MEDICARE ADVANTAGE PLANS NORTH CAROLINA MA/MAPD PLANS. Select the market(s) below to view their Market Highlights

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1 MEDICARE ADVANTAGE PLANS NORTH CAROLINA Select the market(s) below to view their Market Highlights MA/MAPD PLANS Humana offers a wide range of affordable plans and a broad network of healthcare providers nationwide to meet the unique needs of your clients. Many plans come with low or no monthly plan premium, plus health-boosting benefits that aim to help your clients achieve their best health. NCHK7GUEN

2 DSNP AND VALUE PLUS PLANS NORTH CAROLINA DSNP AND VALUE PLUS PLANS DSNP AND VALUE PLUS

3 PRESCRIPTION DRUG PLANS NORTH CAROLINA PDP PLANS Humana offers affordable prescription drug plans that meet the unique needs of your clients. Our vast network includes mail-order pharmacies like Humana, which offers mailorder copays as low as $0 on generic drugs in many regions. In-store copays as low as $1 on certain generic drugs at Walmart, Sam s Club, and Walmart Neighborhood Markets, which are preferred cost sharing pharmacies. PDP

4 LOCAL SUPPORT NORTH CAROLINA LOCAL SUPPORT Humana now offers two new resources, Broker Relationship Managers (BRM) and Broker Relationship Executives (BRE), in addition to your local market offices. BRMs have been deployed in markets across the country to offer on-theground assistance, BREs to provide sales support telephonically and electronically. We encourage you to contact these resources or simply contact Humana Agent Support at LOCAL SUPPORT

5 MEDICARE ADVANTAGE PLANS NORTH CAROLINA CHARLOTTE AREA MARKET HIGHLIGHTS We now offer HMO in 13 Charlotte-area counties We re back in Alexander, Lincoln and Union counties with HMO Hi and Low options All 13 counties have either an HMO DSNP or LPPO DSNP option with great extras HMO plans have improved benefits now with $0 PCP copay and no deductible on Rx Tiers 1, 2 and 3 All of our HMO and Premium LPPO plans include an OTC allowance Transportation benefit now included on all of our HMO plans All of our plans include SilverSneakers, the HumanaFirst Nursing Hotline and a variety of other benefits Convenient access to local management and materials in our Charlotte office NETWORK HIGHLIGHTS Some of our Charlotte area hospitals include Atrium (CHS), Novant, Catawba Valley, Caromont, Frye Regional, Iredell Memorial and Lake Norman Regional MARKET SERVICE AREA Alexander, Anson, Burke, Cabarrus, Caldwell, Catawba, Gaston, Iredell, Lincoln, Mecklenburg, Rowan, Stanly, Union

6 NORTH CAROLINA CHARLOTTE AREA MA/MAPD PLANS NEW Plan Name Humana Gold Plus (HMO) Humana Gold Plus (HMO) Humana Gold Plus (HMO) Plan Number H H H Reduced doctor and urgent care copays Our $0 plan premium HMO in Alexander, Lincoln and Union counties Reduced plan premium and $0 PCP copay Premium $0 $0 $22 PCP $0 $0 $0 Specialist $40 $40 $35 Referrals Required No No No Inpatient Hospital $450 per day Days 1-4 $450 per day Days 1-4 $345 per day Days 1-4 Max Out-of-Pocket $5,900 In-network $5,900 In-network $3,400 In-network Rx Deductible $265 tiers 4-5 $265 tiers 4-5 $160 tiers 4-5 Rx Preferred $2/$8/$45/$95/28%; $0 copay $2/$8/$45/$95/28%; $0 copay $2/$8/$45/$95/30%; $0 copay Key Extra Benefits Hearing, Fitness, OTC allowance $45/Quarter, Transportation Hearing, Fitness, OTC allowance $45/Quarter, Transportation Dental, Vision, Hearing, Fitness, OTC allowance $50/Quarter, Transportation Market Service Area Anson, Burke, Cabarrus, Caldwell, Catawba, Gaston, Iredell, Mecklenburg, Rowan, Stanly Alexander, Lincoln, Union Anson, Burke, Cabarrus, Caldwell, Catawba, Gaston, Iredell, Mecklenburg, Rowan, Stanly

