Humana insurance fl

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Sign in now or activate your account today. Notice of data security event involving ChoiceHealth, a service provider for Humana. Good morning. Explore Medicare plans.

What would you like to do today? Find a doctor Find a doctor. Look up costs Look up costs. Learn more about our healthcare coverage Find the right healthcare plan for you, your family or your employees. Employer Group. Compare Humana Medicare plans where you live.

Compare Humana plans near you. Experience the human side of healthcare. Discover our human care promise. Benefits and extras for Humana members. Benefits and extras. Stay informed. HumanaNews U. We cover the following inpatient hospital services based on age and situation, when medically necessary:. Intensive outpatient treatment for alcohol or drug services and behavioral health treatment or services.

Services that test blood, urine, saliva or other items from the body for conditions, illnesses or diseases. Emergency mental health services provided in the home, community or school by a team of health care professionals.

Services to diagnose or treat conditions, illnesses or diseases of the brain, spinal cord or nervous system. This could be on the bus, a van that can transport people with disabilities, a taxi, or other kinds of vehicles. Occupational therapy includes treatments that help you do things in your daily life, like writing, feeding yourself and using items around the house.

Services that provide teeth extractions removals and to treat other conditions, illnesses or diseases of the mouth and oral cavity. Medical care that you get while you are in the hospital but are not staying overnight. Treatments for long-lasting pain that does not get better after other services have been provided.

Structured mental health treatment services provided in a hospital four- six hours each day for five days per week. Physical therapy includes exercises, stretching and other treatments to help your body get stronger and feel better after an injury, illness or because of a medical condition.

Services to assist people re-enter everyday life. They include help with basic activities such as cooking, managing money and performing household chores. They also include portable x- rays. Services provided to pregnant women and newborns in hospitals that have special care centers to handle serious conditions.

Services for women who are pregnant or want to become pregnant. They also include family planning services that provide birth control drugs and supplies to help you plan the size of your family. We cover medically necessary family planning services.

You can get these services and supplies from any Medicaid provider; they do not have to be a part of our Plan. You do not need prior approval for these services. These services are free. These services are voluntary and confidential, even if you are under 18 years old. Services for members ages to help you breathe better while being treated for a respiratory condition, illness or disease. Expanded benefits are extra goods or services we provide to you, free of charge.

Call Member Services to ask about getting expanded benefits. One 1 digital blood pressure cuff every three 3 years; One 1 weight scale every three 3 years. Contact lens types: spherical, PMMA, toric or prism ballast, gas permeable, extended wear, hydrophilic, spherical, toric or prism ballast; and hydrophilic extended wear, other types.

Unlimited hypoallergenic bedding and one 1 HEPA filter vacuum cleaner for members diagnosed with asthma. Hearing services include: assessment, hearing evaluation, hearing aid fitting, hearing aid monaural in ear, behind ear hearing aid, hearing aid dispensing fee, in ear binaural hearing aid, behind ear binaural hearing aid, behind ear cors hearing aid and behind ear bicros hearing aid.

All services limited to one every two calendar years, except for hearing aid monaural in ear, which is one per calendar year. Home visit by a clinical social worker to assess your needs and provide available options and education to address those needs. This is available to members who are in a SNF or PDN setting and parent is obtaining guardianship to protect those who are unable to care for their own well-being.

Available for members aged 17 through Treatments that help you do things in your daily life, like writing, feeding yourself and using items around the house. Services include evaluation of the need for medication; clinical effectiveness and side effects of medication; medication education; and prescribing, dispensing, and administering of psychiatric medications.

Services to help people re-enter everyday life cooking, managing money and performing household chores. Including health focused clinical interview, behavioral observations, and health and behavioral interviews for individual, group and family with or without the patient. Therapy services, behavior management, and therapeutic support are coordinated through individualized treatment teams to help members with complex needs from requiring placement in a more intensive, restrictive behavioral health setting.

Provided to members with behavioral health conditions in an outpatient setting. Must be delivered by a behavioral health clinician with art therapy certification.

Provided to members with behavioral health conditions and involves activities with trained animals. Benefits Overview. If you have questions about any of the covered medical services, please call Member Services.

Some services may: Have coverage limits. Need prior approval. Your Medicaid Benefits. No Ambulance Transportation Services Ambulance services are for when you need emergency care while being transported to the hospital or special support when being transported between facilities.

Covered as medically necessary. No Ambulatory Surgical Center Services Surgery and other procedures that are performed in a facility that is not the hospital outpatient. Yes Anesthesia Services Services to keep you from feeling pain during surgery or other medical procedures.

Yes, for dental procedures not done in an office. Assistive Care Services Services provided to adults ages 18 and older that help with activities of daily living and taking medication. Yes Behavioral Health Assessment Services Services used to detect or diagnose mental illnesses and behavioral health disorders.

We cover, as medically necessary: One initial assessment per calendar year. One reassessment per calendar year. Up to minutes of brief behavioral health status assessments no more than 30 minutes in a single day. Yes Cardiovascular Services Services that treat the heart and circulatory blood vessels system. We cover the following as prescribed by your doctor, when medically necessary: Cardiac testing. Cardiac surgical procedures. Cardiac devices. Yes, for some services. Child Health Services Targeted Case Management Services provided to children ages 0- 3 to help them get health care and other services OR Services provided to children ages 0—20 who use medical foster care services.

