Zocdoc only allows patients to write reviews if we can verify they have seen the provider. Providers can’t request to alter or remove reviews.
Hillary White, APRN, FNP
Zocdoc only allows patients to write reviews if we can verify they have seen the provider. Providers can’t request to alter or remove reviews.
Dr. Kammie Caldwell, MD
Zocdoc only allows patients to write reviews if we can verify they have seen the provider. Providers can’t request to alter or remove reviews.
Dr. Kammie Caldwell, MD
Zocdoc only allows patients to write reviews if we can verify they have seen the provider. Providers can’t request to alter or remove reviews.
Dr. John Griffin, MD
Zocdoc only allows patients to write reviews if we can verify they have seen the provider. Providers can’t request to alter or remove reviews.
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.
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).
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.
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, ...