7 NORTH CAROLINA CHARLOTTE AREA MA/MAPD PLANS NEW Plan Name Humana Gold Plus (HMO) HumanaChoice (PPO) HumanaChoice (PPO) Plan Number H H H Our affordable plan premium HMO in Alexander, Lincoln and Union counties LPPO now has reduced plan premium and no Rx deductible Tiers 1-3 LPPO now has reduced plan premium and telemedicine (Burke Co) Premium $22 $49 $65 PCP $0 $15 $20 Specialist $35 $45 $50 Referrals Required No No No Inpatient Hospital $345 per day Days 1-4 $395 per day Days 1-4 $450 per day Days 1-4 Max Out-of-Pocket $3,400 In-network $6,700 In-network $6,700 In-network Rx Deductible $160 tiers 4-5 $160 tiers 4-5 $265 tiers 4-5 Rx Preferred $2/$8/$45/$95/30%; $0 copay $4/$12/$47/$100/30%; $0 copay $4/$12/$47/$100/28%; $0 copay Key Extra Benefits Dental, Vision, Hearing, Fitness, OTC allowance $50/Quarter, Transportation Dental, Hearing, Fitness, OTC allowance $30/Quarter Hearing, Fitness, OTC allowance $30/Quarter Market Service Area Alexander, Lincoln, Union Alexander, Anson, Cabarrus, Caldwell, Catawba, Gaston, Iredell, Lincoln, Mecklenburg, Rowan, Stanly, Union Burke

8 NORTH CAROLINA CHARLOTTE AREA MA/MAPD PLANS Plan Name Plan Number HumanaChoice (Regional PPO) R Great MA Only option, especially for our veterans Premium $0 PCP $10 Specialist $35 Referrals Required Inpatient Hospital Max Out-of-Pocket Rx Deductible No $695 per admission $3,400 In-network No Coverage Rx Preferred No Coverage Key Extra Benefits Vision, Hearing, Fitness, OTC allowance $30/Quarter Market Service Area Statewide in North Carolina, Virginia

9 MEDICARE ADVANTAGE PLANS NORTH CAROLINA EASTERN NC MARKET HIGHLIGHTS Great new LPPO offerings in many of our eastern counties, including a new $0 plan premium LPPO with a $52 Part B premium giveback and a new LPPO DSNP We are introducing a $0 plan premium LPPO with a Part B premium giveback in 31 rural counties across the state Our $0 plan premium LPPO includes a variety of discounts programs and optional dental and vision add-ons Our new LPPO DSNP includes great extras like Transportation, Telemedicine, a Personal Emergency Response System and more Our Regional PPO is now passive with no out-ofnetwork deductible Our MAPD RPPO has a reduced plan premium, no deductible on Tiers 1, 2 and 3, and reduced urgent care copays All of our plans include SilverSneakers, the HumanaFirst Nursing Hotline and a variety of other benefits NETWORK HIGHLIGHTS Some of our hospitals include Duke LifePoint Hospitals (Wilson Medical, Maria Parham and Person Memorial) We also have UNC Hospitals: Johnston Health, Nash General Some other providers: Cumberland Health System, Sentara Albemarle, Halifax Regional, Carteret General, Onslow Memorial, Beaufort County Hospital and Granville Health System MARKET SERVICE AREA Bertie, Camden, Chowan, Cumberland, Duplin, Franklin, Gates, Granville, Greene, Halifax, Hertford, Hoke, Hyde, Jones, Montgomery, Moore, Nash, Northampton, Pasquotank, Perquimans, Richmond, Sampson, Scotland, Tyrrell, Vance, Warren, Washington

10 NORTH CAROLINA EASTERN NC MA/MAPD PLANS NEW Plan Name HumanaChoice (PPO) HumanaChoice (PPO) HumanaChoice (PPO) Plan Number H H H Great new $0 plan premium LPPO with a $52 Part B premium giveback Our reduced plan premium LPPO now has no Rx deductible on Tiers 1-3 Our reduced plan premium LPPO now with telemedicine Premium $0 $49 $65 PCP $20 $15 $20 Specialist $50 $45 $50 Referrals Required No No No Inpatient Hospital $450 per day Days 1-4 $395 per day Days 1-4 $450 per day Days 1-4 Max Out-of-Pocket $6,700 In-network $6,700 In-network $6,700 In-network Rx Deductible $265 tiers 3-5 $160 tiers 4-5 $265 tiers 4-5 Rx Preferred $5/$15/$47/$99/28%; $0 copay $4/$12/$47/$100/30%; $0 copay $4/$12/$47/$100/28%; $0 copay Key Extra Benefits Fitness Dental, Hearing, Fitness, OTC allowance $30/Quarter Hearing, Fitness, OTC allowance $30/Quarter Market Service Area Bertie, Chowan,Cumberland, Duplin, Franklin, Granville, Halifax, Hertford, Montgomery, Moore, Northampton, Pasquotank, Richmond, Sampson, Scotland, Vance, Warren, among others Franklin, Montgomery, Moore, Vance, Warren Camden, Cumberland, Gates, Northampton, Richmond, Scotland, Washington

