Humana Medicare Advantage plans may contract with doctors, hospitals and other health care providers near you as part of the Humana plan network. Use the online Humana provider lookup tool to find in-network doctors in your area.
Among the most important features of any health insurance plan is the selection of doctors and other health care providers who accept the payment terms and conditions of the plan.
If you are enrolled in a Humana Medicare Advantage (Medicare Part C) plan, you can likely save on your out-of-pocket health care costs by visiting doctors in your Humana plan network.
Whether or not your doctor will accept your Humana Medicare Advantage plan depends on what plan you have and whether your doctor is in your plan network.
Learn more about how to find doctors and other providers that accept your Humana Medicare Advantage plan and how you may be able to pay less out of pocket for your care.
It’s easy to find a doctor who will accept your Humana Medicare Advantage plan.
Humana offers several different types of Medicare Advantage plans. Each type of plan may contract with specific doctors, hospitals, clinics and other health care providers who agree to provide services to Humana plan members for less than what they may typically charge.
Some of the types of Humana Medicare Advantage plans that you may be able to choose from can include:
You will typically pay lower out-of-pocket costs (such as copayments and deductibles) if you visit in-network doctors. In fact, the Humana Gold Plus HMO plan covers you for unlimited medical doctor visits with affordable copayments, as long as your PCP is in your Humana plan network.
You aren’t required to get a referral in order to see a specialist, in most cases. Some services, however, may require plan prior authorization.
As with other health insurance plans, you should ask your doctor if they accept the plan terms before you receive any treatment, or else you could be responsible for paying some or all of your medical costs.
Every health insurance plan may have different rules for in-network and out-of-network coverage costs and the types of providers you can visit under the plan.
The types of doctors and other health care providers that could potentially be in your plan network may include:
Humana Medicare Advantage plans may also include contracted retail and mail order pharmacies, depending on the type of plan you have and whether your plan offers benefits for prescription drug coverage.
If you need help finding a Humana Medicare Advantage plan that accepts your current doctor, you can call a licensed insurance agent 2 directly at 1-800-472-2986 TTY Users: 711 24 hours a day, 7 days a week. You can also request a free plan quote online to compare your options, with no obligation to enroll in a plan.
Over 5 million people choose Humana for their Medicare Advantage plan. 3