Humana
3.63
CMS Star Rating
from Humana
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The bottom line: Humana Medicare Advantage is available in most counties, and the Part B Giveback benefit on a majority of its plans is a plus, but the company’s star ratings and member experience scores dropped for 2025 plans. Jump to: Full Review
3.63
CMS Star Rating
from Humana
Widely available: With plans available in 89% of U.S. counties, Humana is an option for most Americans.
Veteran-focused plans: Humana USAA Honor plans are designed to work with veteran benefits to provide a complete package of health care for those who served.
Giveback benefits: About 6 in 10 Humana plans offer a Part B Giveback benefit, which means the plan covers some portion of your Medicare Part B premium.
Star ratings decline: Only 39% of Humana plans are rated 4 stars or higher for 2025, compared to 63% for 2024.
Unhappy members: Humana’s scores for customer satisfaction dropped in several major Medicare markets since last year, landing below the regional average in most, according to J.D. Power’s latest study.
High cost limits: Humana’s average maximum out-of-pocket limit on plans is the highest of the major providers.
3.82
CMS Star Rating
from UnitedHealthcare
4.27
CMS Star Rating
on NerdWallet
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3.63
CMS Star Rating
from Humana
3.93
CMS Star Rating
on NerdWallet
M-F 8am-10pm EST, Sa-Su 9am-9pm EST
» More options in our roundup of the best Medicare Advantage plans
3.82
CMS Star Rating
from UnitedHealthcare
3.63
CMS Star Rating
from Humana
» More options in our roundup of the best Medicare Advantage plans
Average star rating, weighted by enrollment: 3.63
Humana Medicare Advantage plans are rated below the industry average, receiving an average rating of 3.63 stars out of 5 from the Centers for Medicare & Medicaid Services (CMS) for 2025, weighted by enrollment. For comparison, the average weighted star rating for plans from all providers is 3.92.
Only 26% of Humana's Medicare Advantage members who are in rated plans are in plans rated 4 stars or more for the 2025 plan year. No Humana plans in 2025 received 5 stars.
CMS maintains its own database of star ratings on every Medicare Advantage and separate Medicare Part D plan, ranging from best (5 stars) to worst (1 star). The agency bases these ratings on plans’ quality of care and measurements of customer satisfaction, and ratings may change from year to year.
All Medicare Advantage plans are evaluated on health plan measures, and Medicare Advantage plans that include prescription drug coverage are also evaluated on drug plan measures.
You can find a plan's rating with the Medicare plan finding tool.
About half (49%) of Humana’s Medicare Advantage plans in 2025 have a $0 monthly premium. You'll also be responsible for paying your Medicare Part B premium, which is at least $174.70 per month in 2024 ($185 in 2025).
(Most people pay this standard Part B amount, but if your income is above a certain threshold, you'll pay the income-related monthly adjustment amount (IRMAA). Some Medicare Advantage plans cover part or all of your Part B premium.)
Requirements for copays, coinsurance and deductibles vary depending on your plan, location and the services you use. Other out-of-pocket costs to consider include:
Whether the plan covers any part of your monthly Medicare Part B premium.
The plan's deductibles.
Copayments and/or coinsurance for each visit or service. For instance, there may be a $10 copay for seeing your primary doctor and a $45 copay for seeing a specialist.
The plan’s in-network and out-of-network out-of-pocket maximums.
Whether your medical providers are in-network or out-of-network, or how often you may go out of network for care.
Whether you require extra benefits, and if the plan charges for them.
Here are examples of Humana Medicare Advantage costs for some popular plans in a mid-range city:
Humana Medicare Advantage plan | Pricing |
---|---|
HumanaChoice (PPO) | Monthly premium: $0. Deductible: $330. Out-of-pocket max: $3,600 in-network. Copays:
Dental allowance: $2,000. |
Humana Gold Plus (HMO-POS) | Monthly premium: $0. Deductible: $525. Out-of-pocket max: $3,000 in-network. Copays:
Dental allowance: $1,000. |
Humana USAA Honor Giveback (PPO) | Monthly premium: $0. Deductible: None. Out-of-pocket max: $4,500 in-network. Copays:
Dental allowance: $6,000. |
Selected plans are available in ZIP code 66013. *Inpatient hospital copay is per day for days 1-5. **Inpatient hospital copay is per day for days 1-7. | |
Sources: |
To get a sense of costs, use Medicare’s plan finding tool to compare information among available plans in your area. You can select by insurance carrier to see only Humana plans, or compare across carriers.
Humana offers Medicare Advantage prescription drug plans as well as stand-alone prescription drug plans and Medicare Advantage plans without drug coverage. And Humana and USAA have partnered to offer the Humana USAA Honor Giveback plan — part of the Humana Honor portfolio designed for veterans — that offers a Part B Giveback.
Other plan offerings include the following types:
AM Best is a credit rating agency that specializes in the insurance industry. In September 2023, AM Best upgraded the Financial Strength Rating to A (Excellent) from A- (Excellent) for Humana Health Group.
