Humana New Member Welcome mailing

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GCHHVFLEN 0714 2015 Member Benefit Package for All the information included in this package was accurate and up to date when printed but may change over time. For the most up-to-date information, visit Humana.com or call Customer Care at 1-800-833-6917 (TTY: 711), Monday – Thursday, 8 a.m. – 8 p.m. and Friday, 8 a.m. – 7 p.m., Eastern time. Language Access Services: Spanish (Español): Para obtener asistencia en Español, llame al 1-800-833-6917 Tagalog (Tagalog): Kung kailangan ninyo ang tulong sa Tagalog tumawag sa 1-800-833-6917 Navajo (Dine): Dinek’ehgo shika at’ohwol ninisingo, kwiijigo holne’ 1-800-833-6917 Know your prescription drug network Humana offers two prescription drug networks that provide cost savings, confidence and convenience. Check the enclosed Benefit Summary to find out what pharmacy network is included with your plan. If you have a PPO or POS plan, you may have access to our National Rx network. Choose from more than 60,000 pharmacies nationwide. Our Select Rx network for HMO or EPO and some PPO plans includes all retail CVS/pharmacy, Sam’s Club and Walmart pharmacies. All plans include RightSource, Humana’s convenient mail-order pharmacy. In most cases, you can order your prescriptions through RightSourceRx.com and get 90-day (three months) refills of your maintenance medications for just two monthly copays! And with delivery right to your home, you’ll save even more time and money. Visit RightSourceRx.com, or call 1-888-538-3518 (TTY: 711), Monday – Friday, 8 a.m. – 8 p.m. and Saturday, 9 a.m. – 6 p.m., Eastern time. Learn about your benefits The enclosed Benefit Summary offers a convenient, easy-to-understand overview of your insurance plan’s benefits, coverage and costs. Find out how to select your healthcare providers and learn whether a primary care physician (PCP) referral is necessary to visit specialists or urgent care centers. The Benefit Summary also includes information about how to get the most value from your prescription drug benefits. Register for MyHumana If you’ve already registered for MyHumana, that’s great news. If you haven’t, go to Humana.com and choose “Register now as a new user,” then follow the prompts. Once registered, you can check your claims, get a summary of your benefits, learn about members-only programs and services and so much more. It’s a secure online account personalized just for you. Set up a recurring payment While your premium can be paid by check, money order or phone, it’s fast, easy and convenient at MyHumana to use eBilling for your premium payment and to set up an automatic recurring payment. Know what to expect Soon you’ll receive a few more important documents from Humana: A copy of the HIPAA Privacy Rules – This outlines how we protect the privacy of your personal health information. Your Humana member ID card – This is proof of your enrollment . Benefits are available and claims can be submitted after you make your initial payment. A medical policy and Summary of Benefits and Coverage – These official documents are sent after your initial payment and should be kept for your records. Keep these documents in a safe place, although it’s a good idea to carry your Humana member ID card with you – especially when you go to the doctor, hospital or pharmacy. Make an appointment with your primary care physician for a preventive care checkup This visit gives your doctor a chance to get to know you so he or she can be a true partner in helping you achieve lifelong well-being. And remember, with your benefits, there is no cost for a preventive care checkup. 5 simple things to know and do now GCHHVFLEN 0714 Humana.com You’re a member now! Inside you’ll find: Your Benefit Summary Tips for making the most of your benefits Helpful contact information We’re here for you MyHumana at Humana.com Read and download your plan documents Check your benefits and claims Replace a lost Humana member ID card Tell us how you want to receive information – email, mail or text Save money with members-only programs and services Pay your monthly premium with eBilling Humana Customer Care 1-800-833-6917 (TTY: 711) Monday – Thursday, 8 a.m. – 8 p.m. and Friday, 8 a.m. – 7 p.m., Eastern time Language Access Services: Spanish (Español): Para obtener asistencia en Español, llame al 1-888-833-6917 Tagalog (Tagalog): Kung kailangan ninyo ang tulong sa Tagalog tumawag sa 1-888-833-6917 Navajo (Dine): Dinek’ehgo shika at’ohwol ninisingo, kwiijigo holne’ 1-888-833-6917 HumanaFirst ® Nurse Advice Line 1-800-622-9529 (TTY: 711) for answers to your medical questions 24 hours a day, seven days a week Mobile – We go where you go! Download the free MyHumana Mobile app at m.Humana.com and you’ll have your plan details with you at all times !"#$%&##'( ) ) ( * + ( ## # + $ $ PRESORTED STANDARD US POSTAGE PAID HUMANA INC.

