Is Humana Healthy Horizons Medicaid

If you or someone in your household is receiving a Supplemental Security Income (SSI), State Supplement Payment (SSP), Disability Determination Services (DDS) or foster care payments, you may qualify for Humana Medicaid. Medicaid is a health insurance program for those with limited income and resources. Humana Healthy Horizons Medicaid offers comprehensive coverage for those who qualify, including medical, dental, vision, and mental health services. With a wide network of providers, Humana Medicaid ensures access to quality care and support for those in need.

Overview of Humana Healthy Horizons Medicaid

Humana Healthy Horizons Medicaid is a health insurance plan that provides affordable coverage to low-income individuals and families. The plan is available in several states and covers a wide range of services, including doctor visits, hospital care, prescription drugs, and more. Humana Healthy Horizons Medicaid is a joint program between the federal government and the state of residence. The federal government provides funding, while the state is responsible for administering the program. Eligibility for Humana Healthy Horizons Medicaid varies by state, but generally includes families with low incomes, pregnant women, and people with disabilities. To apply for Humana Healthy Horizons Medicaid, contact your state’s Medicaid office.

Benefits of Humana Healthy Horizons Medicaid

  • Low-cost or free coverage: Humana Healthy Horizons Medicaid is a low-cost or free health insurance plan for those who qualify.
  • Comprehensive coverage: Humana Healthy Horizons Medicaid covers a wide range of services, including doctor visits, hospital care, prescription drugs, and more.
  • Access to care: Humana Healthy Horizons Medicaid gives you access to a network of providers who accept Medicaid.
  • Peace of mind: Humana Healthy Horizons Medicaid gives you peace of mind knowing that you and your family are covered for essential health care services.

Eligibility for Humana Healthy Horizons Medicaid

Eligibility for Humana Healthy Horizons Medicaid varies by state, but generally includes:

  • Families with low incomes
  • Pregnant women
  • People with disabilities

How to Apply for Humana Healthy Horizons Medicaid

To apply for Humana Healthy Horizons Medicaid, contact your state’s Medicaid office. You can find the contact information for your state’s Medicaid office online or by calling the National Medicaid Hotline at 1-800-318-2596.

What Services Are Covered by Humana Healthy Horizons Medicaid?

The services covered by Humana Healthy Horizons Medicaid vary by state, but generally include the following:

  • Doctor visits
  • Hospital care
  • Prescription drugs
  • Mental health services
  • Substance abuse treatment
  • Dental care
  • Vision care
  • Hearing care
Humana Healthy Horizons Medicaid State Contacts
StateContact Information
Alabama1-800-342-3056
Alaska1-800-478-2334
Arizona1-888-436-8432
Arkansas1-800-482-8988
California1-800-977-7555

Eligibility Requirements for Humana Healthy Horizons Medicaid

Humana Healthy Horizons Medicaid offers comprehensive healthcare coverage to low-income individuals and families in certain states. Eligibility for Humana Healthy Horizons Medicaid is based on specific income and program criteria. To qualify, applicants must meet the following requirements:

Income Requirements

  • Gross Income: Household income must be below a certain threshold, which varies depending on the state and family size. For instance, in Florida, a family of four must have a gross monthly income below $4,234 to be eligible.
  • Federal Poverty Level (FPL): Eligibility is also determined by a percentage of the FPL. In most states, households with income below 138% of the FPL qualify for Medicaid.

Program Criteria

  • Age: Children under 19 years old are generally eligible for Medicaid.
  • Pregnancy: Pregnant women may be eligible for Medicaid coverage during and after pregnancy.
  • Disability: Individuals with disabilities that prevent them from working may be eligible for Medicaid.
  • Citizenship: Applicants must be U.S. citizens or legal permanent residents.

Additional Factors

In addition to the above requirements, certain states may have additional eligibility factors, such as:

  • Residency: Applicants must reside in the state where they are applying for Medicaid.
  • Work Requirements: Some states may impose work requirements for certain Medicaid recipients.

How to Apply

To apply for Humana Healthy Horizons Medicaid, individuals can follow these steps:

  1. Contact the State Medicaid Agency: Visit the state’s Medicaid website or call the Medicaid office to obtain an application.
  2. Gather Required Documents: Compile necessary documents, such as proof of income, identity, and residency.
  3. Submit Application: Complete the application form and submit it along with the required documents to the state Medicaid agency.

Once the application is processed, individuals will be notified of their eligibility status. Humana Healthy Horizons Medicaid provides access to a wide range of healthcare services, including doctor visits, hospital care, prescription drugs, and preventive care.