11 NORTH CAROLINA EASTERN NC MA/MAPD PLANS Plan Name HumanaChoice (Regional PPO) HumanaChoice (Regional PPO) Plan Number R R Our Regional PPO plan is now passive with no out-of-network deductible Great MA Only option, especially for our veterans Premium $74 $0 PCP $15 $10 Specialist $50 $35 Referrals Required No No Inpatient Hospital $360 per day Days 1-5 $695 per admission Max Out-of-Pocket $6,700 In-network $3,400 In-network Rx Deductible $360 tiers 4-5 No Coverage Rx Preferred Key Extra Benefits $5/$15/$47/$99/26%; $0 copay Vision, Hearing, Fitness, OTC allowance $25/Quarter No Coverage Vision, Hearing, Fitness, OTC allowance $30/Quarter Market Service Area Statewide in North Carolina, Virginia Statewide in North Carolina, Virginia

12 MEDICARE ADVANTAGE PLANS NORTH CAROLINA NORTH CAROLINA OUTSTATE MARKET HIGHLIGHTS Great new LPPO offerings in many of our eastern counties, including a new $0 plan premium LPPO with a $52 Part B premium giveback and a new LPPO DSNP We are introducing a $0 plan premium LPPO with a Part B premium giveback in 31 rural counties across the state Our $0 plan premium LPPO includes a variety of discount programs and optional dental and vision add-ons Our new LPPO DSNP includes great extras like transportation, telemedicine, a personal emergency response system and more Our Regional PPO is now passive with no out of network deductible Our MAPD RPPO has a reduced premium, no deductible on Tiers 1, 2 and 3, and reduced urgent care copays All of our plans include SilverSneakers, the HumanaFirst Nursing Hotline and a variety of other benefits NETWORK HIGHLIGHTS Networks include major NC hospital systems as described in other geographic areas MARKET SERVICE AREA Alleghany, Ashe, Avery, Beaufort, Carteret, Cleveland, Craven, Currituck, Dare, Edgecombe, Lenoir, Martin, Onslow, Pamlico, Pitt, Robeson, Surry, Watauga, Wayne, Wilkes, Wilson

13 NORTH CAROLINA NORTH CAROLINA OUTSTATE MA/MAPD PLANS NEW Plan Name HumanaChoice (PPO) HumanaChoice (PPO) HumanaChoice (Regional PPO) Plan Number H H R Great new $0 plan premium LPPO with a $52 Part B premium giveback Reduced plan premium LPPO with no Rx deductible on Tiers 1-3 Our Regional PPO plan is now passive with no out-of-network deductible Premium $0 $49 $74 PCP $20 $15 $15 Specialist $50 $45 $50 Referrals Required No No No Inpatient Hospital $450 per day Days 1-4 $395 per day Days 1-4 $360 per day Days 1-5 Max Out-of-Pocket $6,700 In-network $6,700 In-network $6,700 In-network Rx Deductible $265 tiers 3-5 $160 tiers 4-5 $360 tiers 4-5 Rx Preferred $5/$15/$47/$99/28%; $0 copay $4/$12/$47/$100/30%; $0 copay $5/$15/$47/$99/26%; $0 copay Key Extra Benefits Fitness Dental, Hearing, Fitness, OTC allowance $30/Quarter Vision, Hearing, Fitness, OTC allowance $25/Quarter Market Service Area Alleghany, Ashe, Currituck, Surry, Wilkes, Wilson Avery, Cleveland, Watauga Statewide in North Carolina, Virginia

