Welcome to Humana Healthy Horizons® in Oklahoma. With us, you get a Medicaid plan that does more. We offer more rewards, more everyday benefits, and more help and support. That’s so you have more time to focus on what you love. Find important resources and learn how to make the most out of your health plan.
Welcome to Humana Healthy Horizons. With us you get Medicaid that does more—like more rewards, more every day benefits, and more help and support so you have more time to focus on what you love.
Make the most of your Humana Healthy Horizons enrollment. It’s as easy as 1, 2, 3. Download two digital apps to your mobile device, fill out and return three forms, pick and see a primary care physician.
At Humana, we want to help you live your best life and your best health possible. As part of our commitment to you, we offer reward for taking healthy actions. You can earn rewards right now. Create an account on the go 365 for Humana Healthy Horizons app and submit answer questions. We will use your answers to help make sure you get care and support.
We also offer 24/7 access to your plan information with the MyHumana app. With it, you can see and download your member ID card, get health notices, and more. Download both apps humana.com/mobile-apps/
Next, help us get to know you. Your welcome kit includes some important health questions, a consent for release of protected health information, and continuity of care form. Please review and complete the forms and then send them back to us in the enclosed postage envelope. We’ll use this information to help with your personalized care plan. Answering the questions earns you rewards through Go365 for Humana Healthy Horizons.
Finally, it’s time to pick a doctor. Your member ID card includes the name of your primary care physician. To pick a different PCP, use our online Find a Doctor service at humana.com/findadoctor. To see doctors in your area, call the number on the back of your member ID card.
Remember, download the 365 for Humana Healthy Horizons and MyHumana apps, fill out and send back your forms, and see your PCP.
Again, welcome to Humana Healthy Horizons. We do our best to make healthcare easy. We aim to give you what you need to feel your best, plus things that you didn’t even know you needed. We call that human care.
Getting started with Humana Healthy Horizons in Oklahoma is as easy as 1, 2, 3:
At Humana, we want to help you live your best life in your best health possible. As part of our commitment to you, we offer rewards for taking healthy actions.
Go365 for Humana Healthy Horizons
MyHumana
The
Health Risk Screening (HRS)
The HRS is a set of questions about you and your health. We will use your answers to help make sure you get the care and support you need.
You can complete your HRA by:
Continuity of Care form
The Continuity of Care form helps make sure you continue getting the care you need if you change health plans or doctors. Fill it out and send it back to us in the postage-paid envelope you received in your Welcome Kit.
Release of Protected Health Information (PHI) form
The Release of Protected Health Information form tells us what health information you’re OK with us sharing with other people. Fill it out and send it back to us in the postage-paid envelope you received in your Welcome Kit.
Your Member ID card includes the name of your primary care physician (PCP).
Your PCP should be:
We recommend you:
Where should you go to see a doctor? You have choices.
If you change your doctors, complete a Consent for Release of Medical Records form. This form gives us permission to send your medical records to your new doctor.
When new health and dental plans are added to your Medicaid benefits,
COC makes sure that your dental and health services won’t be interrupted when we switch plans. You will be able to see your doctors and fill your prescriptions like normal.
Health and dental plans are required to ensure COC during the transition period for Medicaid recipients enrolled in the SMMC program. COC requirements ensure that your services will continue seamlessly when you change:
The Oklahoma Health Care Authority (OHCA) has instituted the following COC provisions:
Health care providers should not cancel appointments with current patients. Health plans must honor any ongoing treatment that was authorized prior to the recipient’s enrollment into the plan for up to 60 days after the roll-out date in each region.
Providers will be paid. Providers should continue providing any services that were previously authorized, regardless of whether the provider is participating in the plan’s network. Plans must pay for previously authorized services for up to 60 days after the roll-out date in each region, and must pay providers at the rate previously received for up to 30 days.
Providers will be paid promptly. During the continuity of care period, plans are required to follow all timely claims payment contractual requirements. The Agency will monitor complaints to ensure that any issues with delays in payment are resolved.
Prescriptions will be honored. Plans must allow recipients to continue to receive their prescriptions through their current provider, for up to 60 days after the roll-out date in each region, until their prescriptions can be transferred to a provider in the plan’s network.
Don’t lose your Medicaid coverage. When your personal information changes, like your address or phone number, update it with a few simple steps.
Go to the
If visiting the OHCA website:
Supplemental Security Income (SSI) recipients and those interested in getting SSI should visit the
By taking these steps, your health benefits and plan stay protected.