EN
登录

Humana的2025年医疗保险优势计划侧重于根据消费者需求量身定制的高质量、负担得起的医疗保健

Humana’s 2025 Medicare Advantage Plans Focus on Quality, Affordable Healthcare Tailored to the Needs of Consumers

businesswire 等信源发布 2024-10-01 17:55

可切换为仅中文


LOUISVILLE, Ky.--(BUSINESS WIRE)--Leading health and well-being company Humana Inc. (NYSE: HUM) today announced its Medicare Advantage and Medicare Prescription Drug Plan offerings for 2025.

肯塔基州路易斯维尔(商业新闻短讯)--领先的健康和福祉公司Humana Inc.(纽约证券交易所代码:HUM)今天宣布了2025年的医疗保险优势和医疗保险处方药计划。

Humana’s plans are tailored to meet the varying needs of Medicare beneficiaries, providing them with affordable options during the upcoming Medicare Advantage Annual Election Period (AEP) Oct. 15-Dec. 7. During this time, Medicare beneficiaries can review changes to their current plan and determine if the plan still meets their needs for the next year..

Humana的计划是为了满足医疗保险受益人的不同需求而量身定制的,在即将到来的10月15日至12月7日的医疗保险优势年度选举期间,为他们提供了负担得起的选择。在此期间,医疗保险受益人可以审查对其当前计划的更改,并确定该计划是否仍能满足其明年的需求。。

“Our members want benefits that work for their lives, which is why we don’t view Medicare Advantage as a one-size-fits-all option,” said George Renaudin, Humana’s President of Medicare and Medicaid. “Our members have told us what benefits really matter to them. We listened and created affordable health plans that offer high-quality care and align with what they want and need.”.

Humana的Medicare和Medicaid总裁乔治·雷纳丁(GeorgeRenaudin)表示:“我们的成员希望获得对他们的生活有效的福利,这就是为什么我们不将Medicare Advantage视为一刀切的选择。”。“我们的成员告诉我们什么利益对他们真正重要。我们听取并制定了负担得起的健康计划,提供高质量的护理,并符合他们的想要和需要。”。

Based on member feedback, Humana is including coverage for new glasses every year in every plan with a vision benefit. Humana also is offering plans with comprehensive dental coverage that includes deep cleanings, fillings and crowns in nearly every county it serves.

根据会员反馈,Humana每年在每个计划中都包括新眼镜的覆盖范围,并提供视力福利。Humana还在其服务的几乎每个县提供全面的牙科覆盖计划,包括深度清洁、填充和牙冠。

Humana has a total of 793 individual Medicare Advantage plans throughout the country for 2025, offering people the ability to choose a plan that fits their budget and lifestyle. Highlights include:

2025年,Humana在全国共有793个个人医疗保险优势计划,使人们能够选择适合自己预算和生活方式的计划。亮点包括:

Flexibility to choose a doctor that is in or out of network – at the same cost. Humana Full Access PPO plans offer the freedom to see any doctor that accepts Medicare – at the same copay, no matter if the doctor is in or out of network, and without a referral. These plans may include dental, vision and hearing coverage.

灵活选择网络内外的医生–费用相同。Humana完全访问PPO计划提供了在同一时间看望任何接受医疗保险的医生的自由,无论医生是否在网络中,也不需要转诊。这些计划可能包括牙科、视力和听力覆盖。

Because of the popularity of the plans, Humana is expanding access with availability in 20 states in 2025..

由于这些计划的普及,Humana正在2025年扩大20个州的可用性。。

Money back in the member’s Social Security check every month. The $0 LPPO MAPD Giveback plans, available in 35 states, include prescription drug coverage and allow members to see any provider who accepts Medicare – including specialists – without a referral. The Part B Giveback benefit helps reduce their Part B premium every month..

每月退还会员社保支票中的款项。在35个州提供的0美元LPPO MAPD回馈计划包括处方药覆盖范围,允许会员无需转介即可看到任何接受医疗保险的提供者,包括专家。B部分回馈福利有助于每月降低B部分保费。。

Medicare Advantage plans designed with veterans in mind. The Humana USAA Honor Giveback plans, available to anyone eligible for Medicare, were co-created by Humana’s experts in Medicare Advantage and USAA’s experts in veteran needs. They offer a $0 monthly plan premium; a Part B giveback; flexibility in care options; and medical, dental, vision and hearing coverage that works alongside Veterans Affairs (VA) healthcare benefits.