14 NORTH CAROLINA NORTH CAROLINA OUTSTATE MA/MAPD PLANS Plan Name Plan Number HumanaChoice (Regional PPO) R Great MA Only option, especially for our veterans Premium $0 PCP $10 Specialist $35 Referrals Required Inpatient Hospital Max Out-of-Pocket Rx Deductible No $695 per admission $3,400 In-network No Coverage Rx Preferred No Coverage Key Extra Benefits Vision, Hearing, Fitness, OTC allowance $30/Quarter Market Service Area Statewide in North Carolina, Virginia

15 MEDICARE ADVANTAGE PLANS NORTH CAROLINA TRIAD AREA MARKET HIGHLIGHTS We look to continue strong growth in the Triad area with our continuum of HMO and PPO plans Overall improved benefits on both the HMO and PPO plans with no referrals HMO plans now have $0 PCP copay and reduced specialist, urgent care and imaging copays HMO Rx has no deductible on Rx Tiers 1, 2 and 3 HMO plans now have Routine Dental, Hearing and Vision benefits All of our plans include SilverSneakers and the HumanaFirst Nursing Hotline All of our HMO and Premium LPPO plans include an OTC allowance Convenient retail location with access to local management and materials as well as educational and fitness classes and a customer service kiosk for your members NETWORK HIGHLIGHTS Some hospitals include Alamance Regional, Annie Penn, Duke University, High Point Regional (UNC), Novant, Morehead, Moses Cone, Wesley Long and WakeForest Baptist Health Some of our other network providers: Triad Healthcare Network, Cornerstone, Novant and Kernodle MARKET SERVICE AREA Alamance, Caswell, Davidson, Davie, Forsyth, Guilford, Person, Randolph, Rockingham, Stokes, Yadkin

16 NORTH CAROLINA TRIAD AREA MA/MAPD PLANS Plan Name Humana Gold Plus (HMO) Humana Gold Plus (HMO) HumanaChoice (PPO) Plan Number H H H New segmented contract for our $0 plan premium HMO New segmented contract for our $0 plan premium HMO $0 plan premium LPPO with a $52 Part B premium giveback Premium $0 $0 $0 PCP $0 $0 $20 Specialist $35 $35 $50 Referrals Required No No No Inpatient Hospital $295 per day Days 1-6 $295 per day Days 1-6 $450 per day Days 1-4 Max Out-of-Pocket $3,400 In-network $5,400 In-network $6,700 In-network Rx Deductible $160 tiers 4-5 $160 tiers 4-5 $265 tiers 3-5 Rx Preferred $2/$8/$45/$95/30%; $0 copay $2/$8/$45/$95/30%; $0 copay $5/$15/$47/$99/28%; $0 copay Key Extra Benefits Dental, Vision, Hearing, Fitness, OTC allowance $50/Quarter, Transportation Dental, Vision, Hearing, Fitness, OTC allowance $50/Quarter, Transportation Fitness Market Service Area Alamance, Caswell, Davidson, Guilford, Randolph, Rockingham Davie, Forsyth, Person, Stokes, Yadkin Alamance, Guilford, Randolph, Rockingham

17 NORTH CAROLINA TRIAD AREA MA/MAPD PLANS Plan Name Plan Number HumanaChoice (PPO) H Reduced plan premium LPPO now has no deductible on Tiers 1-3 Premium $49 PCP $15 Specialist $45 Referrals Required No Inpatient Hospital $395 per day days 1-4 Max Out-of-Pocket $6,700 In-network Rx Deductible $160 tiers 4-5 Rx Preferred Key Extra Benefits $4/$12/$47/$100/30%; $0 copay Dental, Hearing, Fitness, OTC allowance $30/Quarter Market Service Area Triad Area Marketwide

18 MEDICARE ADVANTAGE PLANS NORTH CAROLINA TRIANGLE AREA MARKET HIGHLIGHTS We have improved our Wake HMO and are now offering a $0 plan premium LPPO with a Part B premium giveback in surrounding counties Our HMO now has reduced advanced imaging and surgery services copays We have also added Well Dine and Telemedicine to our already strong package of HMO benefits All of our plans include SilverSneakers and the HumanaFirst Nursing Hotline We are introducing a solid $0 plan premium LPPO with a Part B premium giveback to Chatham, Durham, Harnett, Johnston, Lee and Orange Counties All of our plans include SilverSneakers, the HumanaFirst Nursing Hotline and a variety of other benefits Convenient access to local management and materials in our Cary office NETWORK HIGHLIGHTS Some of the hospitals in our network include Duke, UNC, Rex and Wake Med Novant is an accepting PPO provider MARKET SERVICE AREA Chatham, Durham, Harnett, Johnston, Lee, Orange, Wake