Humana Healthy Horizons Medicaid Income Limits
StateFamily SizeGross Monthly Income Limit
Florida1$1,763
Florida2$2,370
Florida3$2,977
Florida4$3,583
Texas1$1,641
Texas2$2,194
Texas3$2,747
Texas4$3,299

Humana Healthy Horizons Medicaid: A Comprehensive Overview

Humana Healthy Horizons Medicaid is a valuable health insurance program designed to cater to Medicaid-eligible individuals and families in several states across the United States. This program is committed to providing comprehensive coverage for a wide range of medical services, ensuring access to quality healthcare and promoting overall well-being within the communities it serves.

Benefits and Services Provided by Humana Healthy Horizons Medicaid

  • Medical Services: Humana Healthy Horizons Medicaid offers a comprehensive array of medical services, including primary care, specialty care, hospitalization, emergency services, laboratory and diagnostic tests, prescription drug coverage, and more.
  • Preventive Care: The program emphasizes the importance of preventive care and offers a range of services such as annual physicals, well-child visits, immunizations, screenings, and health education programs.
  • Chronic Disease Management: Humana Healthy Horizons Medicaid recognizes the significance of chronic disease management and provides ongoing support for individuals with conditions like diabetes, asthma, heart disease, and more. This includes regular monitoring, medication management, and lifestyle counseling.
  • Mental Health and Substance Use Disorder Services: The program acknowledges the growing need for mental health and substance use disorder services and offers a variety of resources, including individual and group therapy, medication management, peer support, and crisis intervention.
  • Dental and Vision Care: Humana Healthy Horizons Medicaid understands the importance of oral and eye health and provides coverage for routine dental checkups, cleanings, fillings, and vision exams.
  • Transportation Services: The program recognizes that transportation barriers can hinder access to healthcare, and it offers transportation assistance to eligible members who require help in reaching their medical appointments.
  • Long-Term Care Services: Humana Healthy Horizons Medicaid provides support for individuals who require long-term care, including nursing home care, home health services, and assisted living facilities.

Humana Healthy Horizons Medicaid Coverage Eligibility Criteria

Eligibility criteria for Humana Healthy Horizons Medicaid vary from state to state, but in general, the program is available to individuals and families who meet certain income and asset guidelines. To determine eligibility, factors such as household size, income level, and citizenship status are taken into consideration. It is important to contact the local Medicaid office or visit the Humana Healthy Horizons Medicaid website for specific eligibility requirements in each state.

Applying for Humana Healthy Horizons Medicaid

Individuals interested in applying for Humana Healthy Horizons Medicaid can do so by contacting their local Medicaid office or visiting the Humana Healthy Horizons Medicaid website. The application process typically involves submitting personal information, income verification, and other required documents. Once the application is reviewed, individuals will be notified of their eligibility status and coverage options.

Conclusion

Humana Healthy Horizons Medicaid is a valuable program that provides comprehensive healthcare coverage to Medicaid-eligible individuals and families in various states. With a focus on preventive care, chronic disease management, mental health and substance use disorder services, and a range of other essential medical services, Humana Healthy Horizons Medicaid strives to improve the overall health and well-being of its members.

Applying for Humana Healthy Horizons Medicaid

Humana Healthy Horizons Medicaid is a program that provides health insurance to eligible residents of Florida who meet specific income and household size requirements. If you think you may be eligible for Humana Healthy Horizons Medicaid, there are a few simple steps you can take to apply.

1. Check your eligibility:

  • Visit the Humana Healthy Horizons Medicaid website or call the Customer Service line to determine if you are eligible. 
  • You will need to provide information about your income, household size, and any assets you own.

2. Gather your documents:

  • Once you have determined that you are eligible, you will need to gather the following documents:
  • Proof of identity (driver’s license, birth certificate, or passport)
  • Proof of residency (utility bill, lease agreement, or voter registration card)
  • Proof of income (pay stubs, tax returns, or Social Security award letter)
  • Proof of assets (bank statements, investment account statements, or vehicle titles)

3. Apply online or by mail:

  • You can apply for Humana Healthy Horizons Medicaid online at the Florida Department of Children and Families website or by submitting a paper application by mail.
  • The paper application can be downloaded from the website or obtained from a local Department of Children and Families office.

4. Follow up on your application:

  • Once you have submitted your application, you will receive a confirmation number. 
  • You can use this number to check the status of your application online or by calling the Customer Service line.
  • You will be notified by mail within 45 days of the date your application is received if you are approved or denied for coverage.

5. Appeal a denial of coverage:

  • If you are denied coverage, you have the right to appeal the decision. 
  • You can request an appeal by calling the Customer Service line or by submitting a written request to the Florida Department of Children and Families.
  • You will have a hearing to present your case, and a decision will be made within 90 days.
Humana Healthy Horizons Medicaid Contact Information
Customer ServicePhone NumberWebsite
Florida Department of Children and Families1-877-711-3662www.myflorida.com/accessflorida
Humana1-800-541-4444www.humana.com/florida

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