Humana Medicare Employer HMO (Medicare Advantage Plan)

Overview

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

Table showing the member's share for each covered benefit
Covered Benefit	Member Share
Plan Year Deductible	$0
Out-of-Pocket Maximum	$2,000
Co-pay - Primary Care/Specialist	$0/$20 per visit (In network)
Emergency Room	$50 co-pay per visit; waived if admitted within 24hrs
Inpatient Hospital	$50/day (days 1-10 in network)
Prescription Drugs (Part D)
Tier 1 - Preferred Generics and Generics Tier 2 - Preferred Brand Tier 3 - Non-Preferred Brand Tier 4 - Specialty	$0 copay $20 copay $40 copay 20% coinsurance

Visit the Humana website to view the formulary

Additional Benefits for Humana Medicare Employer HMO
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 Dental	$500 maximum benefit coverage amount per year for all preventive and comprehensive benefits.
Routine Vision	100% for routine exam, up to 1 per year
Meals after Inpatient Stay	28 meals available post-discharge
Silver Sneakers	A total health physical activity program included in your plan at no extra cost. www.silversneakers.com