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Humana Group Medicare PFFS
Flexible, affordable coverage
The Humana Group Medicare Private Fee-for-Service (PFFS) plan gives members freedom to choose their healthcare providers.
The plan combines all the benefits of Original Medicare and many extras into one simple, easy-to-use plan. |
A simple choice
The PFFS plan is very simple. The plan doesn't have a list of providers, so your Medicare-eligible retirees have coverage with any provider who accepts Medicare patients and agrees to Humana's payment terms and conditions.
Members also have access to a variety of programs and services that promote healthy living and aging – at no additional cost. Value-added features include fitness programs and Humana Active OutlookSM.
And since Humana is one of the largest and most experienced Medicare benefits providers in the country, you have the advantage of working with a company that understands what employers and consumers want in their Group Medicare benefits.
How the plan works
With the Humana Group Medicare PFFS plan, members enjoy several features and benefits:
- Freedom to choose doctors, specialists, and hospitals
- Primary care doctor’s office visits and annual routine physicals
- No copayment for preventive services, including cancer screenings and immunizations, for most plans
- Emergency coverage anywhere in the world
When you add a Humana prescription drug plan, members get drug coverage equal to or better than the minimum requirements for a Medicare Part D plan – including coverage for all of the most commonly prescribed drugs for seniors.*
*Top 100 drugs by number of prescriptions from Medicare drug card experience.
Advantages for employers
Humana Group Medicare – our products and our people – places the focus on what’s important to you and your Medicare-eligible retirees. We deliver the service and support you need, every step of the way, and give you the value you want for your health benefits dollar.
As an employer, you can depend on Humana for:
- Flexibility in choosing medical and prescription benefits, contribution amounts, and cost-sharing levels
- Dedicated account executive and implementation team
- Initial and annual enrollment meeting support
- Dedicated call center for members
- Fast and accurate claims payment
- Money-saving features such as our health resources and RightSourceSM, Humana's mail-order prescription drug service
MEMBER RESOURCES
Value-Added Services for Medicare Advantage Members
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Humana offers fitness programs to help Medicare members live healthy lifestyles. |
This life-enrichment program includes regular educational mailings, online content, seminars, discounts, and money-saving product offerings.
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Group Medicare members with Humana prescription drug coverage have access to RightSourceRx - Humana's prescription home delivery service by mail.
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