Humana Disease Management

Humana’s Cancer Program is the one program in this set that names commercial members, and the medical exit still applies.

Humana says its Cancer Program offers telephone coaching from certified oncology registered nurses. The page names commercial and select administrative services only members, but Humana is exiting employer group commercial medical.

Ask What Your Carrier Offers

What It Is

What the program is and what members do.

What the program is

Humana describes the Cancer Program as a care management program for people living with cancer. It offers telephone based coaching by certified oncology registered nurses who give information and support that encourage patients to take part in their treatment plan.

How members use it

Humana says it contacts members diagnosed with cancer to offer enrollment. Eligible members can also call 877-416-8773, Monday through Friday, 8:30 a.m. to 5 p.m. Eastern time, and ask to speak to a cancer nurse.

What it covers

The carrier lists insight into the scope of Humana medical benefits, educational materials on the disease, treatments and side effects, and advice to prevent or minimize side effects. It also lists referrals to support groups, financial assistance organizations and transportation help, and information on a Palliative Supportive Care Program.

Who Can Use It

Eligibility, funding and plan design.

Who can use it

Humana says the program is available to commercial and select administrative services only members at no additional cost, and not to Puerto Rico members. The page sits on Humana’s provider site and is written for providers and members. Humana has also said it is exiting employer group commercial medical, so confirm availability for your group.

How it is funded or sold

The carrier says there is no additional cost to eligible members. The page does not describe an employer charge, and it ties the service to Humana medical benefits, so it is not something an employer buys alone.

Where it fits in plan design

It is a support service layered on a medical plan, not a benefit that changes what the plan pays. For employers who still have Humana medical during the phase out, it is worth knowing about. For a move to a new carrier, ask that carrier for an equivalent oncology nurse support program.

What To Ask

What to settle before relying on it.

Does the program continue as the medical exit phases in?

Humana says the exit from employer group commercial medical is phased over 18 to 24 months. We would ask whether the Cancer Program remains for our members during that period and the date it ends.

Is our funding type eligible?

Humana names commercial and select administrative services only members. We would ask whether our self funded or fully insured group qualifies and what makes an ASO group select.

What should we tell a member who is diagnosed?

We would ask Humana for a plain description of how outreach works and a phone number for members, and whether the same nurse follows the member over time.

Questions We Get

Common questions about this program.

Who runs the coaching?

Humana says certified oncology registered nurses provide telephone based coaching.

Does the program cost extra?

Humana says it is available at no additional cost to eligible commercial and select administrative services only members.

Is the program available if the medical plan moves?

Humana ties the program to its own medical benefits and is exiting employer group commercial medical. A new carrier would need to provide its own program, so ask early.

Sources

Where these details come from.

This page summarizes what Humana publishes. Programs change, so confirm current details with the carrier before relying on them.

provider.humana.com →

support.humana.com →

Let’s Get to Work

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The renewal letter
Your current plan summary
Contribution split by tier
Enrolled counts by tier

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