Humana Florida Medicaid or Humana Healthy Horizons is a Florida Medicaid plan that is provided by Humana. The plan includes medical, pharmacy, vision, and hearing coverage, as well as coverage related to COVID-19 and telehealth services. In this post, we will answer the top questions we get from our readers about Humana’s Medicaid plan for Florida, what it covers, and how to find a doctor/dentist that accepts the plan. We also provide you the contact number for customer service.
Humana Florida Medicaid FAQs
Here are the most frequently asked question from our readers about Humana Florida Medicaid.
Here is the list of questions we have answered below. Scroll down to read more:
- What does Humana Florida Medicaid Cover?
- What does Humana Florida Medical Plan Cover?
- How do I find a Doctor that takes Humana Florida Medicaid?
- What does Humana Florida Medical Dental Plan Cover?
- How do I find a Dentist that takes Humana Florida Medicaid?
- What does Humana Florida Medical Vision Plan Cover?
- How to find an eye doctor that takes Florida Humana Medicaid
- What is the Humana Florida Medicaid phone number?
- Humana Florida Medicaid Coverage Areas (Counties Covered)
- What does Humana Florida Medicaid Card Look Like?
What does Humana Florida Medicaid Cover?
Humana Florida Medicaid members get:
- Medical, vision, and hearing coverage
- Prescription drug and behavioral health benefits
- Expanded benefits
- COVID-19 coverage
- Telehealth services
- You also may have long-term care coverage, depending on your plan.
What does Humana Florida Medical Plan Cover?
Here are the services covered by Humana Florida Medical Plan. For the Member handbook, click here.
Humana Healthy Horizons in Florida members get a range of services, including:
Physician Care services
- Chiropractic services
- Early and regular screening, tests, and treatment services for members under age 21
- Foot care services (podiatry)
- Mental health services
- Physical, occupational, respiratory, and speech therapy
- Physician services, including physician assistant services, and advanced registered nurse practitioner services
- Renal dialysis services
- Vision and hearing services
Supplies and imaging services
Eye care services and supplies
Laboratory and imaging services
Medical supplies, equipment, prosthetics, and orthotics
Respiratory equipment and supplies
Family planning and pediatric care services
- Birthing center services
- Family-planning services and supplies (some exceptions)
- Healthy Start services (some exceptions)
Assistive care and emergency services
- Ambulatory surgical treatment services
- Assistive care services
- Clinic services – care provided in a county health department, federally qualified health center, or a rural health clinic
- Emergency services
- Home health agency services
- Hospice services
- Nursing care and nursing facility services
- Prescription drugs
- Substance abuse treatment services
- Transportation
How do I find a Doctor that takes Humana Florida Medicaid?
There are two ways to find a doctor that takes Humana Florida Medicaid:
Option 1 – Online
You can use the Humana Find a Doctor. It is easy to use and lets you search for the type of doctor or service you need in the community where you live.
Option 2 – By phone
You also can find a doctor by calling Humana Customer Care.
The customer care specialists can help you find doctors, learn more about your medical services and benefits, and answer questions.
You can call customer care at the number below:
Humana Florida Medicaid Customer Care
1-800-477-6931 (TTY: 711)
Agents are available Monday – Friday, 8 a.m. – 8 p.m., Eastern time
What does Humana Florida Medical Dental Plan Cover?
Here are the services covered by Humana Florida Medical Dental Plan. For the Member handbook, click here.
Dental Plan for Children
Children with Medicaid in Florida get the following dental services at no cost:
- Dental exams
- Teeth cleanings
- Dental Screenings
- Fluoride treatment
- Dental X-rays
- Sealants
- Oral health instructions
- Space maintainers
- Fillings and crowns
- Root canals
- Periodontics (e.g., gum disease treatment)
- Prosthodontics (e.g., dental prostheses)
- Orthodontics (e.g., braces)
- Extractions (removal of teeth)
- Sedation (dental services while asleep or partially asleep)
- Ambulatory surgical center or hospital-based dental services
It is important to note that some services require your dental plan’s permission.
This is called prior authorization. Services must be medically necessary for a dental plan to pay. Your dental plan can tell you if a service your dentist suggests is covered.
Dental care for adults
For Florida Medicaid members who are 21 and older, your dental plan will cover emergency-based dental services, including:
- Dental exams (limited)
- Dental X-rays (limited)
- Dentures
- Extractions (removal of teeth)
- Sedation (dental services while asleep or partially asleep)
- Problem-focused
- Pain management
It is important to note that some services require your dental plan’s permission.
This is called prior authorization. Services must be medically necessary for a dental plan to pay. Your dental plan can tell you if a service your dentist suggests is covered.
Additionally, you may be eligible to receive additional services.
For example, pregnant members who are 21 and older may be able to get extra dental services to help with a healthy pregnancy. Ask your dental plan if it provides any or all of the following services:
- Additional dental exams
- Dental screenings
- Additional dental X-rays
- Teeth cleanings (basic and deep)
- Fluoride sealants
- Oral health instructions
- Fillings (silver and white)
- Additional extractions
- Dental consultations
- Dental office diabetic testing
- A visit to the dental office to get comfortable with the office and the dentist before dental work, for people with disabilities
The chart below explains what is covered and not covered by your Florida Medicaid Dental Plan:
| Type of dental service(s): | Dental plan covers: | Dental plan covers: |
| Dental Services (see list of services above) | Covered when you see your dentist or dental hygienist | Covered when you see your doctor or nurse (e.g., for oral surgery, such as a tooth extraction) |
| Scheduled dental services in a hospital or surgery center | Covered for dental services by your dentist | Covered for doctors, nurses, hospitals, and surgery centers |
| Hospital visit for a dental problem | Not covered | Covered |
| Prescription drugs for a dental visit or problem | Not covered | Covered |
| Transportation to your dental service or appointment | Not covered | Covered |
How do I find a Dentist that takes Humana Florida Medicaid?
