Wednesday, April 24, 2024

Humana Gold Plus Provider Search

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Are Video Visits With A Dentist Online Covered By Humana

Humana Gold Choice Medicare Advantage – Should You Enroll?

Most insurers provide coverage for video visits at the same cost as in-person visits. You can search on Zocdoc specifically for Dentists who accept Humana for video visits by selecting your carrier and plan from the drop-down menu at the top of the page. We recommend you check with your insurance carrier directly to confirm your coverage and out of pocket costs for video visits.

How To Join The Humana Network

Providers in Puerto Rico may request to join our network by completing an online Service Request Form. Also, you may contact our Humana Customer Service line at 1-800-611-1474. Some Humana networks may have additional participation criteria providers must meet in order to be granted participation status. As part of the contracting process, all providers have to pass through the credentialing process.

if you wish to review the frequently asked questions about what to expect during and after the contracting process.

If you are a participating provider, on the documents below you have instructions on how to update your contract:

  • to view instructions on how to update or make changes to your contract
  • to update your demographic information

If you are from one of the following specialties, please use the contact information provided below:

What Is An In

Insurance companies like Humana often contract with a network of participating doctors and other health care providers who agree to accept the reimbursement rate and other conditions of the insurance plan.

Each location will feature its own local network of Humana providers, and in some cases, plans may be accepted by providers outside of the members home area.

Any health care provider who does not accept Humana insurance is considered an out-of-network provider.

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Looking For An Optometrist Or Ophthalmologist

You can use this tool to find eye doctors near you that participate in our network.

You can also use this tool to see if your current optometrist, ophthalmologist or vision center is one of the 95,000 locations in the Humana network.

Our network includes optometrists, ophthalmologists and popular retail vision centers, so you can find an eye doctor near you, with office hours that work for you.

You can learn more about how we build the network here., PDF opens new window

Find A Special Health Program

Humana Gold Plus Provider Search : Advantages and Disadvantages of the ...

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 . All of these programs are voluntary, and you may discontinue at any time by letting your case manager know.

The quickest way to discover more details is to sign in to and visit the MyHealth section. Individualized support and programs may be available to you. A case manager may contact you shortly after you enroll in a Humana plan to explain more.

Member quick links

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How Can I Find A Top

You can use Zocdoc to find Humana Dentists who are highly rated by other patients. These ratings are based on verified reviews submitted by real patients. Every time a patient completes an appointment booked on Zocdoc, theyre invited to review their experience. Each review must comply with Zocdocs guidelines.

How Can I Book An Appointment Online With A Humana Dentist

Zocdoc is a free online service that helps patients find Humana Dentists and book appointments instantly. You can search for Humana Dentists by symptom or visit reason. Then, choose your location. Based on that information, youll see a list of providers who meet your search criteria, along with their available appointment slots.

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How Do I Change My Doctor With Humana

If your primary care physician or any of your regular health care providers are not part of the Humana network, you may change to doctors that do participate in the Humana network.

Contact a Humana representative at the phone number listed on your plan ID card or through the online MyHumana portal to update your primary care physician to one that is in the Humana network.

For other health care providers, simply locate ones that are in the Humana network using the Humana provider search tool and contact to request your appointment.

How Do I Find Providers That Accept Humana Medicare Advantage Plans

Step-by-Step How-To Provider Search: Humana Medicare Advantage

Humana makes it easy to find a participating in-network provider by using the Humana physician finder.

  • If you are a Humana Medicare Advantage plan beneficiary, you can enter your member ID number.
  • If you are not yet a Humana member and do not have a member ID, you may enter your zip code to see a list of participating Humana providers in your area.

Humana members can also download Humanas MyHumana mobile app. The MyHumana app allows you to find a network provider with just a few clicks and gives you the ability to do things like check a claim or review your coverage.

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 to access the online searchable 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.

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Humana Medicare Advantage Special Needs Plan

Humana also offers Medicare Advantage Special Needs Plans to anyone who meets specific eligibility requirements, lives in the service area of the plan and is enrolled in Medicare Part A and Part B.