Medicare Advantage计划是以退伍军人为中心设计的。Humana USAA荣誉回馈计划由Humana的Medicare Advantage专家和USAA的退伍军人需求专家共同创建,可供任何有资格享受Medicare的人使用。他们每月提供0美元的计划溢价;B部分回馈;护理选择的灵活性;以及医疗、牙科、视力和听力覆盖率,与退伍军人事务(VA)医疗保健福利一起发挥作用。

Humana also offers a veteran-specific customer care line (888-HUM-VETS) with a specially trained team to help members who are veterans navigate access to plan benefits..

Humana还提供了一条针对退伍军人的客户服务热线(888-HUM-VETS),并拥有一支经过专门培训的团队,帮助退伍军人获得计划福利。。

Plans designed for individuals eligible for both Medicare and Medicaid. Humana offers Dual-eligible Special Needs Plans (D-SNP) to simplify healthcare for people who are eligible for Medicare and Medicaid. These plans include dental benefits, care manager support and prescription drug coverage. Humana’s D-SNPs may also include vision or hearing benefits and a monthly Healthy Options Allowance to help pay for essentials, like eligible groceries, rent, utility bills and more.

为同时享受医疗保险和医疗补助的个人设计的计划。Humana提供双重符合条件的特殊需求计划(D-SNP),以简化符合Medicare和Medicaid条件的人的医疗保健。这些计划包括牙科福利、护理经理支持和处方药覆盖率。Humana的D-SNPs还可能包括视力或听力福利以及每月的健康选择津贴,以帮助支付必需品,如符合条件的杂货、租金、水电费等。

This allowance includes rollover, so any unused balance carries over each month..

该津贴包括展期,因此任何未使用的余额每月结转。。

Plans specifically for people who need extra support due to a chronic or disabling condition. Humana’s Chronic Condition Special Needs Plans (C-SNP) are designed for individuals who have a qualifying condition, including diabetes, chronic heart failure, cardiovascular disorders and COPD. All Humana C-SNPs include hearing, vision and prescription drug coverage as well as care manager support..

专门为因慢性病或致残而需要额外支持的人制定计划。Humana的慢性病特殊需求计划(C-SNP)是为患有糖尿病、慢性心力衰竭、心血管疾病和COPD等符合条件的人设计的。。。

Plans for Medicare beneficiaries living in long-term care facilities. Humana’s Institutional Special Needs Plans (I-SNP) serve members who reside in skilled nursing facilities. In partnership with Longevity Health, Humana’s I-SNPs are available in 13 states and include dental, vision and hearing benefits, transportation to and from eligible medical appointments, care manager support and more.

为居住在长期护理机构的医疗保险受益人制定的计划。Humana的机构特殊需求计划(I-SNP)为居住在熟练护理机构的成员提供服务。与长寿健康合作,Humana的I-SNP可在13个州获得,包括牙科,视力和听力福利,往返合格医疗预约的交通,护理经理支持等。

New in 2025, these plans also include music therapy sessions designed by a certified music therapist for eligible members with chronic conditions to increase engagement and reduce anxiety..

2025年新增的这些计划还包括由认证音乐治疗师为符合条件的慢性病成员设计的音乐治疗课程,以增加参与度并减少焦虑。。

All plans that provide coverage for prescription drugs, whether it’s part of a Medicare Advantage Prescription Drug plan or a stand-alone Part D Prescription Drug Plan, will see some benefit enhancements in 2025 under the Inflation Reduction Act. Members with Part D coverage will now have a $2,000 cap on out-of-pocket drug costs, and they will no longer have a coverage gap (donut hole) phase – simplifying payments and making prescription drug costs more predictable and affordable..

所有为处方药提供保险的计划,无论是Medicare Advantage处方药计划的一部分还是独立的D部分处方药计划,都将在2025年根据《通货膨胀减少法案》获得一些福利增强。拥有D部分保险的会员现在将拥有2000美元的自付药品费用上限,他们将不再有保险缺口(甜甜圈洞)阶段-简化支付并使处方药费用更可预测和负担得起。。

Humana’s stand-alone Part D Prescription Drug Plans are designed for individuals who enroll in Original Medicare and need medications covered. Updates to Humana Prescription Drug Plan benefits for 2025 include:

Humana的独立D部分处方药计划是为参加原始医疗保险并需要药物治疗的个人设计的。2025年Humana处方药计划福利的更新包括:

Humana Value Rx. Designed for consumers who prioritize low generic cost shares along with robust coverage at an affordable price. It includes:

Humana值Rx。。它包括:

$0 Tier 1 and Tier 2 copays at preferred pharmacies

首选药店的1级和2级共付0美元

$0 deductible for Tier 1 and Tier 2 medications

1级和2级药物的免赔额为0美元

Elimination of the coverage gap (donut hole)