AM Best also affirmed an FSR of B++ (Good) for Humana Insurance of Puerto Rico Inc. and Humana Health Plans of Puerto Rico Inc., which are Humana subsidiaries.
An A rating in this category indicates that AM Best believes Humana has an excellent ability to meet its ongoing insurance obligations. (The two subsidiaries with a B++ rating are deemed to have a “good” ability to meet ongoing insurance obligations.)
In its 2024 U.S. Medicare Advantage Study — the 10th it's done so far — J.D. Power measured member satisfaction with Medicare Advantage plans based on eight factors ranging from level of trust to how well a provider resolves problems or complaints. The study was fielded in the 10 biggest state Medicare markets, and here’s how Humana ranked out of all major providers:
California: 7th out of 8.
Florida: 5th out of 6.
Georgia: 2nd out of 4.
Illinois: 3rd out of 5.
Michigan: 4th out of 4.
New York: 5th out of 5.
North Carolina: 4th out of 4.
Ohio: 3rd out of 4.
Pennsylvania: 7th out of 7.
Texas: 2nd out of 6.
The National Committee for Quality Assurance rates health insurance plans on a 5-point scale (with 5 being best) based on quality of care, patient satisfaction and health plans’ efforts to keep improving.
In its September 2024 ratings of Humana plans, the NCQA awarded ratings between 2.5 and 4.0 stars. About 10% of the rated plans received a 4.0, and the rest received a 3.5 or lower. Five plans received a 2.5 rating.
Humana offers Medicare Advantage plans in 48 states, Washington, D.C., and Puerto Rico. Humana Medicare Advantage plans are available in 89% of U.S. counties.
Humana is the second-largest for-profit Medicare Advantage provider, adding 412,000 new Medicare Advantage members for the 2024 plan year, according to health care analytics firm The Chartis Group. More than 6.2 million Medicare beneficiaries are enrolled in a Humana Medicare Advantage plan.
Humana is a health insurance company headquartered in Louisville, Kentucky. Its insurance offerings include Medicare Advantage plans, Medicare prescription drug plans, Medicare Supplement Insurance, Medicaid coverage and dental and vision plans.
Read the NerdWallet reviews of these other Humana Medicare offerings:
Humana members can contact their plan’s customer service in the following ways:
Call 800-457-4708 (TTY: 711), which is available daily from 8 a.m. to 8 p.m. Eastern time.
Use online chat, after you've logged into your account.
Original Medicare is federal government-provided health insurance for people 65 and older and those under 65 with certain conditions or disabilities. Medicare Advantage is a bundled alternative to Original Medicare, provided by private insurance companies like Humana, that provides the same coverage as Original Medicare, and usually prescription drug coverage.
Get more information below about some of the major Medicare Advantage providers. These insurers offer plans in most states. The plans you can choose from will depend on your ZIP code and county.
It’s important to do your research before selecting a Medicare Advantage plan for yourself. Here are some questions to consider asking:
What are the plan’s costs? Do you understand what the plan’s premium, deductibles, copays and/or coinsurance will be? Can you afford them?
Is your doctor in-network? If you have a preferred medical provider or providers, make sure they participate in the plan’s network.
Are your prescriptions covered? If you’re on medication, it’s crucial to understand how the plan covers it. What tier are your prescription drugs on, and are there any coverage rules that apply to them?
Is there dental coverage? Does the plan offer routine coverage for vision, dental and hearing needs?
Are there extras? Does the plan offer any extra benefits, such as fitness memberships, transportation benefits or meal delivery?
3.63
CMS Star Rating
Humana plans are widely available with above-average member experience scores and strong Part B Giveback benefits, but star ratings are low.
from Humana
States available
48 states, Washington, D.C., and Puerto Rico
Members in high-rated plans
Low (49% or less)
Member experience
3.61 (Above average)
States available
48 states, Washington, D.C., and Puerto Rico
Members in high-rated plans
Low (49% or less)
Member experience
3.61 (Above average)
Pros
Cons
The Medicare Advantage marketplace is concentrated among just a handful of companies; in many places, one insurer serves more than half of the market. NerdWallet reviewed 26 Medicare Advantage brands, with some insurers having more than one brand under their umbrella. (For example, Blue Cross Blue Shield includes the brands Anthem and Highmark.) At the national level, these reviews include nine of the 10 largest brands by enrollment. At the state level, our research includes at least one major insurer in 47 of the 49 states that offer Medicare Advantage plans, and includes the top two insurers in 35 of those states. (Alaska doesn't offer Medicare Advantage plans.) We also look at online search volume to identify regional and other notable players in the space.
NerdWallet’s Medicare Advantage reviews are based on ratings data from the Centers for Medicare & Medicaid Services, as well as pricing, plan availability by state, plan types available, consumer experience, extra benefits offered and more. These reviews are a guide, but we encourage you to shop around and compare several plans to find the best coverage and rate for you. NerdWallet does not receive compensation for any reviews. Read our editorial guidelines for additional information.