Humana Approved by CMS to Offer Medicare Advantage Regional Health Plans in 23 States, Alternative to Original Medicare
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Medicare Modernization Act offers significant enhancements in health plan coverage options with plans that feature prescription drug benefits, low out- of-pocket costs
LOUISVILLE, Ky., Sept. 23 /PRNewswire-FirstCall/ -- Humana Inc. (NYSE: HUM) announced today that it has received approval from The Centers for Medicare & Medicaid Services (CMS) to offer a regional PPO, a new type of Medicare Advantage health plan, in 23 states. This plan is a direct result of the Medicare Modernization Act (MMA) of 2003, and will be offered by Humana to Medicare beneficiaries in 14 recently created Medicare Advantage regions. (See table at the end of this release for a list of states where Humana's MA-PPOs are offered.)
Beginning Jan. 1, 2006, more than 42 million Medicare eligible beneficiaries throughout the United States will have access to the Medicare Advantage regional preferred provider organization (MA-PPOs) health plans. These plans differ from Medicare Advantage HMOs in that there is no referral necessary to see a physician or specialist of choice. MA-PPOs also differ from Original Medicare in that they feature a prescription drug benefit and have been designed by CMS to ensure that Medicare beneficiaries living in all areas of the country have ready access to affordable, comprehensive health insurance.
Humana currently offers Medicare Advantage HMO and local PPO plans in more than 40 markets nationwide, and Medicare Advantage private fee for-service (PFFS) plans statewide in more than thirty states.
"This award by CMS is significant in that it allows Humana to better meet the needs of people with Medicare who live in areas that have not previously had access to alternative Medicare plans," said Stefen Brueckner, Humana vice president of senior products. "Until recently, many Medicare beneficiaries residing in areas other than metropolitan hubs had little, if any, health care insurance plans to choose from other than Original Medicare or Medicare supplement (Medigap) plans."
Brueckner added, "Congress has taken a historical step in modernizing the Medicare program, and we are taking action to make healthcare coverage more affordable and accessible by expanding our product offerings into new markets. All 14 regions where Humana will offer the regional PPO will have two plan options that will include the prescription drug benefit. In some regions, a third PPO will have a zero premium but will not include the prescription drug benefit. Those options, coupled with membership in the SilverSneakers(R) Fitness Program at no additional cost to our members makes this approach very attractive to Medicare beneficiaries around the country."
About Humana
Humana Inc., headquartered in Louisville, Ky., is one of the nation's largest publicly traded health benefits companies, with approximately 7 million medical members. Humana offers a diversified portfolio of health insurance products and related services - through traditional and consumer- choice plans - to employer groups, government-sponsored plans, and individuals.
Over its 44-year history, Humana has consistently seized opportunities to meet changing customer needs. Today, the company is a leader in consumer engagement, providing guidance that leads to lower costs and a better health plan experience throughout its diversified customer portfolio.
More information regarding Humana is available to investors via the Investor Relations page of the company's web site at http://www.humana.com, including copies of:
- Annual report to stockholders; - Securities and Exchange Commission filings; - Most recent investor conference presentation; - Quarterly earnings news releases; - Replays of most recent earnings release conference call; - Calendar of events (includes upcoming earnings conference call dates, times, and access number, as well as planned interaction with institutional investors); - Corporate Governance Information. 2006 HUMANA MEDICARE MMA # of MEDICARE ADVANTAGE REGIONAL PPOs REGION BENEFICIARIES Alabama 10 750,733 Arizona 21 769,443 Arkansas 15 471,368 Georgia 8 1,019,219 Florida 9 3,041,852 Illinois 14 1,720,335 Indiana 13 910,9890 Kansas 18 405,801 Kentucky 13 677,660 Louisiana 16 650,510 Michigan 11 1,501,197 Mississippi 16 457,314 Missouri 15 917,825 North Carolina 7 1,258,190 Ohio 12 1,784,284 Oklahoma 18 541,369 Pennsylvania 6 2,167,299 South Carolina 8 636,365 Tennessee 10 912,365 Texas 17 2,504,912 Virginia 7 981,773 West Virginia 6 359,789 Wisconsin 14 834,673
SOURCE Humana Inc.
CONTACT:
Barbara Kerr of Humana Corporate Communications,
1-305-626-5736, or bkerr@humana.com
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