Humana Medicare Advantage Plans New Hampshire 2025

Are you scouting for Humana Medicare Advantage Plans in New Hampshire in 2025? This article dives straight into what you need to know, including plan options, changes in benefits, and costs for the upcoming year.

Without unnecessary complexity, we provide the essentials to prepare you for making a well-informed decision about your Medicare coverage.


Key Takeaways

  • Humana offers a range of Medicare Advantage plans in New Hampshire, including HMO, PPO, and SNPs, each designed to meet specific healthcare needs and preferences of residents, with varying benefits, network restrictions, and costs.


  • Enrollees benefit from additional perks such as coverage for dental, vision, and hearing exams, gym memberships, and potentially significant savings on prescription drugs by using Humana’s network of preferred cost-share pharmacies.


  • The costs and availability of Humana’s Medicare Advantage plans in New Hampshire can vary, with some plans offering zero-dollar monthly premiums and caps on out-of-pocket costs, allowing for budget-friendly and predictable healthcare spending.

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Exploring Humana’s Medicare Advantage Offerings in New Hampshire


Humana Medicare Advantage Plans New Hampshire 2025 Exploring Humana's Medicare Advantage Offerings in New Hampshire


With a spectrum of Medicare Advantage plans available, Humana stands out as a provider committed to addressing the diverse needs of New Hampshire residents. From the structured benefits of Medicare Advantage HMO to the flexibility of PPOs and the tailored care of SNPs, Humana’s lineup offers comprehensive coverage options.

Let’s delve into each of these plans and uncover the details that could make a difference to your health and well-being, as the benefits may vary depending on the plan you choose.


Understanding Humana’s HMO Plans

Humana’s Health Maintenance Organization (HMO) plans are designed with cost-efficiency in mind. These plans offer the following benefits:

  • Members must select from a network of trusted providers to receive the most beneficial rates.


  • HMO plans cover a wide array of services, including hospital visits, doctor appointments, and preventive screenings.


  • HMO plans to ensure that your healthcare needs are met within a structured framework.


It’s important to note that staying within the network is essential for receiving the full benefits of the plan.

When considering an HMO plan, it’s also crucial to understand the ongoing costs, such as the Original Medicare Part B premium, which you must continue to pay. However, the predictability of HMO plans can provide peace of mind, especially knowing that your ability to renew annually depends on Humana’s continued contract with Medicare.


Insights into Humana’s PPO Options

Flexibility is a key advantage of Preferred Provider Organization (PPO) plans offered by Humana. These plans, along with HMO POS and HMO PPO, and PFFS options, allow you to:

  • Choose your healthcare providers with more freedom


  • Utilize out-of-network providers, though it’s wise to remember that this may lead to higher costs and sometimes limited coverage.


  • Receive treatment from out-of-network providers in emergencies, ensuring your safety is always prioritized.


For prescription drug coverage, PPO plans offer an added layer of convenience, allowing access to a broad network of pharmacies. Yet, venturing outside this network can result in increased costs, so it’s beneficial to stay within the preferred pharmacies to maximize your savings.


Special Needs Plans (SNPs) Tailored by Humana

Diving deeper into Humana’s portfolio, Special Needs Plans (SNPs) stand out for their bespoke approach to health care. These plans are specifically crafted for individuals with particular diseases or characteristics, including those with dual eligible special needs, providing focused care and benefits to meet their needs.

Whether you’re dual-eligible for Medicare and Medicaid or have unique health requirements, SNPs aim to ensure your healthcare journey is as smooth as possible.

The availability and specifics of SNPs vary by location, reflecting the tailored nature of these plans. By partnering with state Medicaid programs, Humana is able to offer a coordinated care plan that aligns with your personal health profile, allowing for a more individualized approach to your well-being.


The Advantages of Choosing Humana in NH


Humana Medicare Advantage Plans New Hampshire 2025 The Advantages of Choosing Humana in NH


Opting for Humana in New Hampshire provides you with a treasure trove of additional benefits that go beyond what Original Medicare offers. Picture the convenience of having dental, vision, and hearing exams covered alongside the luxury of a gym membership to keep you fit and active.

These added features champion a holistic approach to health, enhancing your overall quality of life.

Moreover, Humana’s prescription drug coverage within their Medicare Advantage plans can translate to considerable savings at the pharmacy counter, as opposed to relying on a stand-alone prescription drug plan.

By choosing from a network of preferred cost-share pharmacies, you might find your medication expenses significantly reduced, which is a clear advantage over the standard offerings of Original Medicare. This is one of the many benefits of Medicare Advantage coverage.

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Plan Availability and Costs in New Hampshire

When it comes to the availability and costs of Humana Medicare Advantage plans in New Hampshire, there is a range to consider. Some plans boast zero-dollar monthly premiums, offering an attractive entry point for those seeking comprehensive coverage without an immediate financial burden.