消除覆盖间隙(甜甜圈孔)

$2,000 annual maximum out-of-pocket costs

每年最高自付费用2000美元

Humana Premier Rx. Designed for consumers seeking broad drug coverage and peace of mind. It includes:

Humana Premier Rx。专为寻求广泛药物覆盖和内心平静的消费者而设计。它包括:

$0 deductible

0美元免赔额

$0 Tier 1 copays at preferred retail pharmacies

首选零售药店的1级共付0美元

$0 Tier 1 and Tier 2 copays at mail-order pharmacies, like CenterWell Pharmacy (home delivery), for a 3-month supply

在邮购药店(如CenterWell Pharmacy(上门递送))支付0美元的1级和2级共付费用,为期3个月

Elimination of the coverage gap (donut hole)

消除覆盖间隙(甜甜圈孔)

$2,000 annual maximum out-of-pocket costs

每年最高自付费用2000美元

In 2025, Humana will have Medicare Advantage plan offerings in 48 states, plus Washington, D.C., and Puerto Rico, covering 89% of U.S. counties.

2025年,Humana将在48个州以及华盛顿特区和波多黎各提供医疗保险优势计划,覆盖美国89%的县。

In total, Humana is expanding its Medicare HMO offerings into 12 new counties and its Medicare Advantage LPPO plans in 17 new counties. The following plans will be available in new states for the first time:

总的来说,Humana正在将其医疗保险HMO服务扩展到12个新县,并将其医疗保险优势LPPO计划扩展到17个新县。以下计划将首次在新的州推出:

Humana USAA Giveback Honor plans will now be available in Washington, D.C.

Humana USAA奖励荣誉计划现在将在华盛顿特区推出。

D-SNPs will be offered North Dakota.

北达科他州将提供D-SNP。

C-SNPs have expanded to Arizona, Minnesota and New Mexico.

C-SNP已扩展到亚利桑那州,明尼苏达州和新墨西哥州。

I-SNP expansions include Iowa, Kentucky, Louisiana, New Mexico, Tennessee, Washington and West Virginia.

I-SNP的扩张包括爱荷华州、肯塔基州、路易斯安那州、新墨西哥州、田纳西州、华盛顿州和西弗吉尼亚州。

All Humana Medicare Advantage and Prescription Drug Plan members have the option to use CenterWell Pharmacy, a home delivery pharmacy that helps customers manage their prescription and over-the-counter medications with convenient, safe and on-time deliveries by mail to their front doorsteps or locations of their choice..

所有Humana Medicare Advantage和处方药计划成员都可以选择使用CenterWell Pharmacy,这是一家家庭送货药房,可帮助客户管理处方药和非处方药,并通过邮件将其方便、安全、及时地送到他们选择的前门或地点。。

Humana has served Medicare beneficiaries for decades, with more than 8.5 million Medicare members as of June 30, 2024. More than 5.6 million of those members are enrolled in a Medicare Advantage plan.

Humana为Medicare受益人服务了几十年,截至2024年6月30日,已有850多万Medicare成员。其中560多万人参加了Medicare Advantage计划。

For More Information. Humana offers in-person, online and telephone enrollment options. All enrollment options will connect Medicare beneficiaries with a licensed sales agent. For information about Humana’s Medicare plan options available in your area, visit Humana.com/Medicare or call toll-free 1-800-706-1368 (TTY: 711).

了解更多信息。Humana提供面对面、在线和电话注册选项。所有登记选项都会将医疗保险受益人与授权销售代理联系起来。有关您所在地区可用的Humana医疗保险计划选项的信息,请访问Humana.com/Medicare或拨打免费电话1-800-706-1368(TTY:711)。

Licensed sales agents are available 8 a.m. to 8 p.m. local time, seven days a week. Spanish language resources are available here..

持牌销售代理每周七天,当地时间上午8点至下午8点可用。这里有西班牙语资源。。

About Humana

关于Humana

Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers, and our company. Through our Humana insurance services, and our CenterWell health care services, we strive to make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it.

Humana Inc.(纽约证券交易所代码:HUM)致力于将健康放在第一位,为我们的队友、客户和公司服务。通过我们的Humana保险服务和CenterWell医疗保健服务,我们努力使我们服务的数百万人更容易获得最佳健康,即在他们需要时提供他们所需的护理和服务。

These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. Learn more about what we offer at Humana.com and at CenterWell.com..

