Humana Frequently Asked Questions
The following are frequently asked questions regarding the Humana health care with prescription drug coverage plans.
Humana has a long history in providing Commercial and Medicare Advantage health plans. They offered their first private Medicare Advantage plans in 1985. Humana Medicare Advantage plans include a full spectrum of integrated, senior-focused care management programs designed specifically to meet seniors' needs. They also have a comprehensive suite of health management programs designed to address the entire continuum of health needs for MSU's retiree population.
There will not be an MSU premium associated with the Humana plans for retirees with full university contribution hired on or before July 1, 2002. For retirees that are not fully vested, the premium associated will be based on the vesting contribution level consistent with current practice.
There is no longer a higher cost plan, Retirees have one option for health care moving forward, you will either be on the Medicare or the non-Medicare plan.
Note: For retirees enrolled in the Humana Group Medicare Advantage PPO, as the process exists currently, Medicare will continue to charge you a Medicare Part B premium. Existing Part B costs, including Late Enrollment Penalty (LEP) or Income Related Monthly Adjustment Amount (IRMAA) fees will apply consistently with current practice.
In addition, since the Humana plan includes Medicare Part D prescription drug coverage, for most people a Medicare Part D cost does not apply. However, as with Part B, Medicare Part D Late Enrollment Penalty (LEP) or Income Related Monthly Adjustment Amount (IRMAA) fee may apply. For more information on costs for Medicare Parts B and D, please see the links below:
Do I need to contact Medicare to enroll in Medicare Part D to be eligible and participate in this plan?
When searching for a provider, you may call the Humana Customer Care team for assistance at 1-800-273-2509, Monday through Friday, 8 am to 8 pm Eastern time. If you prefer self-service, you may also search online using the Physician Finder tool. With this tool, you will find nearby doctors, hospitals, pharmacies, and other healthcare providers in the Humana network. You can get phone numbers, addresses and maps, customize your search by specialty and see the distance from your home or work.
There are several ways to access the Physician Finder tool. You can visit Humana.com/PhysicianFinder, or visit the “Tools & Resources” page from your Humana MSU landing page:
Medicare Advantage PPO: https://our.humana.com/msu/
Non-Medicare PPO: https://our.humana.com/msu-commercial/
Once you access the tool, you will select the “Medical” tab.
- Input the desired zip code
- Look up by Coverage type “Medicare or Medicare-Medicaid”
- Select the 2021 coverage year
- Choose the “Medicare PPO 2021” network
- Input the desired zip code
- Look up by Coverage type “Insurance through your employer”
- Select the “Humana/ChoiceCare Network PPO” network
After inputting search criteria, you can search providers by name, specialty, or condition.
If a provider does not submit a bill to Humana, can and should a member submit a claim to Humana directly?
If I am on the non-Medicare plan, what if I move out-of-state, and it is not a Humana/ChoiceCare network service area?
Why is the Centers for Medicare & Medicaid Services (CMS) involved in the approval process of detailed information regarding the new Humana Group Medicare Advantage PPO plan?
CMS is a federal agency in the US Department of Health and Human Services (HHS) and they administer the Medicare program and work in partnership with state governments to administer Medicaid, the Children's Health Insurance Program (CHIP), and health insurance portability standards. The new Humana Group Medicare Advantage PPO plan is a Medicare Advantage and Prescription Drug (MAPD) plan, and CMS requires that all MAPD plan designs and informational materials go through an approval process with CMS before they may be released to the public. The process is in place to protect consumers from fraud and abuse in the health care marketplace.
If there is a problem at the provider’s office and they accept Medicare but do not want to bill Humana, can I contact Humana for assistance?
While the Humana plans combine health and prescription coverage, dental coverage is not impacted and will continue to be offered through Aetna and Delta Dental consistent with current practice.