Humana Medicare Advantage 2024-2025 Review: Pros, Cons, Costs

Humana is a widely available Medicare Advantage provider, but star ratings have slipped from last year.

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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

Humana Medicare Advantage

Humana

3.63

CMS Star Rating

(866) 215-2655

TTY 711

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Humana Medicare Advantage pros and cons

Pros

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.

Cons

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.

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UnitedHealthcare Medicare Advantage - UHC (product card)

UnitedHealthcare

3.82

CMS Star Rating

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Aetna Medicare Advantage

Aetna

4.27

CMS Star Rating

(855) 432-0512

TTY 711

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Humana Medicare Advantage

Humana

3.63

CMS Star Rating

(866) 215-2655

TTY 711

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Cigna Medicare Advantage

Cigna

3.93

CMS Star Rating

(855) 432-0512

TTY 711

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» More options in our roundup of the best Medicare Advantage plans

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UnitedHealthcare Medicare Advantage - UHC

UnitedHealthcare

3.82

CMS Star Rating

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Humana Medicare Advantage

Humana

3.63

CMS Star Rating

(866) 215-2655

TTY 711

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» More options in our roundup of the best Medicare Advantage plans

Our full review

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Humana Medicare Advantage star ratings

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

Centers for Medicare & Medicaid Services. Fact Sheet - 2025 Medicare Advantage and Part D Star Ratings. Accessed Oct 15, 2024.
.

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

Centers for Medicare & Medicaid Services. 2025 Star Ratings Data Tables (ZIP). Accessed Oct 15, 2024.
.

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.

What does Humana Medicare Advantage cost?

About half (49%) of Humana’s Medicare Advantage plans in 2025 have a $0 monthly premium

Centers for Medicare & Medicaid Services. CY2025 Landscape (202409) (ZIP). Accessed Oct 15, 2024.
. 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:

  • Primary care: $0.

  • Specialist: $30.

  • Emergency care: $140.

  • Inpatient hospital: $360.*

Dental allowance: $2,000.

Humana Gold Plus (HMO-POS)

Monthly premium: $0.

Deductible: $525.

Out-of-pocket max: $3,000 in-network.

Copays:

  • Primary care: $0.

  • Specialist: $15.

  • Emergency care: $140.

  • Inpatient hospital: $295.**

Dental allowance: $1,000.

Humana USAA Honor Giveback (PPO)

Monthly premium: $0.

Deductible: None.

Out-of-pocket max: $4,500 in-network.

Copays:

  • Primary care: $0.

  • Specialist: $35.

  • Emergency care: $125.

  • Inpatient hospital: $360.*

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.

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 Medicare Advantage plan types

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:

A Medicare health maintenance organization (HMO) generally requires that you use a specific network of doctors and hospitals. You may need a referral from your primary doctor in order to see a specialist, and out-of-network benefits are usually very limited.

HMO point-of-service plans are HMO plans that allow members to get some out-of-network services, but you’ll pay more for those services.

Medicare preferred provider organization (PPO) plans provide the most freedom, allowing you to see any provider that accepts the insurance. You may not need to choose a primary doctor, and you don’t need referrals to see specialists. You can seek out-of-network care, although it may cost more than seeing an in-network doctor.

Humana’s private fee-for-service (PFFS) plans allow you to see any Medicare-approved provider who accepts your Humana plan. You won’t have to pick a primary doctor, and you won’t need a referral to see a specialist.

Special needs plans (SNPs) restrict membership to people with certain diseases or characteristics. Hence, the benefits, network and drug formularies are tailored to the needs of those members. Humana offers two types of SNPs:

  • Chronic Condition SNP: For people with one or more conditions such as diabetes mellitus, cardiovascular disorders, chronic heart failure or chronic lung disorders.

  • Dual-Eligible SNP: For people who are entitled to Medicare and who also qualify for assistance from a state Medicaid program.

Third-party ratings

AM Best Financial Strength Rating: A (Excellent) for most

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.)

J.D. Power Ranking

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

:

NCQA Score Range: 2.5 to 4.0 out of 5

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

NCQA. Health Plans. Accessed Oct 15, 2024.
.

Humana Medicare Advantage service area

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.

About Humana

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 customer service

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.

Are Medicare and Humana Medicare Advantage the same?

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.

Frequently asked questions

Yes, Humana Gold Plus is an HMO Medicare Advantage plan offered in most states that Humana operates in. Because it’s a health maintenance organization (HMO) plan, you’ll need to choose a primary care physician within the Humana network who can provide referrals to see specialists.

Yes, HumanaChoice PPO is a Medicare Advantage plan offered in every state Humana operates in. Because it’s a preferred provider organization (PPO) plan, you can see any Medicare-approved medical provider who accepts the plan, although you’ll typically pay more if they’re not in Humana’s network.

Compare Medicare Advantage providers

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.

Find the right Medicare Advantage plan

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?

If you have additional questions about Medicare, visit Medicare.gov or call 800-MEDICARE (800-633-4227, TTY 877-486-2048).
Best for Part B Giveback
Humana Medicare Advantage

Humana

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.

(866) 215-2655 / TTY 711

5am - 8pm, daily PST

Call Humana

GET A QUOTE

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

  • Plans available for most Americans.
  • Above-average member experience scores among major providers.
  • Part B Giveback benefit in 61% of plans.

Cons

  • Only 24% of plans are rated 4 stars or higher.
  • Customer satisfaction scores are low in several major markets.
  • Average out-of-pocket maximums are on the high side.

Medicare Advantage review methodology

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.

Medicare will have big changes in 2025. Compare Medicare Advantage plans