Humana PFFS Plans

Humana offers Medicare Advantage private fee-for-service (PFFS) plans.

You may want to consider a Humana PFFS Medicare plan if you value having the flexibility to see almost any health care provider you choose, as long as they participate with Medicare and have accepted the plan’s terms and conditions of payment.

Learn more about Humana PFFS plans and get help finding the Medicare Advantage plan that fits your needs.

How Does the Humana PFFS Plan Work?

In lieu of the “managed care” structure of some other types of Medicare Advantage plans, a Humana PFFS plan reimburses doctors and other health care providers for each specific service rendered.

The result is an experience where beneficiaries can receive treatment on a service-by-service basis, which can help offer greater transparency into costs and can help reduce surprise bills.

As a member of a Humana PFFS plan, you may choose a primary care physician (PCP) if you wish. But unlike some other types of Medicare Advantage plans, you are not required to select a PCP.

With a Humana PFFS plan, you do not need to obtain a referral in order to visit with a specialist.

Humana PFFS Plan Benefits

A Humana PFFS plan provides all of the same coverage as Original Medicare, which includes Medicare Part A (hospital insurance) and Medicare Part B (medical insurance), and it may include a number of additional benefits not covered by Original Medicare (Part A and Part B).

Some of these additional benefits may include:

• Prescription drugs³
• Routine dental
• Routine vision
• Coverage for most annual preventive screenings, at no additional cost to you
• Hospitalization coverage
• Access to Mail-delivery pharmacy

Benefits may vary based on the specific plan and location.

How Do I Enroll in a Humana Medicare Advantage Plan?

Call 1-855-298-6309 TTY Users: 711 24 hours a day, 7 days a week to speak with a licensed sales agent⁴ and to find a Medicare plan from Humana that may be right for you. There is no obligation to enroll in a plan.

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