Transcript of Humana New Member Welcome mailing

Page 1: Humana New Member Welcome mailing

GCHHVFLEN 0714

2015 Member Benefit Package for

All the information included in this package was accurate and up to date when printed but may change over time. For the most up-to-date information, visit Humana.com or call Customer Care at 1-800-833-6917 (TTY: 711), Monday – Thursday, 8 a.m. – 8 p.m. and Friday, 8 a.m. – 7 p.m., Eastern time.Language Access Services:!Spanish (Español): Para obtener asistencia en Español, llame al 1-800-833-6917Tagalog (Tagalog): Kung kailangan ninyo ang tulong sa Tagalog tumawag sa 1-800-833-6917Navajo (Dine): Dinek’ehgo shika at’ohwol ninisingo, kwiijigo holne’ 1-800-833-6917

Know your prescription drug networkHumana offers two prescription drug networks that provide cost savings, confidence and convenience. Check the enclosed Benefit Summary to find out what pharmacy network is included with your plan.

If you have a PPO or POS plan, you may have access to our National Rx network. Choose from more than 60,000 pharmacies nationwide.

Our Select Rx network for HMO or EPO and some PPO plans includes all retail CVS/pharmacy, Sam’s Club and Walmart pharmacies.

All plans include RightSource, Humana’s convenient mail-order pharmacy. In most cases, you can order your prescriptions through RightSourceRx.com and get 90-day (three months) refills of your maintenance medications for just two monthly copays! And with delivery right to your home, you’ll save even more time and money. Visit RightSourceRx.com, or call 1-888-538-3518 (TTY: 711), Monday – Friday, 8 a.m. – 8 p.m. and Saturday, 9 a.m. – 6 p.m., Eastern time.

Learn about your benefits The enclosed Benefit Summary offers a convenient, easy-to-understand overview of your insurance plan’s benefits, coverage

and costs. Find out how to select your healthcare providers and learn whether a primary care physician (PCP) referral is necessary to visit specialists or urgent care centers. The Benefit Summary also includes information about how to get the most value from your prescription drug benefits.

Register for MyHumana If you’ve already registered for MyHumana, that’s great news. If you haven’t, go to Humana.com and choose “Register now

as a new user,” then follow the prompts. Once registered, you can check your claims, get a summary of your benefits, learn about members-only programs and services and so much more. It’s a secure online account personalized just for you.

Set up a recurring payment While your premium can be paid by check, money order or phone, it’s fast, easy and convenient at MyHumana to use

eBilling for your premium payment and to set up an automatic recurring payment.

Know what to expect Soon you’ll receive a few more important documents from Humana:

• A copy of the HIPAA Privacy Rules – This outlines how we protect the privacy of your personal health information. • Your Humana member ID card – This is proof of your enrollment . Benefits are available and claims can be submitted

after you make your initial payment. • A medical policy and Summary of Benefits and Coverage – These official documents are sent after your initial payment

and should be kept for your records. Keep these documents in a safe place, although it’s a good idea to carry your Humana member ID card with you –

especially when you go to the doctor, hospital or pharmacy.

Make an appointment with your primary care physician for a preventive care checkup This visit gives your doctor a chance to get to know you so he or she can be a true partner in helping you achieve lifelong

well-being. And remember, with your benefits, there is no cost for a preventive care checkup.

5 simple things to know and do now

GCHHVFLEN 0714

Humana.com

You’re a member now!