Medicare Advantage Special Needs Plans from Humana are available for:

  • People with certain health conditions
  • People who are eligible for both Medicare and Medicaid
  • People who have or are expected to need the services provided in a long-term care or skilled nursing facility setting for more than 90 days

Humana Medicare Advantage Special Needs Plans combine all of the benefits covered by Medicare Part A and Part B into one single plan. Humana SNPs also offer prescription drug coverage . Plan availability varies by state and service area.

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 program. Although these companies are required to meet minimum coverage requirements for their enrollees as set by Medicare, they may limit plan members to seeing a select group of providers in order to control costs and provide high-quality health care.

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. These providers contract with Humanas Medicare health and prescription drug plans to provide covered services at specific costs. These costs may be lower than what you would pay if you stayed with Original Medicare , getting your benefits directly through the government instead of through a Medicare Advantage plan.

Humanas 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.

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Curious About Our Hmo Plan Coverage

If the security of a broad range of benefits is your highest priority, all of our HMO plans offer all the benefits of Original Medicareand then some. Plans may include:

  • Coverage for prescription drugs – most of Humanas HMO plans include coverage for prescription drugs
  • Broad network of providers its easy to see if your doctor is covered, and our provider networks continue to grow as more and more Medicare Advantage members choose HMO plans
  • Dental benefits – unlike Original Medicare, most of our Medicare Advantage HMO plans include coverage for routine dental care such as cleanings, exams, and X-rays
  • Vision benefits – many of our plans also include coverage for eye exams, lenses and frames
  • Hearing benefits – many plans include coverage for hearing aid devices, audiologist visits and ongoing fittings and exams

Are Video Visits With A Primary Care Doctor Online Covered By Humana

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Most insurers provide coverage for video visits at the same cost as in-person visits. You can search on Zocdoc specifically for Doctors in Mesa who accept Humana for video visits by selecting your carrier and plan from the drop-down menu at the top of the page. We recommend you check with your insurance carrier directly to confirm your coverage and out of pocket costs for video visits.

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Reflect On Your Visit

Evaluate your experience with the doctor by asking yourself the following questions:

  • How was the doctors bedside manner? Was he or she in a rush? Did I feel like he or she was really listening to me?
  • Does this doctor have experience working with patients with my health condition?
  • Does the doctors philosophy regarding medicine align with my beliefs?
  • Would I feel comfortable discussing sensitive topics, such as weight management, contraception, quitting smoking or other concerns with this doctor?

When Seeing A Humana In

If you are enrolled in a Humana Medicare Advantage plan, Medicare Part D prescription drug plan, or a Humana dental, vision or employer-sponsored plan, its recommended you receive care from a Humana in-network doctor or other provider.

  • Certain types of plans, such as an HMO , require you to visit a Humana in-network doctor for your insurance plan coverage to be used. If you receive health care services from a provider who is not part of the Humana network, you will likely be responsible for the full cost of the service or items.
  • Other types of plans, such as a PPO , allow members to visit out-of-network doctors and still receive at least some coverage for the service or item in most cases. However, savings are still typically maximized when staying inside the Humana network for care.

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How Much Do Medicare Advantage Hmo Plans Cost

If the potential cost of your healthcare is your most important concern, our Medicare Advantage HMO plans may t the bill.

  • Affordable monthly premiums – as low as $0 and affordable copays when you visit in-network providers
  • Unlimited PCP visits – with most Medicare HMO plans youre covered for unlimited medical doctor visits with affordable copayments, so you can see your PCP as often as you need to
  • Affordable deductibles – and using in-network providers from our broad networks may help you save even more
  • Potential Part B premium savings – some Medicare HMO plans offer rebates on the $170.10 Part B premium
  • Over-the-counter allowance – many Medicare HMO plans include an allowance that lets you order general healthcare itemslike pain relievers, rst aid items, even safety grab bars for your showerthrough our OTC catalog at no additional cost to you
  • The security of an annual maximum out-of-pocket cost – for 2022, our average HMO maximum out-of-pocket limit is $4,676. Once youve spent the limit, youll pay nothing for services covered by your plan until the end of your plan year

When Its Okay To See An Out

Humana Medicare Advantage Your Journey Starts Here | Humana

If you have a Humana Medicare Supplement Insurance plan, there is no need to visit a Humana in-network doctor. Any health care provider who accepts Original Medicare will accept a Medicare Supplement Insurance plan from any insurance company, and there is no difference in your out-of-pocket costs whether the provider is part of the Humana network or not.

