Humana Medicare Insurance Review & Complaints: Health Insurance (2024)

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As one of the biggest health insurance companies in the nation, Humana covers millions of people and is a major player in Medicare as well. They offer a full range of products including Medicare Advantage plans , Part D, and Medicare Supplement options across the nation.

This Humana Medicare review will look at the plan options, as well as how to get Humana Medicare quotes. We’ll help you to decide in Humana is right for your Medicare coverage needs.

Before you decide whether or not to buy Humana insurance, it’s a good idea to shop around. Enter your ZIP code now to compare rates from health care providers.

What products does Humana Medicare offer?

Humana Medicare plans cover all of the bases. Humana Medicare Advantage plans are available, as well as supplemental insurance like Part D prescription drug plans and Medicare Supplement.

What is Humana Medicare Advantage?

Humana Inc. offers three types of Medicare Advantage Plans : one is an HMO, one a PPO, and the last a more unusual PFFS (Private Fee For Service) plan. Plan availability and details vary from state to state; we checked out plans in our usual sample area in Southern California.

The Humana Gold Plus HMO plan is an HMO plan using a managed care system. Coverage is only available in-network, which generally makes these plans more affordable. Our sample area search turned up two versions of the Gold Plus plan. In our sample area only these HMO plans were offered, and no PPO or PFFS plans.

The first Gold Plus plan is a zero-deductible plan that features no copays for either primary care or specialist visits, and no hospital copay either. This plan includes prescription drug coverage without a deductible, and also includes dental and vision coverage from a network of providers, as well as hearing.

The second has a $183 deductible for medical and a $405 deductible for prescriptions. Copays are again $0 for primary care and specialist visits, but hospital care is $480 a day for the first three days, $0 thereafter.

The first Humana health insurance plan is a $0 premium plan (meaning there is no additional cost above the regular Medicare Parts A & B premiums. The second has a small monthly fee. There is not an explanation as to why these health insurance policies that have higher out-of-pocket costs have a higher premium, but this is usually related to the available network of care.

Does Humana offer Part D?

Our sample returned three results for Part D plan offerings.

The first is a part of Humana’s Walmart partnership and is the least expensive choice. Copays are as low as $1 for Tier 1 drugs when they are purchased from a Walmart, Sam’s Club, or Walmart Neighborhood Market pharmacy. The plan has an annual $405 deductible, but this does not apply to Tiers one and two.

The next plan, Preferred, also partners with Walmart, but copays can be as little as $0 at those pharmacies, as well as from Humana’s mail-order pharmacy. Again, this plan has a $405 deductible, but it appears to apply to all Tiers.

Finally, the Enhanced plan has the highest monthly premium but no deductible at all. There appear to be no limitations on which pharmacy the insured can select. The $0 copay for mail-order still applies to this plan.

Does Humana offer Medicare Supplement?

In our test area, Humana offers a good selection of coverage options for the letter-coded standardized Medicare Supplement plans.

Like all medical insurance companies, they start with Plan A, which is the base plan that pays all of your Medicare coinsurance amounts as well as covering the first three pints of blood each year.

Beyond that they also offer Plans B, C, F (including the high deductible option), L, K, and N. While there are more standard medical insurance plans available elsewhere, this is a pretty good range of choices that includes Plan F; F covers all out of pocket costs with the high deductible option making it more affordable while helping to make health care costs predictable.

How much are Humana Medicare rates?

Humana makes it easy to find their healthcare rates, displaying them right next to the plan overview as part of the comparison.

For Humana Medicare Advantage, we already noted that one plan has does not have an additional premium beyond the base Medicare premium. The second plan came in at $20.40 a month for our sample area.

The three available Part D plans start at $20.40 a month for the base plan and increase up to $82.80 a month for the most expensive, no deductible plan.

The quoting system requires a little more information for Medicare Supplement insurance rates; we quoted a 65-year-old non-smoking female.

The Plan A rate came back at $188.27 a month, Plan F at $265.46 a month. With the high deductible option, Plan F came back at a much more affordable $67.20 a month.

Overall, we found Humana’s rates for our sample to be mainly reasonable and even on the low side. The exception to this is the Medicare Supplement insurance rates; both Plans A and F were much higher than what we have seen elsewhere. That said, the high deductible Plan F rate was lower than most other places, so the value in Humana’s Medicare Supplement insurance coverage really depends on the plan.

What are the pros and cons of Humana Medicare?

There are a lot of pros and cons to choosing Humana. Here’s a quick breakdown.

