Humana Waiving Copays



As a number of states start to come online and reopen, Humana has announced that it is waiving member costs for all primary care and behavioral health visits for its 4.5 million Medicare Advantage members through the end of the year.

Humana waiving copays for providers

Did you enable cookies? Go to the home page Why do I need to enable cookies to use this site. A cookie is a tiny piece of text asking permission to be placed on your computer's hard drive. During this time of uncertainty, Humana continues to invest in efforts to help people achieve their best health and that now includes waiving all cost sharing—including copays, coinsurance, and deductibles—for in-network primary care, behavioral health and telehealth visits for the remainder of the calendar year.

For its population of seniors enrolled in its MA plans, Humana is waiving all cost sharing, including copays, coinsurance and deductibles – for in-network primary care and behavioral health – for both in-person and telehealth visits.

These expanded cost-share waivers are effective as of May 1 and will remain in place through the end of 2020.

WHY THIS MATTERS

Humana is waiving in-network primary care costs, not only for COVID-19 costs, but all primary care visits for the rest of 2020. In addition, the company is waiving member costs for outpatient, non-facility-based behavioral health visits through the end of year.

Behavioral health issues, like depression, may be exacerbated because of the pandemic.

By eliminating these costs, members can re-engage with their physicians for primary care and behavioral health needs whether in-person or virtually.

The company is also delivering safety kits to members' homes that include masks and health-advice information.

THE LARGER TREND

The announcement follows new company COVID-19 prevention standards the company announced this week for its senior-focused primary care subsidiaries.

Many insurers have waived out-of-pocket costs related to testing and treatment for the coronavirus, and some, such as Humana, have waived cost-sharing for inpatient care.

Humana has also expanded telehealth services for at-home care, connected at-risk members with food delivery and expanded pharmacy deliveries.

ON THE RECORD

Bruce Broussard, president and CEO of Humana said, 'These actions are the latest in a series of efforts we're taking to support Humana members and help them best manage their chronic conditions and other health issues and ensure that we're living up to our commitment to meet their needs. By supporting members' safety and lowering financial barriers, we can also help facilitate the re-opening of the healthcare system and help bolster the economy.'

Twitter: @SusanJMorse
Email the writer: susan.morse@himssmedia.com

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Humana Waiving Copays

FSRBC offers Dental and Vision plans through Humana. Humana direct bills for these lines of coverage, which means that you will receive a bill directly from Humana, should you choose to enroll. Please contact Humana directly for any enrollment or billing questions.

Enrollment

Member Customer Service: 1 (800) 233-4013

How to Enroll

Enrollment in a FSRBC Humana Dental or Vision Plan can be completed independently online, or by sending an enrollment form to Humana for processing.

To enroll online:

  • Visit https://slservices.humana.com/enrollmentregistration/slfalogin.aspx; enter either login credentials applicable below
  • Non-Registered Users will securely authenticate your enrollment with your SSN, date of birth, and zip code
  • Registered Users—if already enrolled with Humana and previously registered at MyHumana.com, you can login with your user ID and password.
  • Once you have submitted your enrollment, if you have provided your email address to Humana, you will receive an email confirming your enrollment is being processed. This email will provide a link to the FRS/pension deduction authorization form, which you will complete if you want to pay through FRS/pension (see Dental and Vision Plan Billing and Payment section on this page for more details). The deadline for submitting the FRS/pension deduction authorization form to Humana will be noted in the email confirmation.
  • Check the “I am not a robot” box to proceed
Humana Waiving Copays

For assistance with online enrollment, please call Humana’s Customer Service at 1-800-233-4013.

To enroll via enrollment form:

  • Complete the form
  • Send to Humana through email at: NFLOpenEnrollment@humana.com
  • To submit the enrollment form via postal mail, please mail to:
    Humana
    14260 West Newberry Road, #183
    Newberry, Florida 32669
  • Once you have submitted your enrollment, you will receive an email from Humana confirming your enrollment is being processed. This email will provide a link to the FRS/pension deduction authorization form, which you will complete if you want to pay through FRS/pension (see Dental and Vision Plan Billing and Payment section on this page for more details). The deadline for submitting the FRS/pension deduction authorization form to Humana will be noted in the email confirmation.

Confirm your providers are in the Humana Network

Dental Providers: To confirm if your current provider accepts Humana Dental insurance, you can call your provider to verify or find in-network providers by visiting https://www.humana.com/finder/dental.