这些努力正在为医疗保险、医疗补助、家庭、个人、军人和整个社区的人们带来更好的生活质量。请在Humana.com和CenterWell.com上了解更多有关我们提供的服务的信息。。

Additional Information

其他信息

Humana is a Medicare Advantage HMO, PPO, and PFFS organization and a stand-alone PDP prescription drug plan with a Medicare contract. Humana is also a Coordinated Care HMO SNP, PPO SNP plan with a Medicare contract and a contract with the state Medicaid program. Enrollment in any Humana plan depends on contract renewal.

Humana是Medicare Advantage HMO、PPO和PFFS组织,是一个独立的PDP处方药计划,拥有医疗保险合同。Humana也是一个协调护理HMO SNP,PPO SNP计划,具有医疗保险合同和与州医疗补助计划的合同。参加任何Humana计划都取决于合同续签。

Other providers are available in the Humana network. Allowance amounts cannot be combined with other benefit allowances. Limitations and restrictions may apply. Members who do not receive Extra Help are not eligible. Extra Help requirements do not apply to Puerto Rico DSNPs. The Part B Giveback Benefit pays part or all of your Part B premium and the amount may change based on the amount you pay for Part B..

Humana网络提供其他提供者。津贴金额不能与其他福利津贴合并。限制和限制可能适用。没有获得额外帮助的会员不符合资格。额外帮助要求不适用于波多黎各DSNP。B部分回赠福利支付您的部分或全部B部分保费,金额可能会根据您为B部分支付的金额而变化。。

The Humana USAA Honor Giveback plans are available to anyone eligible for Medicare and veterans should consider all of their health plan options. According to monthly enrollment by plan data from CMS accessed on 7/16/24, Humana leads the industry with 53% of market share within the veteran branded MA-only plans..

Humana USAA荣誉回馈计划适用于任何符合医疗保险条件的人,退伍军人应考虑他们所有的健康计划选项。根据CMS于24年7月16日获得的每月计划登记数据,Humana在老牌MA-only计划中以53%的市场份额领先业界。。

The Humana Premier RX Plan (PDP) and the Humana Value RX Plan (PDP) Prescription Drug Plan pharmacy networks include limited lower-cost, preferred pharmacies in urban areas of AR, CT, DE, IA, IN, KY, MA, MI, MN, MO, ND, NJ, NY, OH, RI, SD, TN, WI, WV; suburban areas of AZ, CT, DE, HI, IN, MA, MI, MN, MT, ND, NJ, NY, OH, PA, PR, RI, WI, WV; and rural areas of AK, IA, MN, MT, ND, NE, SD, VT, WY.

Humana Premier RX计划(PDP)和Humana Value RX计划(PDP)处方药计划药房网络包括AR,CT,DE,IA,in,KY,MA,MI,MN,MO,ND,NJ,NY,OH,RI,SD,TN,WI,WV等城市地区的有限低成本首选药房;AZ、CT、DE、HI、IN、MA、MI、MN、MT、ND、NJ、NY、OH、PA、PR、RI、WI、WV的郊区;以及AK,IA,MN,MT,ND,NE,SD,VT,WY的农村地区。

There are an extremely limited number of preferred cost share pharmacies in urban areas in the following states: DE, MI, MN, ND; suburban areas of MT and ND; and rural areas of ND. The lower costs advertised in our plan materials for these pharmacies may not be available at the pharmacy you use. For up-to-date information about our network pharmacies, including whether there are any lower-cost preferred pharmacies in your area, please call Customer Care at 1-800-281-6918 (TTY: 711) or consult the online pharmacy directory at Humana.com..

在以下州的城市地区,首选成本分摊药店的数量非常有限:DE,MI,MN,ND;MT和ND的郊区;和ND的农村地区。我们在这些药店的计划材料中宣传的较低成本可能无法在您使用的药店获得。有关我们网络药店的最新信息,包括您所在地区是否有成本较低的首选药店,请致电客户服务热线1-800-281-6918(TTY:711),或咨询Humana.com上的在线药店目录。。

Humana received the highest CX Index™ score among health insurers in Forrester’s proprietary 2024 Customer Experience Benchmark Survey. The proprietary survey results are based on consumers’ opinions of their experiences with the brands in the survey. Forrester Research does not endorse any company included in any CX Index report and does not advise any person to select the products or services of any particular company based on the ratings included in such reports..

在Forrester专有的2024年客户体验基准调查中,Humana在健康保险公司中获得了最高的CX Index™得分。专有调查结果基于消费者对调查中品牌体验的意见。Forrester Research不支持任何CX指数报告中包含的任何公司,也不建议任何人根据此类报告中包含的评级选择任何特定公司的产品或服务。。

Y0040_GCHMGGUEN_M

Y0040_GCHMGUEN_M