Additional benefits may be available with a separate monthly premium. For more information see the Summary of Benefits.
Routine vision coverage
Routine dental coverage
Routine hearing coverage
Meal delivery service
Healthy Food Card
OTC drugs and supplies
SilverSneakers® fitness program â€
Transportation
Wigs (Chemotherapy)
Mental Health Services
Inpatient care at a psychiatric facility
Your plan covers up to 190 days in a lifetime for inpatient mental health care in a psychiatric hospital.
$0 copay per admission
Outpatient group and individual therapy visits
Cost share may vary depending on where service is provided
$0 copay
Dental Benefits
Additional dental benefits may be available with a separate monthly premium. For more information see the Summary of Benefits.
Medicare-covered dental services
$0 copay
Routine Dental
Bitewing x-rays up to 1 set(s) per year
$0 copay
Comprehensive oral evaluation or periodontal exam up to 1 every 3 years
$0 copay
Periodic oral exam up to 2 per year
$0 copay
Prophylaxis (cleaning) up to 2 per year
$0 copay
Amalgam and/or composite filling up to unlimited per year
$0 copay
Simple or surgical extraction up to unlimited per year
$0 copay
Necessary anesthesia with covered service up to unlimited per year
$0 copay
Maximum benefit
$2,500 combined maximum benefit coverage amount per year
Vision Benefits
Additional vision benefits may be available with or without a separate monthly premium. For more information see the Summary of Benefits.
Medicare-covered vision services
$0 copay
Diabetic eye exam
$0 copay
Glaucoma screening
$0 copay
Eyewear (post cataract surgery)
$0 copay
Routine Vision
Routine exam up to 1 per year
$0 copay
Contact lenses up to unlimited pair(s) per year
$0 copay
Eyeglasses-lenses and frames up to unlimited pair(s) per year
$0 copay
Fitting for eyeglasses-lenses and frames up to unlimited per year
$0 copay
Max benefits: contact lenses, eyeglasses-lenses and frames, fitting for eyeglasses-lenses and frames
$400 combined maximum benefit coverage amount per year
Additional notes
$0 copayment for routine exam up to 1 per year. $400 maximum benefit coverage amount per year for contact lenses, eyeglasses-lenses and frames, fitting for eyeglasses-lenses and frames or 3 pairs of select eyeglasses at no cost. Eyeglasses include polycarbonate lenses with ultraviolet protection and scratch resistant coating.
Hearing Benefits
Additional hearing benefits may be available with a separate monthly premium. For more information see the Summary of Benefits.
Medicare-covered hearing services
$0 copay
Routine Hearing
Fitting/evaluation up to 1 per year
$0 copay
Routine hearing exams up to 1 per year
$0 copay
Hearing aids (all types) up to 1 per ear per year
$1,000 maximum benefit coverage amount per ear per year
Preventive Benefits
In-network: $0 for the following preventive services when you see an in-network provider:
Bone mass measurement
Annual wellness visit
Breast cancer screening (mammogram)
Cardiovascular screenings
Cervical and vaginal cancer screening
Colorectal cancer screening
Diabetes screening
Immunizations
Lung cancer screening
Medicare diabetes prevention program (MDPP)
Prostate cancer screening exam
Routine physical exams
Plan Documents
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Documents
Summary of Benefits
View deductibles, copays and more.
English Spanish
Provider directory
Search the directory on Humana’s non-Medicare website.
List of providers
Pharmacy directory
Search the directory on Humana’s non-Medicare website.
List of pharmacies
Printable prescription drug list
Visit Humana’s non-Medicare website to see prescription drug tiers.
List of prescription drugs
Evidence of Coverage
See what’s covered, and what you pay as a member of this plan.
English Spanish
CMS plan ratings
Check how Medicare rates this plan’s quality and performance.
English Spanish
Florida DE-SNP are sponsored by Humana Medical Plan, Inc. and the State of Florida, Agency for Health Care Administration.
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Humana is a Medicare Advantage HMO, PPO and PFFS organization and a stand-alone prescription drug plan with a Medicare contract. Humana is also a Coordinated Care plan with a Medicare contract and a contract with the state Medicaid program. Enrollment in any Humana plan depends on contract ??
