Humana’s Renal Disease Management program is described for select Medicare plans, not for employer group commercial medical.
Humana describes renal disease management programs for patients with chronic kidney disease, offered through care partners. The page names select Humana Medicare plans, and Humana is exiting employer group commercial medical.
What the program is and what members do.
What the program is
Humana says it and its care partners offer a variety of programs for Humana covered patients with chronic kidney disease. Humana’s page summary says the program is for members with late stage chronic kidney disease and end stage renal disease.
How members use it
The carrier says care partners contact eligible patients and offer them the chance to enroll. Services may be telephonic, by telehealth or in person, depending on location and program.
What it may include
Humana says each program offers a suite of services that may include care coordination, medication reviews and adherence support, and social and behavioral support such as meal assistance, caregiver support and transportation. It also lists dialysis education, palliative care coordination and help obtaining home health and durable medical equipment.
Eligibility, funding and plan design.
Who can use it
Humana says program services are available for patients with select Humana Medicare plans in the states cited on the page. The page does not state that it applies to employer group commercial medical members. Employers should confirm for their group.
How it is funded or sold
The page does not describe a price, fee or employer contract. It describes services delivered by Humana and its care partners to eligible patients.
Where it fits in plan design
For employers on commercial Humana medical, this page should not be counted on in plan design, especially as Humana is exiting that business. Employers with retirees on a Humana group Medicare plan may want to ask whether the program reaches them.
What to settle before relying on it.
Does this program apply to our members?
The page names select Medicare plans in certain states. We would ask Humana whether commercial members with kidney disease have any equivalent support and which states are covered.
Which care partner would contact our members?
Humana uses care partners. We would ask who they are, how they are chosen and how members are told the outreach is legitimate.
What replaces it if our medical moves?
We would ask the next carrier what kidney care and dialysis support it offers, and ask Humana for a handoff plan for any member already enrolled.
Common questions about this program.
Who is the renal program for?
Humana says it is for patients with select Humana Medicare plans and chronic kidney disease, including late stage disease and end stage renal disease.
How do members enroll?
Humana says care partners contact eligible patients and offer enrollment.
Is dialysis education included?
Humana lists dialysis education, including home dialysis and back up permanent access acquisition, among services that may be included depending on the program.
Where these details come from.
This page summarizes what Humana publishes. Programs change, so confirm current details with the carrier before relying on them.
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