- Agent of Record (AOR) Change Guidelines
- Agent Statement for Enrollment Correction Form
- Primary Care Physician (PCP) Change Request Form
- DSNP – How to Verify Eligibility
- 2019 Star Ratings – Humana H5216 PPO
- 2019 Star Ratings – Humana H5619 HMO
- 2019 Star Ratings – Humana S5884 PDP
- Agent Statement for Enrollment Correction
- 2019 Alternate Language Order Form Electronic
Summary of Benefits:
Gold Plus HMO:
- Snohomish H5619-063 | $0
- Snohomish H5619-059 | $33
- King H5619-057 | $0
- King H5619-097 | $33
- Pierce H5619-100 | $0
- Pierce H5619-061 | $47
- Thurston H5619-064 | $0
- Thurston H5619-062 | $40
- Kitsap H5619-099 | $0
- Kitsap H5619-104 | $47
- Skagit, Whatcom H5619-114 | $0
- Skagit, Whatcom H5619-115 | $33
- Spokane H5619-060 | $0
- Spokane H5619-102 | $33
- Clark H5619-056 | $0
- Clark H5619-101 | $102
- D-SNP H5619-067 | Clark, King, Kitsap, Pierce, Snohomish, Spokane, Thurston
Choice PPO
- $0 MA Only H5216-046 | Clark, Cowlitz, Island, King, Kitsap, Kittitas, Pierce, Skagit, Snohomish, Spokane, Thurston, Walla Walla, Whatcom
- $102 H5216-047 | Clark, Cowlitz, Island, King, Kitsap, Kittitas, Skagit, Snohomish, Spokane, Walla Walla, Whatcom
- $201 H5216-048 | Cowlitz, Island, Kitsap, Kittitas, Pierce, Thurston, Walla Walla
Prescription Drug Plan
- $26.60 Walmart PDP S5884-176 | WA Statewide
- $34.00 Preferred PDP S5884-113 | WA Statewide
- Non-Commissionable: $73.80 S5884-028 | WA Statewide
MyOption Supplemental Benefit Flyers
Please refer to the plan Summary of Benefits to determine which are available to add to the plan you are selling.
- High PPO Dental Flyer
- Enhanced Dental Flyer
- Platinum Dental Flyer
- Total Dental Plus Flyer
- Vision Flyer
More plan documentation is available here: https://www.humana.com/medicare
Enter a zip code, click Shop Plans, and select “View Details” under the plan you are seeking.
More documents and sales materials are also available in the Humana Vantage Portal https://www.humana.com/agent/