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How Do I Find Humana Providers

Humana makes it easy for you to find providers who accept your Humana Medicare health plan. Humanas 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.

If you use a tablet or smartphone, you can also download the free MyHumana mobile app and use the built-in search tool included in the app. The mobile app also includes features to help you manage your Humana plan benefits, such as viewing claims, ordering ID cards, and reviewing your plan coverage and benefits.

How Can I Book An Appointment Online With A Humana Primary Care Doctor In Mesa

Zocdoc is a free online service that helps patients find Humana Doctors in Mesa and book appointments instantly. You can search for Humana Doctors in Mesa by symptom or visit reason. Based on that information, youll see a list of providers who meet your search criteria, along with their available appointment slots.

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How Can I Make A Same

On average, patients who use Zocdoc can search for a Dentist who takes Humana insurance, book an appointment, and see the Dentist within 24 hours. Same-day appointments are often available, you can search for real-time availability of Dentists who accept Humana insurance and make an appointment online.

How Do You Find A Doctor In Your Network

Humana Medicare Home Health Providers

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 health care providers including their name, address, phone number and other information.

You may filter the results using any number of filters to the left and sort the results using the Sort by option at the top. You may even toggle between a list or map view of your results.

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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 website, reports Humana. Plan members can search using their member IDs, while others can search by selecting a variety of search criteria.

To locate and use the physician finder, go to the 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. If you are not yet a member, click on Just Looking, select Medicare or Medicare-Medicaid as coverage type, and enter your ZIP code. For network, select Gold Plus HMO, and then choose whether you want to search for physicians by name, specialty or condition. If you need help entering a specific specialty for which to search, click on Specialty under the form to choose from a list of available specialty categories.

According to the terms of the Humana Gold Plus HMO plan, members must choose a primary care physician from within the plans 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. The primary care physician authorizes visits to other specialists or hospitals when the patient requires special care.

Humana For Physicians And Healthcare Providers

Our members health is in your hands. Thats why Humana is committed to supporting your practice with training resources, policy updates, and industry-leading patient care programs. And with Availity, you can conduct business online quickly and easily, so you can focus on the well-being of our members.

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What Hospitals Are In The Humana Network

Emergency care is covered by a Humana plan regardless of whether the hospital is part of the Humana network.

For non-emergency services, use the Humana provider search tool to filter by location or specialty to see which hospital-based providers near you are part of the Humana network.

And remember, a Humana Medicare Supplement Insurance plan may be used anywhere Original Medicare is accepted, regardless of whether the provider accepts other Humana insurance plans. The vast majority of hospitals in the U.S. accept Original Medicare., the official government website for Medicare, provides a handy and efficient way to compare hospitals in much the same way you might compare restaurants or hotels. Learn more about how to access and use the tool.

More Articles About Humana Plans

2022 Humana Medicare Advantage | Humana

1 $0 premium plans may not be available in all areas.

2 Humana Inc. Humana Reports First Quarter 2022 Financial Results Raises Full Year 2022 Adjusted EPS Financial Guidance. . Retrieved from .

3 TZ Insurance Solutions LLC/TruBridge licensed agents who may call you are not direct employees of Humana and are not connected with or endorsed by the U.S. Government or the federal Medicare program.

4 According to internal data from TZ Insurance Solutions in 2021. is a website owned and operated by TZ Insurance Solutions LLC. TZ Insurance Solutions LLC is a licensed and certified representative of Medicare Advantage HMO, PPO and PFFS organizations and stand-alone prescription drug plans with a Medicare contract. Enrollment in any plan depends on contract renewal.

We do not offer every plan available in your area. Any information we provide is limited to those plans we do offer in your area. Please contact or 1-800-MEDICARE to get information on all of your options.

This information is not a complete description of benefits. Call 1-855-298-6309 TTY Users: 711 for more information.

For a complete list of available plans please contact 1-800-MEDICARE , 24 hours a day/7 days a week or consult

To learn more about a plans nondiscrimination policy, please click here.


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