Humana recently announced that their Level Funded Premium (LFP) product portfolio is expanding. They are adding 31 additional plan options to their LFP portfolio for September 1, 2021, and later effective dates. You will start to see these plans on your quotes starting August 1, 2021.

A few portfolio highlights include:

• Rx5 Blended benefit design on select Canopy plans (page 5)
• Matching PCP and Specialist copays on select Canopy options
• On Hand options with a copay for in-person office visits
• Copays after the deductible on HDHP’s (page 8)
• Richer Simplicity offerings
• Two new copay plan options with $8550 MOOP

Kentucky LFP Plan Grids

Ohio LFP Plan Grids

Indiana LFP Plan Grids

Did you know? Humana’s Canopy Plans have low premiums and low copays making the care people need both affordable and achievable. All canopy plans include a $0 Doctor on Demand copay, preventive care by in-network providers covered at 100%, and their Go365 wellness program. This is a great health plan for healthier client populations and clients looking for a lower cost dual option plan. Click here to learn more.

Contact your Cornerstone representative with any questions.

Small Group: For small group employers, Humana has transitioned their Go365 engagement needs to an Inside Engagement Professional: Araceli Castillo. Araceli can be reached via the small business engagement mailbox: SBEngagement@humana.com

Please encourage any groups who have service related needs to use the guidance below:

• Member Go365 Services:
  • Phone: 1-866-427-7478
  • Go365.com Live Chat
  • Go365 Community
• Humana Business Services: Supports concerns related to claims, member access and eligibility, ID cards, billing and enrollment.
  • Phone: 1-800-592-3005
  • Email: sbmarketsupport@humana.com
• Small Business Billing: Small business billing requests, WEI credits and adjustments
  • Email: Gbsmallgroupbilling@humana.com

Understanding the American Rescue Plan Act (ARPA) implications for COBRA and State Continuation (mini-COBRA). As part of the ARPA, signed into law on March 11, employers and insurers are required to provide—on a tax-free basis—a subsidy to terminated employees to pay 100 percent of the COBRA continuation premium for group health plan coverage. The ARPA also provides a tax credit to recoup those costs. Humana developed a guide to address your questions around timing, eligibility, notices, and payment responsibility in this ARPA FAQ.

Extending $0 member cost-share for Doctor On Demand. To help prevent the spread and reduce the risk of exposure to COVID-19, Humana is extending their waiver of member out-of-pocket costs—co-pays, coinsurance, and deductibles— for medical and mental health telemedicine visits provided by Doctor On Demand through June 3‌0, 20‌21. This waiver applies to telehealth visits provided by Doctor On Demand only. ASO groups have been provided the option to opt out of waiving these costs.

Reinstating actively at work requirements. Effective April 1, 2021, coverage again began to adhere to the defined group certificate language as it pertains to actively at work and number of hours worked.

Re-introducing standard cost-share for COVID-19 treatment to control premium costs. As they shared in their December update, effective January 1, 2021, Commercial group members’ standard benefits and cost-sharing are being applied for COVID-19 treatment, including labs, hospitalizations, etc.

Preferred pricing with Truyo: Humana has teamed up with Truyo to bring employers preferred pricing on Health Check Management solutions that can support a company’s workforce and customers. Truyo’s solutions are flexible and designed to support the needs of any size company by offering temperature and wellness checks. Click here to learn more.

Helping employees learn more about vaccines and when and where they can get one

• Humana is continuing their grassroots effort to ensure equitable access to the COVID-19 vaccine through partnerships with local providers and national retailers like Walgreens and Walmart. Employees may receive communications from Humana or one of their partners to schedule their vaccination appointment.
• Vaccine resource finder: Click here to find vaccine resources specific to your state or territory. Get information about testing and vaccine availability, updated COVID-19 case counts and register to get the latest COVID-19 alerts for your area.
• Vaccine 101 resource for the workplace: Click here to download a resource you can email to employees and post in office spaces to help educate employees on the facts and encourage them to get vaccinated, when eligible.

Helpful COVID-19 vaccine resources for employers:

• 10-step COVID-19 vaccine action plan: Click here to download the guide and start planning ahead of more people becoming vaccinated. This guide provides ten helpful tips brought to you by Humana and Fisher Phillips LLC to help employers develop workplace practices and help keep their employees safe and healthy.
• Webinar, COVID-19 vaccinations and the workplace: Legal and other employer considerations: Click here to watch the recorded webinar with workplace law expert and Fisher and Phillips law partner, Emily Litzinger and Humana Director of Associate Well-being, Erik Anderson. Emily addresses growing questions employers have regarding employee vaccinations and their return to work policies.
• Webinar, Employer considerations about COVID-19 and healthcare policy: Click here to watch the recorded webinar with Dr. William Shrank, Chief Medical Officer and Deb Oberman, Vice President of Government Affairs. Visit Humana’s COVID-19 Employer Resource Center to view past webinars and access downloadable resources at your convenience.

Answers to frequently asked questions. Visit our COVID-19 FAQs to get the most up-to-date, straightforward answers to common questions related to COVID-19 coverage and access to care.

Contact your Cornerstone representative with any questions.