Humana Insurance: Overview

Humana was founded in 1961 and offers health insurance coverage in all 50 states.

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About Humana

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.

During the 1980s, Humana entered the health insurance business and divested its hospital interests in the 1990s. In 1998, Humana and UnitedHealth Group (UNH) planned a merger worth $5.5 billion but didn’t finalize it after UnitedHealth Group posted almost $1 billion in quarterly losses that same year. 

In 2001, Humana partnered with Navigy to create an online web portal called availity.com, which enables physicians and health providers to conduct business with the two companies. Four years later Human partnered with Virgin Group, offering financial incentives to those with healthier lifestyles. In 2006, Humana launched RightSource, a nationwide pharmacy business. In March 2008, Fortune Magazine named Humana one of the top five “most admired healthcare companies in the U.S. 

Humana (HUM) is the third-largest health insurance provider in the US. Their headquarters are in Louisville, Kentucky. Humana has over 13 million customers in the U.S and is 73rd in Fortune 500 rankings. Humana no longer offers individual medical insurance. However, you can shop rates on their website with partner carriers. Or, you can compare quotes here.

Humana Facts & Ratings

Year Founded1961
Medicare Star Rating 3 stars (out of 5)
BBB RatingA+
NAIC Complaint Index0.40% for individual health
NAIC Complaint Index0.46% for group health

Humana Mobile App Rating

iOS
     3.1561 users
Android
     3.93,372 users

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.

Pros & Cons of Humana

  • Humana Health Insurance is a trusted and reliable source for Medicare Supplements and Medicare Advantage.
  • Humana offers commercial health insurance options.
  • Humana Health Insurance no longer offers individual and family health plans.

Humana Enrollment Process

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

How to file a claim with 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

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.

Who is eligible for Humana insurance?

If you are eligible for Medicare you are eligible for Humana Insurance. If you are a citizen of the U.S or have been a legal resident for at least 5 years and are age 65 or older and you or your spouse worked for at least 10 years (or 40 quarters) n Medicare-covered employment.

What are the Humana Part D 2020 Plans?

New in 2020 is Humana’s Walmart Value Rx Plan, which is $13.20 a month and available in 47 states plus the District of Columbia. Redesigned for 2020, the Premier Rx Plan offers broader coverage for prescription drugs. The Humana Basic Rx Plan remains the same and is designed to keep copays between $0 and $1 after a deductible. The Humana Part D plan is the prescription drug plan.

What does Humana’s Medicare Advantage Plan cover?

Medicare Advantage is a private version of Original Medicare. If you choose Humana’s Medicare Advantage over Original Medicare, you are choosing Medicare Part C, which replaces Part A and B. Humana offers HMO plans which are the most affordable. Plus, Human offers PPO plans, PFFS plans, and Special Needs Plans (SNPs). Depending on whether or not you have a chronic condition you can choose a plan based on your individual needs.

How to order OTC with Humana pharmacy online?

First, download the Humana Pharmacy mobile app (see more on this above). You can then order OTC products online through your HumanaPharmacy.com account. You also have the option of mailing or faxing the Health and Wellness Products Order Form after filling it out.

What is Humana Basic Rx Plan™?

The Humana Basic Rx Plan remains the same and is designed to keep copays between $0 and $1 after a deductible.

Where is the policy number on the Humana insurance card?

Your policy number can be found on the front of your insurance card.

Is Humana dental insurance good?

Humane offers PPO, DHMO, discount and value dental plans. You can find dental insurance for any budget. Humana also has an extensive list of in-network providers.

What does Humana’s vision plan cover?

Humana’s affordable vision plan includes an annual vision exam, yearly allowance toward contact lenses or set of eyeglass lenses with minor copay plus options for specialty lenses (progressive bifocals, anti-scratch, tinted, etc.), frame allowance every 12-24 months (includes designer brands) and potential discounts on services like Lasik or PRK.

Does Humana PPO cover cataract surgery?

Humana’s Medicare Advantage plan offers the MyOption Vision Plan which may cover eye surgery such as cataract surgery.

Does Walmart accept Humana insurance?

New in 2020 is Humana’s Walmart Value Rx Plan, which is $13.20 a month and available in 47 states plus the District of Columbia.

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
Linkedin https://www.linkedin.com/company/humana/

Methodology

The information listed on this page is from our own in house research. It is accurate as of the article publish date. Visit the carrier website for additional information.


How does Humana compare to other health insurance companies?

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