This, paired with maximum out-of-pocket costs that cap at $4,500, brings predictability to your healthcare spending.

It’s worth noting that specific plan details, such as the Humana Gold Plus HMO’s $34 monthly premium or the Local PPO’s $59.60 monthly premium and $4,800 maximum out-of-pocket cost, illustrate the variety of options tailored to different budgets and needs. With plan benefits varying by county and differing participation rates across cities, it’s important to investigate the specifics that apply to your locale.


Prescription Drug Coverage with Humana


Humana Medicare Advantage Plans New Hampshire 2025 Prescription Drug Coverage with Humana


Navigating prescription drug coverage within Humana’s Medicare Advantage plans reveals a tiered formulary system. This system groups medications into tiers, affecting your cost based on the tier in which your medication falls.

Understanding this structure can help manage your medication budget effectively.

Enrollees in New Hampshire have the added benefit of access to lower-cost preferred pharmacies, which can lead to savings on prescription medications. 

For the most current information on prescription drug coverage and to identify lower-cost preferred pharmacies, consulting Humana’s online directory or reaching out to customer care ensures you have the latest details at your fingertips. Such resources are invaluable for maintaining clarity and control over your healthcare expenses, especially when searching for prescription drugs at pharmacies in urban areas.


Additional Benefits and Services Offered by Humana

Humana’s commitment to accessible healthcare is highlighted by the inclusion of virtual visit services for SNP members. This modern approach to healthcare delivery ensures that even when you can’t make it to a physical appointment, professional medical advice is just a call or click away.

Although these services complement rather than replace in-person visits, they represent a significant step forward in healthcare convenience.


How to Enroll in a Humana Medicare Advantage Plan

Embarking on the journey to join a Humana Medicare Advantage plan is straightforward for Medicare beneficiaries. Firstly, ensure you meet the eligibility criteria, such as being over 65 or having a qualifying disability.

Then, take advantage of the annual Open Enrollment period from January 1 to March 31 to secure your place in a plan that aligns with your health needs.

While enrolling, keep in mind that the Medicare Part B premium remains a constant, in addition to any plan premiums or optional supplemental benefit premiums.

Some plans may even offer a Part B giveback, reducing your overall costs. For personalized assistance, don’t hesitate to contact a licensed insurance agent who can guide you through the process and answer any questions you may have.


Comparing Humana Plans to Find Your Best Fit

Humana’s Medicare Advantage plans in New Hampshire have garnered a four-star rating, a testament to their quality and satisfaction levels. As you consider your options, comparing the different plans is essential to finding the best Medicare Advantage plan that fits your lifestyle and health requirements.



As we wrap up our comprehensive guide to Humana Medicare Advantage plans in New Hampshire for 2025, remember the importance of aligning your healthcare coverage with your individual needs and lifestyle.

Whether you prioritize cost savings, flexibility, or specific healthcare services, Humana offers a variety of plans to suit your preferences. With additional benefits that extend beyond Original Medicare and a four-star rating to bolster confidence, Humana stands as a compelling choice for your Medicare Advantage needs.

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Frequently Asked Questions


Can I switch to a different Humana Medicare Advantage Plan mid-year?

While generally, plan changes are restricted to the annual Open Enrollment Period, certain circumstances may qualify you for a Special Enrollment Period (SEP). During a SEP, you can switch to a different Humana Medicare Advantage Plan if you experience life events such as moving to a new address that isn’t in your plan’s service area, losing current coverage, or other situations as defined by Medicare.


What is the deductible for Humana in 2025?

The deductible for Humana in 2025 varies based on the drug tier. The plan has a $0 deductible for Tier 1 and Tier 2 drugs, while Tier 3, Tier 4, and Tier 5 drugs have a $545 deductible. After reaching the deductible, you only pay your cost-share.


What is new with Humana in 2025?

In 2025, all Humana Medicare Advantage plans include dental, vision, and hearing benefits, providing more comprehensive coverage for beneficiaries. Consider exploring the available plans in your area to find the most suitable option for your needs.


What types of Medicare Advantage plans does Humana offer in New Hampshire?

Humana offers a variety of Medicare Advantage plans in New Hampshire, such as HMO, PPO, and SNPs, each designed to suit different healthcare needs.


Are prescription drugs covered under Humana Medicare Advantage plans?

Yes, many Humana Medicare Advantage plans do cover prescription drugs, providing access to a network of preferred pharmacies for potential cost savings.

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Compare Medicare Plans

Find a plan to fit your needs


Speak with a licensed insurance agent

TTY 711

Mon-Fri : 8am-9pm ET