Health Maintenance Organizations - Medicaid Recipients | Humana Healthy Horizons
Provides a managed health care insurance plan that provides participants with a network of health providers that participants agree to use for all needed health services including doctors, hospitals and pharmacies. Plan offers incentives and additional services to increase participants' use of preventive health care. Offers services such as primary care visits, check-ups, immunizations, prescription drug benefits, health education, physicals, family planning, maternity and prenatal care, emergency and urgent care, mental health services, substance use disorder services, vision and dental care, chiropractic care, podiatry, speech and hearing, medical equipment, diagnostic tests, and outpatient hospital care. Addresses customer concerns with billing and issues concerning covered services. Enhanced coverage of health services (called Healthchek) for those age 20 or younger (including prenatal and well baby care) is also provided to members. Organization provides the opportunity to file a complaint against providers or the plan.
Data provided by
211 Cleveland
Physical Address
500 W Main St., Louisville, KY 40202
Hours
M-F: 7:00am-8:00pm
Application process
Must first apply and be approved for Medicaid. After being approved, clients are usually transitioned to a Managed Care Plan (MCP). Clients can contact the state's Medicaid Consumer hotline M-F: 7:00am-8:00am; Sa: 8:00am-5:00pm to choose a plan or for information about them. Clients can change their MCP during open enrollment every November, but there are other circumstances in which the client may change their plan. The consumer hotline can provide information on what this plan covers or provides or for assistance with issues or concerns. Current members can phone customer service for information on their case or other issues pertaining to their plan M-F: 7:00am-8:00pm.
Fee
None
Eligibility
Serves Medicaid and Medicare/Medicaid recipients in Ohio who choose this plan as their network provider.
Service area
Ohio
Agency info
Humana Healthy Horizons
Offers a Medicaid and a Medicare/Medicaid managed health care plan in Ohio through a contract with the Ohio Department of Job and Family Services.