Humana is here to help Florida Medicaid enrollees learn more about their lomng term care benefits. Let us help you on your way to good health


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Extra programs and services

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Take advantage of the extras you get as a Humana Healthy Horizons in Florida member with long-term care coverage, including:

Assisted living facility/adult family care home (bed hold days)

Coverage for up to 30 days 
 
 <ul>
 <li>Members must plan to return to the facility</li>
 <li>You must pay your room and board and share of payments while away</li>
 <li>You must live in the facility for at least 30 days between each departure</li>
 <li>The facility must notify Humana Healthy Horizons in Florida of your departure within 24 hours</li>
 </ul>
 
 Prior authorization required

Get up to $50 worth of items once per lifetime 
 
 A move-in basket is available to members 21 and older who: 
 
 <ul>
 <li>Live in an assisted living facility</li>
 <li>Transition/move into an assisted living facility</li>
 </ul>
 
 Members can pick between two baskets: 
 
 <ul>
 <li>Basket 1: An insulated tumbler, rainbow medication tray, and plush Sherpa home throw blanket inside a clear casual tote bag</li>
 <li>Basket 2: A bottle holder, green carabiner, copper vacuum insulated bottle, domino set, and Arctic Zone thermal copper mug inside a black tote bag</li>
 </ul>
 
 To pick your basket, talk to your care manager

<ul>
 <li>Members under care management for congestive heart failure can get 1 weight scale every three years</li>
 <li>Members under care management for hypertension can get 1 digital blood pressure cuff every three years</li>
 </ul>

Members can choose 2 healthy lifestyle aids, once per lifetime, to help maintain independence in their home:
 <ul>
 <li>2 face mask</li>
 <li>Clip on lamo</li>
 <li>Digital scale</li>
 <li>Home blood pressure cuff</li>
 <li>Lumbar pillow</li>
 <li>Peak flow meter</li>
 <li>Personal fan </li>
 <li>Reachers/grabbers</li>
 <li>Walker bag </li>
 </ul>

<ul>
 <li>One hearing aid assessment, fitting, checking, and evaluation every two years</li>
 <li>One in-ear monaural hearing aid per ear each year</li>
 <li>One hearing aid, all other types, per ear every two years </li>
 </ul>

Individual therapy sessions for caregivers

Unlimited counseling visits for the people who help take care of our members

<ul>
 <li>Up to $500 per lifetime for members ages 17 and older in a skilled nursing facility (SNF) or private duty nursing (PDN) setting, and their parent is obtaining guardianship to protect individuals unable to care for their own well-being</li>
 </ul>
 
 Care manager approval required

Meal stipend (available for long-distance medical appointment day-trips)

$200 per day (up to $1,000 per year) for same-day medical trips greater than 100 miles from home. Care manager approval required. 
 
 Humana will reimburse member after member submits receipts 
 
 Call Member Services at 888-998-7732 (TTY: 711), Monday – Friday, from 8 a.m. – 8 p.m., Eastern time for more information

Nursing facility-to-community setting transition assistance

$5,000 per lifetime to help a member move, for members who are: 
 
 <ul>
 <li>Moving out of a nursing facility into their own home, and</li>
 <li>Paying their own living costs </li>
 </ul>
 
 Care manager approval required

The $1,500 fiscal year dollar limit for non-emergency outpatient services is waived.

$25 per household per month to spend on an approved list of products 
 
 <a href="https://www.humana.com/medicaid/florida-medicaid/coverage/pharmacy" target="_blank" class="adj-link-standalone-front-icon nc-link">Visit our Pharmacy webpage for more information , opens new window</a>

Prevention kit – Flu/Pandemic prevention kit

A flu/pandemic prevention kit that includes: 
 
 <ul>
<li>10 3-ply face masks</li>
<li>Hand sanitizer</li>
<li>Oral digital thermometer</li>
</ul> 
 
Available to first 1,000 Humana Healthy Horizons in Florida members (18 and older) who get a flu vaccine 
 
We will send kits to qualifying members

Through the Federal Lifeline Program, households may be eligible for 1 smartphone with monthly minutes, text and data. 
			Members who are under 18 will need a parent or guardian to sign up. Smartphone training for you and your caregiver during your case manager visits can be requested. 
			Members may also qualify for enhanced benefits through the Affordable Connectivity Program (ACP) that provides additional minutes, data and/or hotspot access. 
			Visit SafeLink at <a href="https://safelinkwireless.com" target="_blank" class="adj-link-standalone-front-icon nc-link">https://safelinkwireless.com, opens new window</a> to apply. 
			Limitations may apply and are subject to change per FCC guidelines.

For members living in an assisted living facility, eligible caregivers get four one-way trips per month to visit the member in the facility 
 
 To set up transportation, call member’s care manager

3 round trips per month (within your local area) for members who live in a home- or community-based setting 
 
 Care manager approval required

One eye exam per year and one of the following: 
 
 <ul>
 <li>One pair of frames* a year, or</li>
 <li>A six-month supply of contact lenses with a doctor’s prescription </li>
 </ul>
 
 *Member pays any cost that exceeds $75 for luxury frames

For all members, complex care management and care management for chronic conditions, including: 
 
 <ul>
 <li>Asthma</li>
 <li>Chronic Obstructive Pulmonary Disease (COPD)</li>
 <li>Heart failure</li>
 <li>Hypertension</li>
 </ul>
 
 Call Member Services at 888-998-7732 (TTY: 711), Monday – Friday, from 8 a.m. – 8 p.m., Eastern time for more information

For all members, access to specialty programs and services related to: 
 
 <ul>
 <li>Alzheimer’s Disease</li>
 <li>HIV/AIDS</li>
 <li>Pain management</li>
 <li>Palliative care</li>
 <li>Sickle cell disease</li>
 <li>Social work</li>
 </ul>

Download a copy of this chart

Check out the expanded benefits available to our members who have a medical plan (but not a long-term care plan)

Check out your Member Handbook for more information about your covered services and extra benefits

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If you smoke or use other tobacco products or e-cigarettes, we can help you quit.