OR Your child must be receiving medical foster care services. No Chiropractic Services Diagnosis and manipulative treatment of misalignments of the joints, especially the spinal column, which may cause other disorders by affecting the nerves, muscles and organs. We cover, as medically necessary: 24 patient visits per calendar year, per member. No Clinic Services Health care services provided in a county health department, federally qualified health center, or a rural health clinic. Ages 0 to One per day with no limits per calendar year.

All ages. One per day and no limit per calendar year. Up to a total of 15 days per month. Dialysis Services Medical care, tests and other treatments for the kidneys.

This service also includes dialysis supplies and other supplies that help treat the kidneys. We cover the following as prescribed by your treating doctor, when medically necessary: Hemodialysis treatments. No Durable Medical Equipment and Medical Supplies Services Medical equipment is used to manage and treat a condition, illness, or injury. As medically necessary, some service and age limits apply. Call TTY: for more information.

Prior authorization may be required for some equipment or services. Early Intervention Services Services to children ages who have developmental delays and other conditions.

We cover, as medically necessary: One initial evaluation per lifetime, completed by a team. Up to three screenings per calendar year. Up to three follow-up evaluations per calendar year. Up to two training or support sessions per week. No Emergency Transportation Services Transportation provided by ambulances or air ambulances helicopter or airplane to get you to a hospital because of an emergency. We cover, as medically necessary: One adult health screening check-up per calendar year.

Well Child Visits are provided based on age and developmental needs. One visit per month for people living in nursing facilities. Up to two office visits per month for adults to treat illnesses or conditions. No Family Therapy Services Services for families to have therapy sessions with a mental health professional. We cover, as medically necessary: Up to 26 hours per calendar year. No Gastrointestinal Services Services to treat conditions, illnesses, or diseases of the stomach or digestion system.

Genitourinary Services Services to treat conditions, illnesses, or diseases of the genitals or urinary system. Group Therapy Services Services for a group of people to have therapy sessions with a mental health professional. We cover, as medically necessary: Unlimited units for group therapy and unlimited units for brief group medical therapy. No Hearing Services Hearing tests, treatments and supplies that help diagnose or treat problems with your hearing.

This includes hearing aids and repairs. We cover hearing tests and the following as prescribed by your doctor, when medically necessary: Cochlear implants. One new hearing aid per ear, once every three years. Home Health Services Nursing services and medical assistance provided in your home to help you manage or recover from a medical condition, illness or injury. We cover, when medically necessary: Up to four visits per day for pregnant members and members ages Up to three visits per day for all other members.

Yes Hospice Services Medical care, treatment and emotional support services for people with terminal illnesses or who are at the end of their lives to help keep them comfortable and pain free. Yes Individual Therapy Services Services for people to have one-on-one therapy sessions with a mental health professional. We cover, as medically necessary: Up to 26 hours per calendar year for adults ages 21 and over.

For children up to 21 there are no limits if medically necessary. No Inpatient Hospital Services Medical care that you get while you are in the hospital. Up to 45 days for all other members extra days are covered for emergencies. Yes Integumentary Services Services to diagnose or treat skin conditions, illnesses or diseases. Yes Laboratory Services Services that test blood, urine, saliva or other items from the body for conditions, illnesses or diseases. Medical Foster Care Services Services that help children with health problems who live in foster care homes.

Must be in the custody of the Department of Children and Families. No Medication Management Services Services to help people understand and make the best choices for taking medication. No Mental Health Targeted Case Management Services to help get medical and behavioral health care for people with mental illnesses.

No Neurology Services Services to diagnose or treat conditions, illnesses or diseases of the brain, spinal cord or nervous system. Non-Emergency Transportation Services Transportation to and from all of your medical appointments.

We cover the following services for members who have no transportation: Out-of-state travel. Transfers between hospitals or facilities. Escorts when medically necessary. Yes, for any trip over miles. Nursing Facility Services Medical care or nursing care that you get while living full-time in a nursing facility. This can be a short-term rehabilitation stay or long-term. Yes Occupational Therapy Services Occupational therapy includes treatments that help you do things in your daily life, like writing, feeding yourself and using items around the house.

Up to minutes of treatment per week. One initial wheelchair evaluation per five years. We cover for people of all ages, as medically necessary: Follow-up wheelchair evaluations, one at delivery and one six months later. Oral Surgery Services Services that provide teeth extractions removals and to treat other conditions, illnesses or diseases of the mouth and oral cavity.

Orthopedic Services Services to diagnose or treat conditions, illnesses or diseases of the bones or joints. Outpatient Hospital Services Medical care that you get while you are in the hospital but are not staying overnight. Emergency services are covered as medically necessary. Pain Management Services Treatments for long-lasting pain that does not get better after other services have been provided. Some service limits may apply. Yes Physical Therapy Services Physical therapy includes exercises, stretching and other treatments to help your body get stronger and feel better after an injury, illness or because of a medical condition.

Podiatry Services Medical care and other treatments for the feet. We cover, as medically necessary: Up to 24 office visits per calendar year. Foot and nail care. X-rays and other imaging for the foot, ankle and lower leg.

Surgery on the foot, ankle or lower leg. Prescribed Drug Services This service is for drugs that are prescribed to you by a doctor or other health care provider.

We cover, as medically necessary: Up to a day supply of drugs, per prescription. Refills, as prescribed. Yes, for some drugs. Private Duty Nursing Services Nursing services provided in the home to members ages 0 to 20 who need constant care.

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