HUMANA MEDICARE ADVANTAGE EMPLOYER HMO

Humana is pleased to offer several enhanced benefits for 2021! Compare benefits and rates when you are choosing an OGB sponsored plan to determine what best fits your needs. Humana’s HMO service area includes all parishes in Louisiana.

About the OGB Humana Medicare Advantage Employer HMO plan:

  • Part D prescription drug benefits provided by Humana.
  • Worldwide emergency coverage for emergency Medicare-covered services.
  • Robust Provider network.

Covered Benefit

Member Share

Plan Year Deductible

$0

Maximum Out-of-Pocket Expense

$2,000

Office Visit

Primary Care /Specialist

PCP – $0 Copay

Specialist – $10 Copay

Emergency Room

$50 co-pay per visit; waived if admitted within 24 hours

Inpatient Hospital

$50/day (days 1-10)

Prescription Drugs (Part D)

 
  •  Tier 1 – Preferred Generics and generics
  •   $0 copay
  •  Tier 2- Preferred Brand
  •   $20 copay
  •  Tier 3 – Non-Preferred Brand
  •   $40 copay
  •  Tier 4 – Specialty
  •   20%
You may view the formulary at www.humana.com

Additional Benefits

Virtual Visits

Primary Care – 100%/ Specialist – $10 copay
Behavioral Health and Substance Abuse – 100% – $10 copay

Routine Hearing Exam

One hearing exam per year; up to $500 reimbursement allowance for hearing aids per year.

Routine Vision

Meals after Inpatient Stay

Go365 by Humana
 

Silver Sneakers

100% for routine exam, up to 1 per year

 
14 meals available post-discharge

 
Wellness program that rewards Medicare beneficiaries for completing eligible health activities that help them establish and maintain a healthy lifestyle

A total health physical activity program included in your plan at no extra cost. www.sliversneakers.com

 

CONTACT INFORMATION

Humana

www.Humana.com

1-877-889-9885

7:00 AM – 7:00 PM

Monday – Friday

Provider Directory

Online Directory

To request a printed directory – 1-800-457-4708

Plan Information

Guide Book

Summary of Benefits

Prescription Drug Guide

Go 365 Wellness

Benefit Comparison

Premium Rates