Pros:

• A lot of different plans, including both HMO and PPO options
• All levels of Medicare coverage are offered
• Partnerships with companies like Walmart make getting prescriptions easy

Cons:

• Leans towards HMO plans, which have a limited network
• Short-term plans aren’t offered
• Not all areas have access to the $0 premium plans

Who is Humana?

Humana was founded in 1961 as a nursing home company called Extendicare. In 1968 it ranked as the largest such company in the nation. By 1972 the company had dropped the nursing home business and started purchasing hospitals, moving towards future status as the nation’s biggest owner of hospitals. The 1974 name change to Humana was part of an effort to change public perception of the company to one that put people first.

During the 1980s Humana started offering its own health insurance plans, and by 1993 had sold off most of its hospital operations to move more heavily into the managed health care market. 2006 saw the company start a major push into Medicare Advantage, with a mass mailing campaign that led to a 2009 government investigation of some of the claims made in these mailings.

In spite of the controversy, Humana’s share of the Medicare industry has grown to put them at the head of the pack. A 2015 merger attempt with Aetna that would have made the combined company a giant in Medicare was shot down by the courts in 2017.

Humana partners with Walmart to place Medicare Part D agents in their stores and provide prescription assistance, and in 2018 announced a partnership with Walgreens pharmacies that will create a primary care network in stores that is focused on senior care.

Humana is headquartered in Louisville, Kentucky, and ranked at number 56 on the Fortune 500 list for 2018. Fortune also ranked the company at number 2 in its industry on the list of the World’s Best and Most Admired Companies for 2018.

Humana Medicare: Navigating the Path to Smooth Claims Processing

Ease of Filing a Claim (Online, Over the Phone, Mobile Apps)

Filing a claim with Humana Medicare Insurance is designed to be a straightforward process. Most claims are typically handled directly with the healthcare provider. However, Humana does provide claims forms on their website for download in case they are needed in rare situations.

Additionally, they offer a toll-free customer service number for assistance with any claim difficulties, which can be found on the member card.

Average Claim Processing Time

The average claim processing time can vary depending on the nature of the claim and the specific circumstances. Humana Medicare Insurance aims to process claims efficiently and in a timely manner to ensure that policyholders receive the benefits they are entitled to.

For specific information on claim processing times, it’s recommended to contact Humana directly or refer to the terms and conditions of the policy.

Customer Feedback on Claim Resolutions and Payouts

Customer feedback regarding claim resolutions and payouts with Humana Medicare Insurance can provide valuable insights into the overall customer experience. While individual experiences may vary, it’s important to consider reviews and feedback from other policyholders to gauge the company’s performance in this regard.

Humana has generally received positive feedback for its claims handling and resolution processes. However, it’s advisable to research and read reviews from current and former policyholders to gain a comprehensive understanding of their experiences.

Read more: Humana Insurance Review & Complaints: Health Insurance

Humana Medicare Digital and Technological Features

Mobile App Features and Functionality

Humana offers a mobile app that provides policyholders with convenient access to their insurance information and healthcare resources. The app typically includes features such as the ability to view policy details, check claim status, find healthcare providers, and access wellness resources.

Policyholders can use the mobile app to manage their insurance needs on the go, making it a valuable tool for those seeking digital convenience.

Online Account Management Capabilities

Policyholders with Humana Medicare Insurance can take advantage of online account management capabilities through the company’s website. These features allow users to log in to their accounts, view policy information, make premium payments, track claims, and update personal information.

Online account management provides a convenient and efficient way to stay informed and in control of one’s insurance coverage.

Digital Tools and Resources

Humana typically provides a range of digital tools and resources to support policyholders in managing their healthcare and insurance needs. These may include online health assessment tools, wellness programs, educational resources, and access to telehealth services. These digital resources aim to empower policyholders to make informed healthcare decisions and maintain their well-being.

Please note that specific features and functionalities may evolve over time, so it’s advisable to visit Humana’s official website or contact them directly for the most up-to-date information on their digital and technological offerings.

What’s the bottom line?

Humana offers mainly managed care HMO programs, which may not appeal to everyone. They do have some very affordable Medicare plans, at least in our sample area, and that low cost is partially due to the limited network. For those who do not mind an HMO, as well as for those who don’t mind using specific pharmacies, these plans are a pretty good value.

Affordable Humana Medicare coverage might be available to you, but it always pays to shop around. Enter your ZIP code now and get fast, free quotes.