Humana Dental PPO Plans Network

  • PPO/Traditional Preferred (HDPPO/TRPREF)

Humana Dental HMO Plan Networks

  • HD205/DHMO (Low DHMO Plan)
  • HS195/DHMO (High DHMO Plan)

Vision Providers: To confirm if your current provider accepts Humana Vision insurance, you can call your provider to verify or find in-network providers by visiting https://www.humana.com/vision-insurance/find-an-eye-doctor.

Humana Vision

  • Humana Vision (Humana Insight Network)

How to Waive Coverage

Waiving coverage in a FSRBC Humana Dental or Vision Plan can be completed independently online, or by sending an enrollment form to Humana for processing.

Download free calibri font for mac. To waive online:

  • Visit https://slservices.humana.com/enrollmentregistration/slfalogin.aspx; enter either login credentials applicable below, check the CAPTCHA and proceed with securely enrolling online.
  • Non-Registered Users will securely authenticate your enrollment with your SSN, date of birth, and zip code
  • Registered Users—if already enrolled with Humana and previously registered at MyHumana.com, you can login with your user ID and password.
  • Once logged in, click on “Start Your Enrollment.” You’ll be able to waive coverage as part of the process you’ll be walked through.

To waive via enrollment form:

  • Send to Humana through email at: NFLOpenEnrollment@humana.com
  • To submit the enrollment form via postal mail, please mail to:
    Humana
    14260 West Newberry Road, #183
    Newberry, Florida 32669

Dental Plans

FSRBC’s dental coverage is provided through Humana Dental. Humana offers three PPO plans and two DHMO plans.

Humana Dental PPOs

Benefits (based on In-Network)Low PlanMedium PlanHigh Plan
Calendar Year Deductible$50$25$50
Annual Maximum Benefit Paid$800$1,250$2,000
Preventive Coinsurance (Plan Paid)100%
after deductible
100%
no deductible
100%
no deductible
Basic Coinsurance (Plan Paid)
Fillings, Emergency Visit
70%80%80%
Major Coinsurance (Plan Paid)
Extractions (Surgical), Dentures
50%50%50%
MONTHLY RATES
Retiree Only$34.30$40.39$47.87
Retiree + 1$68.27$69.36$95.32
Retiree + Family$88.96$99.20$123.77

Humana Dental DHMOs

BenefitsLow PlanHigh Plan
Preventive$0$0
Emergency Visit$20$10
Extractions (Surgical)$40$30
Root Canal$110-$250$100-$210
Dentures$375$325
MONTHLY RATES
Retiree Only$10.53$17.10
Retiree + 1$20.85$33.85
Retiree + Family$37.07$60.17

Vision Plans

FSRBC’s vision coverage is provided through Humana Vision. Humana Vision offers a Low and High plan. While both plans offer identical material copays as well as frame and contact lens allowances, the exam copay differs, as does the frequency of the frames benefit.

Humana Vision

In-Network BenefitsLow PlanHigh Plan
Exam Copay$10$5
Lens/Frames Copay$15$15
Lenses
Single / Bifocal / Trifocal / Lenticular
All Included
(In Network)
All Included
(In Network)
Frame AllowanceUp to $130
(20% off balance over $130)
Up to $130
(20% off balance over $130)
Contact Lenses AllowanceUp to $130
(15% off balance over $130)
Up to $130
(15% off balance over $130)
Frequency (based on date of service)
ExamEvery 12 monthsEvery 12 months
LensesEvery 12 monthsEvery 12 months
FramesEvery 24 monthsEvery 12 months
MONTHLY RATES
Retiree Only$6.58$7.64
Retiree + 1$13.15$15.28
Retiree + Family$21.42$24.58

FSRBC Dental and Vision Plan Billing and Payment

Download netflix on mac for free. Your monthly dental and vision premiums are due monthly to Humana —payment options include FRS/pension, ACH bank draft, and check or money order.

FRS/Pension

To pay for your dental and vision coverage through your FRS/pension, please download and complete the deduction authorization form.

Once you complete the form, email it to FRSAuthorization@humana.com (the email address indicated on the form itself).

If you do not have access to an email address, you can print and mail the form to the following address (please note that mailing your form will result in a delayed processing time):

Humana
ATTN: Billing 8th Floor
101 E. Main Street
Louisville, KY 40202

You will receive an email confirming that your FRS/pension payment method is being processed.

ACH/bank draft

With recurring ACH bank draft payment preference, you select your ACH bank draft date between the 1st and 10th of the month. Your monthly billing statement for dental and vision will outline how to set-up recurring ACH bank draft payments online through Humana.com

If you do not setup recurring ACH bank draft, you will need to pay your monthly dental and vision premiums by check or money order.

