Founded in 1961, Humana has quickly become one of the most popular health insurance companies in the United States with more than 13 million members. Offering medical, dental, and vision, as well as Medicaid and Medicare, Humana offers coverage for families, military members, retirees, and individuals. According to Humana, their strategy “integrates care delivery, the member experience, and clinical insights to encourage engagement, behavior change and wellness for the millions of people we serve across the country.”
Specific to Humana is their 2020 goal, which is to ensure that every community that they serve is 20% healthier by the year 2020. The values that Humana practices are to inspire health, cultivate uniqueness, rethink routine, pioneer simplicity, and thrive together.
What Does Humana Cover?
Humana has its own behavioral sector known as Humana Behavioral Health, which encompasses all the needs that members might have related to their behavioral and mental health and wellbeing. While it depends what type of insurance coverage a member has, where he or she is located, and what services he or she is trying to obtain, Humana Behavioral Health can offer full or partial coverage for the following:
- Treatment coordination
- Access to participating providers
- Advocacy on behalf of customers
- Assistance with questions or concerns
- Case management services
In addition, Humana Behavioral Health can provide coverage for those who are struggling with a substance use disorder or a substance use disorder and a mental illness (known as a co-occurring disorder) through the following means:
- Inpatient detox
- Outpatient detox
- Inpatient rehab
- Outpatient rehab
More specifically, inpatient rehab is covered to some extent, however, the inpatient rehab that one is attending cannot be a private or luxury facility.
Unlike many other health insurance companies, Humana will typically not offer coverage for out-of-network services, even if they are submitted through insurance. Therefore, prior to obtaining any service that is either not in network or is unknown to be in network or not, it is important to contact Humana to make this determination.
Verifying Insurance and Finding the Most Appropriate Treatment
When you or a loved one are looking into attending a professional addiction treatment program, several things can be going through your head. Insurance coverage might not be the first that that is considered. However, determining what type of coverage you or your loved one has should be one of the first steps taken before committing to any treatment program. If you or your loved one is a member of Humana, reach out and get in touch with a representative immediately. He or she can help you or your loved one learn more about the type of insurance coverage that is available and what types of services are covered under you or your loved one’s plan.
By working with Humana, you or your loved one can have all the information needed to find the most appropriate treatment for a substance use disorder. Not everyone requires the same type of care, which is why understanding how your insurance works can help you or your loved one build a treatment plan consistent with the needs at hand.