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Humana Gold Choice PFFS
Flexible, affordable Private Fee-for-Service coverage
How the Humana Gold Choice PFFS plan works
With Humana Gold Choice, you may enjoy:
- Prescription drug coverage equal to or better than the standard Medicare Part D plan
- Covers all the most commonly prescribed drugs for seniors*
- An Affordable monthly plan premium, or in some areas, $0 plan premium
- No copayment for preventive services, including cancer screenings and routine immunizations
*Top 100 drugs by number of prescriptions from Medicare drug card experience.
Your doctors and Humana Gold Choice
Humana Gold Choice plans are a lot like "old-fashioned" insurance, so they're very simple.
- No list of providers: Freedom to see almost any doctor, specialist, or hospital in the United States
- No need for referrals: You have the power to control your own use of health services
With this plan, you have a lot of flexibility in selecting where you receive care. You can see any provider who accepts Medicare payment and accepts the terms, conditions, and payment rate of Humana. Before seeking treatment you must verify that the provider will accept the Humana Group Medicare PFFS plan's terms and conditions.
Here's why: acceptance of a PFFS plan is optional, and the provider has the right to choose whether to accept a Private Fee-for-Service plan's payment terms and conditions every time you see them. So take a few minutes to call and check - just to be sure.
"I don't know how any other plan could compete with the Humana Medicare Advantage plan and all of their amenities and the benefits that you get ..." Ed Gaskill, Humana Gold Plus Member
An Insurance Company with a Medicare Advantage contract to offer a Private Fee-for-Service plan available to anyone enrolled in both Part A and Part B of Medicare through age or disability. Enrollment period restrictions apply, call Humana for details. A Medicare Advantage Private Fee-for-Service plan works differently than a Medicare supplement plan. Your doctor or hospital is not required to agree to accept the plan's terms and conditions, and thus may choose not to treat you, with the exception of emergencies. If your doctor or hospital does not agree to accept our payment terms and conditions, they may choose not to provide health care services to you, except in emergencies. Providers can find the plan's terms and conditions on our Website at www.humana-medicare.com/humana-gold-choice-terms-conditions.asp.
What you need to know before you enroll in a Private Fee-for-Service plan.
Original Medicare benefits and more
With most Humana Gold Choice plans, you receive all the benefits of Original Medicare and more, including:
- Prescription drug coverage
- Hospitalization
- Emergency coverage when you travel outside the United States
Unlike Original Medicare, you pay a fixed copayment for your doctor and inpatient hospital for covered services, so you can easily budget your healthcare expenses - no need to worry about high, unexpected medical bills.
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