19 NORTH CAROLINA TRIANGLE AREA MA/MAPD PLANS NEW Plan Name Humana Gold Plus (HMO) HumanaChoice (PPO) HumanaChoice (PPO) Plan Number H H H Our Wake HMO has been enhanced for 2019 $0 plan premium LPPO with a $52 Part B premium giveback in Chatham, Durham, Harnett, Johnston, Lee and Orange counties Reduced plan premium LPPO now has no deductible on Tiers 1-3 Premium $0 $0 $49 PCP $0 $20 $15 Specialist $35 $50 $45 Referrals Required Yes No No Inpatient Hospital $100 per day Days 1-4 $450 per day Days 1-4 $395 per day Days 1-4 Max Out-of-Pocket $3,400 In-network $6,700 In-network $6,700 In-network Rx Deductible $195 tiers 3-5 $265 tiers 3-5 $160 tiers 4-5 Rx Preferred $0/$5/$47/$97/29%; $0 copay $5/$15/$47/$99/28%; $0 copay $4/$12/$47/$100/30%; $0 copay Key Extra Benefits Dental, Vision, Fitness, OTC allowance $50/Quarter, Transportation Fitness Dental, Hearing, Fitness, OTC allowance $30/Quarter Market Service Area Wake Chatham, Durham, Harnett, Johnston, Lee, Orange Chatham, Durham, Lee, Orange, Wake

20 NORTH CAROLINA TRIANGLE AREA MA/MAPD PLANS Plan Name Plan Number HumanaChoice (PPO) H Reduced plan premium LPPO now with telemedicine Premium $65 PCP $20 Specialist $50 Referrals Required No Inpatient Hospital $450 per day Days 1-4 Max Out-of-Pocket $6,700 In-network Rx Deductible $265 tiers 4-5 Rx Preferred Key Extra Benefits $4/$12/$47/$100/28%; $0 copay Hearing, Fitness, OTC allowance $30/Quarter Market Service Area Johnston

21 MEDICARE ADVANTAGE PLANS NORTH CAROLINA WESTERN NC MARKET HIGHLIGHTS HMO expansion into Cherokee, Clay, Graham, Jackson, Macon, Madison, Mitchell, Polk, Swain and Yancey Counties Not only are both our Hi and Low HMO options available in 16 counties, we also improved the benefits HMO plans have overall improved benefits now with $0 PCP copay and no deductible on Rx Tiers 1, 2 and 3 All of our Western HMO plans now have routine hearing, vision and an OTC allowance HMO DSNP also expanded to the same 10 counties and now includes telemedicine We reduced the plan premium on our LPPO and now no deductible on Rx Tiers 1-3 All of our plans include SilverSneakers, the HumanaFirst Nursing Hotline and a variety of other benefits Convenient retail location with access to local management and materials as well as educational and fitness classes and a customer service kiosk for your members NETWORK HIGHLIGHTS Some network hospitals include Mission Health System, Haywood Regional, Padre UNC Memorial and Park Ridge along with others MARKET SERVICE AREA Buncombe, Cherokee, Clay, Graham, Haywood, Henderson, Jackson, Macon, Madison, Mcdowell, Mitchell, Polk, Rutherford, Swain, Transylvania, Yancey

22 NORTH CAROLINA WESTERN NC MA/MAPD PLANS Plan Name Humana Gold Plus (HMO) Humana Gold Plus (HMO) HumanaChoice (PPO) Plan Number H H H $0 plan premium HMO with reduced copays and MOOP and now routine vision Reduced plan premium HMO now with reduced MOOP and $0 PCP copay Reduced plan premium LPPO now has no deductible on Tiers 1-3 Premium $0 $29 $45 PCP $0 $0 $15 Specialist $45 $40 $45 Referrals Required No No No Inpatient Hospital $450 per day Days 1-4 $295 per day Days 1-6 $360 per day Days 1-5 Max Out-of-Pocket $5,900 In-network $3,400 In-network $5,900 In-network Rx Deductible $215 tiers 4-5 $160 tiers 4-5 $160 tiers 4-5 Rx Preferred $2/$8/$45/$95/29%; $0 copay $2/$8/$45/$95/30%; $0 copay $4/$12/$47/$100/30%; $0 copay Key Extra Benefits Vision, Hearing, Fitness, OTC allowance $45/Quarter, Transportation Vision, Hearing, Fitness, OTC allowance $50/Quarter, Transportation Dental, Hearing, Fitness, OTC allowance $30/Quarter Market Service Area Western NC Marketwide Western NC Marketwide Western NC Marketwide

