Choosing the right healthcare provider is a significant decision. Humana understands this and offers resources to help its members navigate their healthcare journey. One such tool is the Humana Care Highlight program. But What Is Humana Care Highlight Program, and how can it assist you in making informed choices about your healthcare?
The Humana Care Highlight program is designed to promote transparency in healthcare and guide patients in selecting providers. It focuses on evaluating and displaying clinical quality and cost-efficiency results for a subset of physicians within the Humana network. This initiative aims to empower patients with information, enabling them to consider various factors when choosing their care providers. It’s important to note that these ratings are intended as a guide and should be used in conjunction with all relevant information, including consultations with your treating physician. If a provider displays “Not enough information to measure,” it simply means there isn’t sufficient data available for a performance evaluation, not necessarily a reflection of the provider’s quality. For a comprehensive list of provider types and specialties evaluated under this program, you can visit the Care Highlight section on Humana’s website.
Beyond the Care Highlight program, Humana provides a broad network of providers. It’s crucial to remember that the practice focus information listed for each provider is supplied by the provider and hasn’t been independently validated by Humana. It’s always a good practice to verify details directly with the provider’s office. Furthermore, while many providers are available, your specific Humana plan might require a referral from your Primary Care Provider (PCP) or prior authorization before you can receive certain services. Always consult your benefit plan documents to understand these requirements.
When seeking urgent care, be aware that some urgent care centers are hospital-owned. Utilizing these facilities might impact your benefits and potentially lead to higher out-of-pocket expenses. For detailed coverage information related to different facility types, your Benefit Plan Document or Evidence of Coverage (EOC) is your best resource. For those needing organ or stem cell transplants, Humana offers dedicated support through a toll-free number: 1-866-421-5663 (TTY: 711), available Monday to Friday, 8 a.m. to 8 p.m. Eastern time.
Humana is committed to providing accurate and up-to-date provider information. The listings are primarily populated with data from providers, their group practices, and affiliated organizations, sometimes supplemented by third-party data partners and government entities. While Humana continuously updates its directory, provider information can change rapidly. If you are a Humana member and identify any inaccuracies in the provider directory, you can report them by calling Humana Customer Service at the number on your ID card or by visiting Humana.com/help.
Telehealth services, also known as virtual visits or telemedicine, are also part of Humana’s offerings, though availability can vary by state. These services are not for emergencies and are not meant to replace your primary care provider. Always refer to your evidence of coverage for specifics on telehealth coverage and any applicable rules under your plan.
In conclusion, the Humana Care Highlight program serves as a valuable tool for members seeking quality and cost-effective healthcare within the Humana network. Combined with Humana’s comprehensive provider directory and support services, members are empowered to make informed decisions about their healthcare needs. Remember to always verify plan-specific details and utilize Humana’s resources for the most accurate and personalized information.
