Last $150.75 USD
Change Today -1.25 / -0.82%
Volume 634.1K
As of 8:04 PM 01/27/15 All times are local (Market data is delayed by at least 15 minutes).
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Company Description

Contact Info

500 West Main Street

Louisville, KY 40202

United States

Phone: 502-580-1000


Humana Inc. offers a range of insurance products, and health and wellness services in the United States. As of December 31, 2013, the company had approximately 12.0 million members in its medical benefit plans, as well as approximately 7.8 million members in its specialty products. Segments The company’s segments include Retail, Employer Group, and Healthcare Services. The Retail segment consists of Medicare and commercial fully-insured medical and specialty health insurance benefits, including dental, vision, and other supplemental health and financial protection products, marketed directly to individuals, and includes the company’s contract with Centers for Medicare and Medicaid Services (CMS), to administer the Limited Income Newly Eligible Transition (LI-NET) prescription drug plan program, and contracts with various states to provide Medicaid, dual eligible, and Long-Term Support Services benefits, collectively its state-based contracts. The Employer Group segment consists of Medicare and commercial fully-insured medical and specialty health insurance benefits, including dental, vision, and other supplemental health and voluntary benefit products, as well as administrative services only products, and its health and wellness products primarily marketed to employer groups. The Healthcare Services segment includes services offered to the company’s health plan members, as well as to third parties, including pharmacy, provider services, home based services, integrated behavioral health services, and predictive modeling and informatics services. The Other Businesses category consists of its military services, primarily its TRICARE South Region contract, Puerto Rico Medicaid, and closed-block long-term care insurance policies. Products The company’s medical and specialty insurance products allow members to access health care services primarily through its networks of health care providers with whom it has contracted. These products may vary in the degree to which members have coverage. Health maintenance organizations (HMOs) generally require a referral from the member’s primary care provider before seeing certain specialty physicians. Preferred provider organizations (PPOs) provide members the freedom to choose a health care provider without requiring a referral. Point of Service (POS), plans combine the advantages of HMO plans with the flexibility of PPO plans. In general, POS plans allow members to choose, at the time medical services are needed, to seek care from a provider within the plan’s network or outside the network. In addition, the company offers services to its health plan members, as well as to third parties that promote health and wellness, including pharmacy, provider services, integrated wellness, and home based services. Retail Segment Products This segment consists of products sold on a retail basis to individuals, including medical and supplemental benefit plans. Individual Medicare The company participates in the Medicare program for private health plans. It employs strategies, including health assessments and clinical guidance programs, such as lifestyle and fitness programs for seniors to guide Medicare beneficiaries in making cost-effective decisions with respect to their health care. Medicare is a federal program that provides persons age 65 and over and some disabled persons under the age of 65 certain hospital and medical insurance benefits. CMS, an agency of the United States Department of Health and Human Services, administers the Medicare program. Hospitalization benefits are provided under Part A, without the payment of any premium, for up to 90 days per incident of illness plus a lifetime reserve aggregating 60 days. Eligible beneficiaries are required to pay an annually adjusted premium to the federal government to be eligible for physician care and other services under Part B. Beneficiaries eligible for Part A and Part B coverage under original Medicare are still required to pay out-of-pocket deductibles and coinsurance (original Medicare). As an alternative to original Medicare, in geographic areas where a managed care organization has contracted with CM


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