Billing statements and support

Billing statements are sent monthly and due on the first of the month; you can choose to remit monthly, semi-annual or annual premium payments but each month’s invoiced premiums are due at the first of that billing month.

Billing support, including establishing recurring ACH bank draft payments, is available through the Humana’s Customer Service Center by calling 1-877-829-5037 8:00am—6:00pm, Monday through Friday, Eastern Time.

FSRBC Dental and Vision Plan Payment Timing

Humana Dental and Vision monthly premiums are due each month on the 1st of the month. For example February premiums are due on February 1st.

FRS/Pension

Payment deducted on last business day of the month for following month (i.e. 12/31 for January coverage).

ACH/Bank Draft

Payment drafted on the 1st through the 10th of the billing month (i.e. if you select the 5th for your bank draft date then on January 5th you will be drafted for January coverage)

Check

Payment due on the 1st of the month for the month of coverage

Dental & Vision FAQs

What happens if I receive an invoice with the wrong benefits indicated?

Call Humana’s Customer Service at 1-800-233-4013

What happens if I receive an invoice with the wrong premium indicated?

Call Humana’s Customer Service at1-800-233-4013

What happens if I receive an invoice with the wrong payment preference indicated?

Call Humana’s Customer Service at 1-800-233-4013

What happens if I receive an invoice with the wrong name?

Call Humana’s Customer Service at 1-800-233-4013

Why did my rates increase?

Monthly premiums often change each year and are annually reviewed by FSRBC and their carrier partners; rates are adjusted accordingly based on plan changes and annual trends.

What if I need to update my address?

If you are currently enrolled in Dental or Vision, contact Humana Dental or Vision Member Customer Service.
Call Humana’s Customer Service at 1-800-233-4013

What happens if a retiree takes no action during Open Enrollment and finds out later they don’t have coverage?

Call Humana as soon as possible. Humana allows changes outside of a Life event in the month of January and Dental/Vision can be updated retroactively with payment.

What happens if a retiree was defaulted into the wrong plan and the retiree took no action during Open Enrollment?

Call Humana’s Customer Service at 1-800-233-4013

Are there dental waiting periods?

No

Are implants covered by Humana Dental?

No

The available plans do not meet my benefit needs, are there additional plans available?

FSRBC offers three PPO and two HMO plans as part of the dental offering and two vision plans. All plans offer a variety of coverage options.

My provider states I currently do not have coverage but I have paid my monthly premium?

Call Humana’s Customer Service at 1-800-233-4013

I have moved out of state and no providers are in my coverage network, can I change plans?

If you are enrolled in the DHMO dental plan and move to a service area with no providers, you can contact Humana to discuss changing to one of the PPO dental plans. The PPO dental plans allow benefits in or out of the network.

Check My Humana Benefits

Humana

How do I check to see if my provider is in-network?

Please see the “Confirm your providers are in the Humana Network” Section on our website for detailed instructions.

What is the age limit for dependents enrolled in dental and vision?

Unmarried dependents can be enrolled in the dental and vision plans until age 30. The exception for this would be for child who become incapable of self support due to a developmental disability or physical handicap.

Humana Waiving Copays

If a person retires from the District, returns to Active work and then their contract ends, are they still eligible for FSRBC?

Yes

If a retiree is under 65 (and therefore not yet eligible for FSRBC), but her spouse is over-65, can he join FSRBC before her?

Yes, the spouse is able to join (The District must provide the applicable information to FSRBC)

If a retiree elects to purchase Medicare Medical coverage outside of FSRBC, are they still eligible for the coverages through FSRBC?

Yes, if a retiree enrolls in a Medicare plan outside of FSRBC, they can still enroll in dental or vision coverage through FSRBC.

If a retiree returns to Active work, can they retain any of the FSRBC benefits?

No – the retiree (and spouse, if applicable) will have to move back to the District’s Active benefits while the retiree is in Active status.

Can I pay for my coverages using FRS/Pension?

Download grammarly free full version for mac. Yes, all premiums for Dental and Vision plans available through FSRBC can be deducted through your FRS pension.

Humana Vaccination

How do I obtain my Florida Retirement System (FRS) Monthly Statement?

Humana Benefits Card

Copays

Contact Florida Retirement Services (FRS) at 1-866-446-9377

What if I have questions about Florida Retirement System (FRS) monthly statements?

Cigna And Humana Waiving Copays

Contact Florida Retirement Services (FRS) at 1-866-446-9377