There are two ways to find a Dentist that takes Humana Florida Medicaid:
Option 1 – Online
You can use the Humana Find a Dentist. It is easy to use and lets you search for the type of Dentist or service you need in the community where you live.
Option 2 – By phone
You also can find a Dentist by calling Humana Customer Care.
The customer care specialists can help you find dentists, learn more about your dental benefits, and answer questions.
You can call customer care at the number below:
Humana Florida Medicaid Customer Care
1-800-477-6931 (TTY: 711)
Agents are available Monday – Friday, 8 a.m. – 8 p.m., Eastern time
What does Humana Florida Medical Vision Plan Cover?
Here are the services covered by Humana Florida Medical Vision Plan. For the Member handbook, click here.
Benefits include:
- Annual vision exam
- Eyeglass fitting, correction, and repair
- Eyeglasses, contact lenses and prosthetic eyes
- Testing, care and management of eye disease
- Vision exams for eyeglasses and contact lenses
For members older than 21:
- An extra vision exam per year
- One set of frames per year, or one six-month supply of contacts with a prescription
You may need to get approval before using these benefits.
If you have questions about prior authorization, refer to your Member Handbook.
You can also call Customer Care at 1-800-477-6931 (TTY: 711), Monday – Friday, 8 a.m. – 8 p.m., Eastern time.
How to find an eye doctor that takes Florida Humana Medicaid
Choose your eye doctor by calling:
Premier Eye Care (All counties except Broward, Miami-Dade, Monroe, and Palm Beach counties)
1-800-738-1889
Visit Premier Eye Care
iCare (Broward, Miami-Dade, and Monroe counties only)
1-877-418-2025
Visit iCare
20/20 Eye Care/South Florida Vision (Palm Beach county only)
1-800-525-9778
Visit 20/20 Eye Care
Call Customer Care at 1-800-477-6931 (TTY: 711), Monday – Friday, 8 a.m. – 8 p.m., Eastern time, to learn more about our network of available eye doctors and vision services, and for answers to questions.
What is the Humana Florida Medicaid phone number?
Here’s how to contact Humana Florida Medicaid:
Customer Care
1-800-477-6931 (TTY: 711)
Monday – Friday, 8 a.m. – 8 p.m., Eastern time
Long-Term Care Customer Care
1-888-998-7732 (TTY: 711)
Dental
Your dental plan will cover most of your dental services, but some dental services may be covered by your medical plan.
View the Medicaid Dental overview to help you to decide which plan pays for a service.
Over-the-counter (OTC) program
PrescribeIT Rx
1-800-526-1490 (TTY: 711)
Transportation services
ModivCare (formerly LogistiCare)
Humana Healthy Horizons in Florida Medical Plan
1-866-779-0565 (TTY: 711)
Monday – Friday, 8 a.m. – 5 p.m., Eastern time
Looking for your ride?
Call the Where’s My Ride number at 1-866-779-0565 (TTY: 711)
Humana Florida Healthy Horizons in Florida Long-Term Care Plan
Transportation services are coordinated through the Care Management team
1-877-564-0571 (TTY: 711)
Monday – Friday, 8:30 a.m. – 5 p.m., Eastern time
Looking for your ride? Call the Where’s my Ride number at 1-877-564-0572 (TTY: 711)
What areas does Humana Florida Medicaid Cover?
Humana Healthy Horizons in Florida provides health insurance coverage in the following counties:
Region 1
Escambia, Okaloosa, Santa Rosa, and Walton
Region 2
Bay, Calhoun, Franklin, Gadsden, Gulf, Holmes, Jackson, Jefferson, Leon, Liberty, Madison, Taylor, Wakulla, and Washington
Region 3
Alachua, Bradford, Citrus, Columbia, Dixie, Gilchrist, Hamilton, Hernando, Lafayette, Lake, Levy, Marion, Putnam, Sumter, Suwannee, and Union
Region 4
Baker, Clay, Duval, Flagler, Nassau St. Johns, and Volusia
Region 5
Pasco and Pinellas
Region 6
Hardee, Highlands, Hillsborough, Manatee, and Polk
Region 7
Brevard, Orange, Osceola and Seminole
Region 8
Charlotte, Collier, Desoto, Glades, Hendry, Lee, and Sarasota
Region 9
Indian River, Martin, Okeechobee, Palm Beach, and St. Lucie
Region 10: Broward
Region 11: Miami-Dade and Monroe
What does Humana Florida Medicaid Card Look Like?
Here’s what your Humana Florida Medicaid Card will look like:
Humana Florida Medicaid Summary
We hope this post on Humana Florida Medicaid was helpful.
If you have further questions about Florida Medicaid benefits, please let us know in the comments section below.
Be sure to check out our other articles about Medicaid.
How to Apply for Coverage by State
Medicaid Income Limits by State
Difference between Medicare and Medicaid
Florida Medicaid Questions
