Humana Medicare Advantage Plan Information

By Harold Robinson


Humana is an insurance company offering Medicare PPO, HMO, stand alone and PFFS prescription plans in contract with them. These different plans would help you acquire the specific services you need and the option of choosing your physician or not. These are in Part C and can provide additional benefits to you.

When you choose HMO then your physician must be in their network while with PPO you can choose either in or out of them. The PFFS is also open for physicians outside their network but must accept the terms and rates of this insurance company. Here are several important guides in choosing a Humana Medicare Advantage plan that is right for you.

Determine the changes of your overall costs within the next year by comparing the plans available and their fees. They may have zero dollar premiums but they would still need to make money so they would be getting this somewhere else like drug prices. Doing a detailed comparison would help you get ideas on how much money you will be spending.

Check if all your prescription drugs are still included in the list of those covered by the plan before choosing one of them. These are formerly viewable only by those who were customers already of Medicare but not those who will be enrolling. But it is viewable for everybody so they could make a decision better and some of them are area specific.

Find out how they will treat your expensive medications and if they will be going to increase them directly or move them in a tier that is more expensive. Most companies have five tiers with one of those for the ones that have high costs. Though money could still be saved with the because a five percent discount is still there when you buy these medicines.

Filling prescription drugs on a pharmacy preferred by your plan would save you some money specially those in mail order. Filling in non preferred ones is still possible but they tend to be more expensive when you choose to do this instead. Call the pharmacy where you currently fill up at and make sure they are still included in the preferred pharmacies.

There was a new rule that took effect which denies those prescriptions for Part D which were not written by enrolled Medicare provider. This is applicable as well to those professionals authorized to write a prescription and not only physicians so getting enrolled is a must. Make sure you would check this with them so there will be no surprises when you are not given your medicine.

The coverage gap happens when you reach a certain amount of your insurance and while in there the percentage you pay changes. For generic drugs, you will be paying fifty eight percent of the cost and those with brand names would be forty five percent. Though this would become twenty five percent only by the year 2020.

Those whose income is low enough, they could qualify for the Extra Help program. This is a financial assistance given by Medicare in buying their medicines. This program could be complicated so ask help from your state counselor.




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