| Welcome to Humana --
Hello ETF Health Plan Participants, and Thank You for choosing Humana!
When it comes to your health and your medical coverage, you need information that helps you understand and manage your benefits. Humana makes it easy to find the facts you need to get the most from your benefits by offering this interactive Web page created just for you!
NETWORK NAME CHANGE - please note that the HMO network name has been changed to reflect what is listed on your ID card. The network name is: HMO PREMIER. Please access HMO PREMIER when searching for a network provider.
Premier HMO PREMIER will no longer be viewable on Physician Finder.
You will receive notice of the name change via mail, please watch for this flyer and step by step instructions how to access Humana's Physician Finder.
- 2009 State of Wisconsin Member Handbook and Directory
This is the most comprehensive document on Humana's administration of the State of WI Uniform Benefit plan. It has been developed with considerable input from DETF and key employer groups, so please become familiar with it. The handbook is printed with the Humana Provider Directory, and included in the Dual Choice/New Hire enrollment kits. The electronic version has the added feature of a search function, which can speed up your finding the answers to your service questions.
- Humana Group Medicare PFFS
2009: Humana continues to offer a Group Medicare Private Fee For Service (PFFS) plan to State of Wisconsin retirees enrolled in both Medicare Parts A & B. Please see the attached documents for more information, or call 1-800--396-8810 7:30 A.M. - 4 P.M. Central Standard Time Monday through Friday.
- Humana Dental Additional information of the supplemental dental plan that Humana has added to the Uniform Benefits of your medical plan.
- Reading the Humana Explanation of Benefits
Humana is a network model HMO PREMIER, which means that all physicians are essentially independent contractors reimbursed on a Fee-For-Service basis. Every service usually generates a claim for Humana to pay. Thankfully because of Humana's technology investment, 70% of all claims are processed electronically, with an average processing time that is under 5 days. On each claim, Humana will produce an explanation of benefits, or EOB. The link will walk you through the components of the EOB. To help reduce the paper involved, you can receive your EOB via email by registering on My Humana.
- MyHumana
Take a Tour of MyHumana
Register for your own customized and secure web page, MyHumana. This powerful web tool will help you track your own health expenses as well as access the monitor a wide range of issues:
- Condition Centers to learn symptoms, treatment and tests. There are tools to assist you in tracking your condition and preparing questions for your doctor.
- Health Coaches available, at no cost to you, for help with weight management, smoking cessation, back care, nutrition and stress management. Access coaches by taking the Humana Health Assessment and choosing a coach at the end of the survey.
- Health Assessment to share with your doctor.
- View claims records
- Order replacement Humana Identification cards.
- Receive secure emails from Humana, including health and money-saving tips and guidance in using benefits wisely.
- Report cards: national data on provider cost and quality, including Leapfrog reporting.
- Health and wellness programs.
- SpecialtyRX form
Some physicians will prefer to have Humana order and pay directly for a range of high cost medications that are not covered under your Navitus pharmacy plan. The SpecialtyRX order form is a convenient method for physicians to order medications with payment handled directly by Humana.
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