Inside you’ll find:• Your Benefit Summary• Tips for making the most of your benefits• Helpful contact information

We’re here for youMyHumana at Humana.com • Read and download your

plan documents

• Check your benefits and claims

• Replace a lost Humana member ID card

• Tell us how you want to receive information – email, mail or text

• Save money with members-only programs and services

• Pay your monthly premium with eBilling

Humana Customer Care 1-800-833-6917 (TTY: 711) Monday – Thursday, 8 a.m. – 8 p.m. and Friday, 8 a.m. – 7 p.m., Eastern time

Language Access Services: Spanish (Español): Para obtener asistencia en Español, llame al 1-888-833-6917Tagalog (Tagalog): Kung kailangan ninyo ang tulong sa Tagalog tumawag sa 1-888-833-6917Navajo (Dine): Dinek’ehgo shika at’ohwol ninisingo, kwiijigo holne’ 1-888-833-6917

HumanaFirst® Nurse Advice Line 1-800-622-9529 (TTY: 711) for answers to your medical questions 24 hours a day, seven days a week

Mobile – We go where you go!Download the free MyHumana Mobile app at m.Humana.com and you’ll have your plan details with you at all times

!"#$%&

##'(

) ) ( *+(

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PRESORTEDSTANDARD

US POSTAGEPAID

HUMANA INC.

Page 2: Humana New Member Welcome mailing

Name of your Humana medical and pharmacy networks

Your Humana member ID number

Your office visit (OV), specialist (S), urgent care center (UCC) and prescription drug (RX) copays

Your primary care physician’s name, if your plan requires one

If your plan includes HumanaVitality®, it will be noted here

Customer Care phone number

HumanaFirst® Nurse Advice Line

If included with your plan, information about your children’s dental coverage

If your plan has the Select Rx network, the CVS and Walmart logos

• Your primary care physician (PCP) – Your doctor’s office is the first place to call if it’s not an emergency. Your PCP knows your health history and is your best option for routine care. Some Humana plans require that you use an in-network doctor. However, regardless of plan type, you’ll always save more by visiting in-network doctors. Check the enclosed Benefit Summary to learn more about the specifics of your plan.

• Urgent care center – A great choice if your doctor isn’t available and you need care right away for something like the flu, infections, minor burns or sprains. Walk in and get care from experienced doctors and nurses. Many are open on nights and weekends. Again, check the enclosed Benefit Summary to learn if your plan requires a PCP referral for urgent care.

• Emergency room – When you have a life-threatening emergency like a heart attack, stroke, head injury, severe bleeding or you cannot breathe, go immediately to the nearest emergency room. Keep in mind that if you use the emergency room for non-emergencies, you may have longer waiting times and higher out-of-pockets costs.

If you’re not sure about your best option for treatment, call the HumanaFirst® Nurse Advice Line at 1-800-622-9529 (TTY: 711) 24 hours a day, seven days a week. Our nurses can help you decide which level of care is right for you.

Your Humana member ID cardKeep your card with you at all times. It has all the information you need to access your benefits.

Where to go when you need medical care How to pay your monthly premiumsChoose how you want to pay and stay covered

MyHumana makes it easier for you to manage and improve the health of your family

Download the free MyHumana Mobile app for help on the go

Thank you for choosing HumanaSample only. Your Humana member ID card may differ slightly from the example shown here.

Pay online• Use eBilling on MyHumana for a fast, easy and convenient way to make your first month’s premium payment and

set up a recurring payment using your bank account or credit/debit card

• You can also set up a recurring payment through your bank or credit union’s website

Pay by phone

• You can make your first month’s premium payment and set up a recurring payment 24 hours a day, 7 days a week by calling our Automated Payment Line at 1-800-223-3659, or, if you prefer, you can talk to a Customer Care representative at that same number Monday – Thursday, 8 a.m. - 8 p.m. or Friday, 8 a.m. – p.m. Eastern time

Pay by mail• Personal check

• Money order

• Cashier’s check

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