Humana PFFS Plans

Humana offers Medicare Advantage private fee-for-service (PFFS) plans.

You may want to consider a Humana PFFS Medicare plan if you value having the flexibility to see almost any health care provider you choose, as long as they participate with Medicare and have accepted the plan’s terms and conditions of payment.

Learn more about Humana PFFS plans and get help finding the Medicare Advantage plan that fits your needs.

How Does the Humana PFFS Plan Work?

In lieu of the “managed care” structure of some other types of Medicare Advantage plans, a Humana PFFS plan reimburses doctors and other health care providers for each specific service rendered.

The result is an experience where beneficiaries can receive treatment on a service-by-service basis, which can help offer greater transparency into costs and can help reduce surprise bills.

As a member of a Humana PFFS plan, you may choose a primary care physician (PCP) if you wish. But unlike some other types of Medicare Advantage plans, you are not required to select a PCP.

With a Humana PFFS plan, you do not need to obtain a referral in order to visit with a specialist.

Humana PFFS Plan Benefits

A Humana PFFS plan provides all of the same coverage as Original Medicare, which includes Medicare Part A (hospital insurance) and Medicare Part B (medical insurance), and it may include a number of additional benefits not covered by Original Medicare (Part A and Part B).

Some of these additional benefits may include:

• Prescription drugs 2
• Routine dental
• Routine vision
• Coverage for most annual preventive screenings, at no additional cost to you
• Hospitalization coverage
• Access to Mail-delivery pharmacy

Benefits may vary based on the specific plan and location.

How Do I Enroll in a Humana Medicare Advantage Plan?

Call 1-855-298-6309 TTY Users: 711 24 hours a day, 7 days a week to speak with a licensed sales agent 3 and to find a Medicare plan from Humana that may be right for you. There is no obligation to enroll in a plan.

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MedicareAdvantage.com is a website owned and operated by TZ Insurance Solutions LLC. TZ Insurance Solutions LLC is a licensed and certified representative of Medicare Advantage HMO, PPO and PFFS organizations and stand-alone prescription drug plans with a Medicare contract. Enrollment in any plan depends on contract renewal.

Not all plans offer all of these benefits. Availability of benefits and plans varies by carrier and location. Deductibles, copays, coinsurance, limitations, and exclusions may apply.

We do not offer every plan available in your area. Currently we represent 43, which offer 3,745 products in your area. Please contact http://medicare.gov, 1-800-Medicare, or your local State Health Insurance Program (SHIP) to get information on all of your options.

Out-of-network/non-contracted providers are under no obligation to treat Plan members, except in emergency situations. Please call the Plan’s customer service number or see your Evidence of Coverage for more information, including the cost-sharing that applies to out-of-network services.

The plans we represent and their subsidiaries do not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity, or religion English: ATTENTION: If you do not speak English, language assistance services, free of charge, are available to you. Call 1-844-624-0924 TTY Users: 711. Español (Spanish): ATENCIÓN: Si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1-844-624-0924 TTY Users: 711. 繁繁繁繁(Chinese): 注意：如果您使用繁體中文，您可以免費 獲得語言援助服務。請致電1-844-624-0924 TTY Users: 711.

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