CareSource vs. Humana Insurance

Which health insurance company is the best option for you and your family? Compare CareSource and Humana side by side.

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CareSource vs. Humana: What You Need to Know

In 1989, CareSource was founded on the premise of providing quality health care coverage for Medicaid consumers. Today it offers one of the nation’s largest Medicaid managed care plans. CareSource also offers private health insurance plans on the Health Insurance Marketplace, including Medicare Advantage and MyCare Ohio plans. CareSource has more than 1.9 million members across five states. The company employs about 3,800 people and is considered a nonprofit organization.

Humana is a leading managed health care company founded by David A. Jones Sr in 1961 as a nursing home company called Extendicare. In 1972 Extendicare divested the nursing home business and moved into the hospital business. They changed the name to Humana in 1974.

To learn more about each company, you can check out the CareSource Overview and Humana Overview.

What is CareSource and Humana Insurance Rating?

Which health insurance company is better? We've made it easy to compare companies side by side. See how CareSource and Humana ranked among the industry ratings.

ComparisonCareSourceHumana
Year Founded19891961
Medicare Star Rating2.5 stars (out of 5)3 stars (out of 5)
BBB RatingA+A+
NAIC Complaint Index7.17%0.40% for individual health

Pros & Cons of CareSource or Humana

Pros

CareSource
  • CareSource is one of a few options that lower-income, underserved communities have for a managed health plan.
  • Affordable marketplace plans with different tiers of coverage.
Humana
  • Humana Health Insurance is a trusted and reliable source for Medicare Supplements and Medicare Advantage.
  • Humana offers commercial health insurance options.

Cons

CareSource
  • CareSource has a high number of complaints.
Humana
  • Humana Health Insurance no longer offers individual and family health plans.

CareSource and Humana Mobile Apps Options

The CareSource app allows you to view your digital ID Card, find a doctor, file claims, make payments and more.

The MyHumana app allows users to find doctors, hospitals, and pharmacies, view claims, and pay your bill. They also offer an app called Humana Pharmacy which helps you to manage your prescriptions.

CareSource Mobile App
iOS     41K users
Android     3.3397 users
Humana Mobile App
iOS     3.1561 users
Android     3.93,372 users

CareSource and Humana Enrollment Process

CareSource

CareSource is available through the health insurance marketplace by searching plans here or you can get several free health insurance quotes here.

Each state has their own marketplace. If you’re not sure where to begin, visit https://www.healthcare.gov/. Also, remember that CareSource only covers Ohio, Kentucky, Indiana Georgia and West Virginia.

Humana

You can begin the enrollment process here or you can have an agent assist you for several free health insurance quotes here.

How to File a Claim with CareSource and Humana Insurance

CareSource

CareSource accepts claims in various formats, including paper and electronic claims. Reimbursement is based on the prevailing state Medicaid or Medicare fee schedule. With Marketplace Plans, you can make claims inquiries at (866) 286-9949 (Indiana), (855) 852-5558 (Kentucky), (937) 224-3300 (Ohio), (678) 214 7500, (Georgia) and (855) 202-1091 (West Virginia). Visit your app or www.caresource.com to find the right claim forms for the state in which you live.

Humana

To submit electronic claims, you or your billing agent need to use a third-party claims clearinghouse vendor, like Availity. For paper claims, you need to complete the right claim forms.

Paper claims and encounters submission addresses for Humana medical claims:

Humana Claims: P.O. Box 14601, Lexington, KY 40512-4601

HumanaDental® claims: P.O. Box 14611, Lexington, KY 40512-4611

Humana encounters: P.O. Box 14605, Lexington, KY 40512-4605

Claim overpayments: Humana, P.O. Box 931655, Atlanta, GA 31193-1655

HumanaOne® claim submissions: HumanaOne, P.O. Box 14635, Lexington, KY 40512-4633

Common Questions About Humana and CareSource Insurance

CareSource

What is covered by CareSource?

Medicaid-covered services are offered at no cost, with no copays for visits and prescriptions. Transportation to and from appointments are covered if you must travel 30 miles or more from your home to a health care service. You will have CareSource24, which is a 24/7 access to a registered nurse. You will also be covered for behavioral health, disease management programs.

Does CareSource provide transportation?

To be covered for transportation, you must travel 30 miles or more from your home to a health care service.

How to renew CareSource coverage:

You can renew your benefits using the drop-down menu for members on the CareSource website.

What are CareSource Marketplace Plan Benefits?

CareSource marketplace plans cover the essentials like pregnancy, maternity and newborn care; prescription drugs; outpatient care; emergency services; hospitalization; mental health and substance use disorder services; rehabilitative/habilitative services and devices; laboratory services; preventive and wellness services; and pediatric services, which include dental and vision.

Humana

Is Humana a good healthcare insurance company?

Humana is one of the better-known health insurance companies in the U.S. IT is financially strong and was rated A- by A.M Best, a respected insurance rating organization. Humana has been awarded by several organizations, like the Dorland Health Award for exceptional service. It also won the J.D Power and Associates Award for Highest Member Satisfaction for group health insurance in several states.

What states offer Humana Insurance?

Humana offers insurance in all 50 states but coverages vary by state.

Is Humana Insurance only for seniors?

Humana Insurance offers Medicare plans and group plans for employers. Currently, it is not offering individual & family plans (2020).

What are the different types of Humana plans?

For Medicare plans, Humana offers Medicare coverage options outside Medicare Parts A and B, long-term care, dental care, vision care, some transportation services, prescription coverage, DME coverage, overage for deductibles for Medicare Part A and Part B and more. It offers Medicare Advantage and Medicare Supplement plans.

CareSource and Humana Insurance Contact Info

CareSource Contact Info
Address230 N. Main St., Dayton, OH 45402
Phone1 (937) 224-3300
Websitehttps://www.caresource.com/
Facebookhttps://www.facebook.com/CareSource/
Youtubehttps://www.youtube.com/watch?v=GU8XjYqtJ-0
Twitterhttps://twitter.com/caresource
Linkedinhttps://www.linkedin.com/company/caresource/
Humana Contact Info
Address300 E. Randolph St. Chicago, IL 60601
Phone1 (800) 654-7385
Websitehttps://www.humana.com/
Facebookhttps://www.facebook.com/Humana/
Youtubehttps://www.youtube.com/humana
Twitterhttps://twitter.com/Humana
Linkedinhttps://www.linkedin.com/company/humana/

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