Humana Group Medicare Advantage (PPO) Base Plan (90/10)

For information on 2025 State Health Plan Benefits, please click here

State Health Plan Medicare retirees have several options for health plan coverage. One of these options is the Humana Group Medicare Advantage PPO Base Plan (90/10)*, which includes Medicare prescription drug coverage. 

* The Humana Group Medicare Advantage Plans have a benefit value equivalent to a 90/10 plan.

IMPORTANT MESSAGE: You cannot be enrolled in multiple Medicare Health Plans (Medicare Part D and/or Medicare Advantage). Should you (or a covered spouse) choose to enroll in an outside Medicare Health Plan, you will be disenrolled from your Humana Group Medicare Advantage (PPO) Plan (90/10) and automatically moved to the 70/30 PPO Plan. This could significantly impact your premiums.

Below are resources for members enrolled in the Humana Base Plan.

Plan Resources:

• 2024 Plan Comparison Chart
• Humana Website
• 2024 Humana Summary of Benefits (Base Plan)  
• 2024 Humana Evidence of Coverage
• 2024 Prescription Drug Guide
• 2024 Prescription Drug Summary of Benefits

Rate Sheets

• Medicare Subscribers
• 50% Contributory Medicare Primary Subscribers
• 100% Contributory Medicare Primary Subscribers
• 100% Contributory Medicare Primary Subscribers who are in Direct Bill & Sponsored Dependent Groups

Members indicated as 50% or 100% contributory notes the percentage of the premium for which they are responsible.

Authorization

You can give permission to Humana to share your personal health information with a person or organization. To do so, please complete and sign the form below.

 Humana Authorization to Share Personal Information

For more information regarding Humana call Customer Service at  888-700-2263