23 NORTH CAROLINA WESTERN NC MA/MAPD PLANS Plan Name Plan Number HumanaChoice (Regional PPO) R Great MA Only option, especially for our veterans Premium $0 PCP $10 Specialist $35 Referrals Required Inpatient Hospital Max Out-of-Pocket Rx Deductible No $695 per admission $3,400 In-network No Coverage Rx Preferred No Coverage Key Extra Benefits Vision, Hearing, Fitness, OTC allowance $30/Quarter Market Service Area Statewide in North Carolina, Virginia

24 MEDICARE ADVANTAGE PLANS NORTH CAROLINA WILMINGTON AREA MARKET HIGHLIGHTS We are introducing three great new LPPO plans in the Wilmington area for Bladen, Brunswick, Columbus, New Hanover and Pender Counties Our affordable plan premium LPPO has $0 copays for most hospital and doctor visits and includes routine dental, hearing, vision and much, much more We are also introducing a $0 plan premium LPPO with a Part B premium giveback to these same counties Our new LPPO DSNP includes great extras like transportation, telemedicine, a personal emergency response system and more Our Regional PPO is now passive with no out of network deductible Our MAPD RPPO has a reduced plan premium, no deductible on Tiers 1, 2 and 3, and reduced urgent care copays All of our plans include SilverSneakers, the HumanaFirst Nursing Hotline and a variety of other benefits NETWORK HIGHLIGHTS Some of our network hospitals include New Hanover Regional, Cape Fear, Dosher Memorial and Columbus Regional Great provider network including Ortho Wilmington, Cape Fear Counseling and Psychotherapy, Omni Eye Specialist, Allergy Partners of Coastal Carolina and many more MARKET SERVICE AREA Bladen, Brunswick, Columbus, New Hanover, Pender

25 NORTH CAROLINA WILMINGTON AREA MA/MAPD PLANS NEW NEW Plan Name HumanaChoice (PPO) HumanaChoice (PPO) HumanaChoice (PPO) Plan Number H H H Great new Wilmington area $0 plan premium LPPO with a $52 Part B premium giveback New low or no copay plan with routine dental, hearing and vision in 5 Wilmington area counties Reduced plan premium LPPO now with telemedicine Premium $0 $125 $65 PCP $20 $0 $20 Specialist $50 $0 $50 Referrals Required No No No Inpatient Hospital $450 per day Days 1-4 $0 per admission $450 per day Days 1-4 Max Out-of-Pocket $6,700 In-network $6,700 In-network $6,700 In-network Rx Deductible $265 tiers 3-5 $190 tiers 3-5 $265 tiers 4-5 Rx Preferred $5/$15/$47/$99/28%; $0 copay $4/$12/$47/$99/29%; $0 copay $4/$12/$47/$100/28%; $0 copay Key Extra Benefits Fitness Dental, Vision, Hearing, Fitness, OTC allowance $75/Quarter, Transportation Hearing, Fitness, OTC allowance $30/Quarter Market Service Area Wilmington Area Marketwide Wilmington Area Marketwide Bladen, Columbus, New Hanover, Pender

26 NORTH CAROLINA WILMINGTON AREA MA/MAPD PLANS Plan Name HumanaChoice (Regional PPO) HumanaChoice (Regional PPO) Plan Number R R Our Regional PPO plan is now passive with no out-of-network deductible Great MA Only option, especially for our veterans Premium $74 $0 PCP $15 $10 Specialist $50 $35 Referrals Required No No Inpatient Hospital $360 per day Days 1-5 $695 per admission Max Out-of-Pocket $6,700 In-network $3,400 In-network Rx Deductible $360 tiers 4-5 No Coverage Rx Preferred $5/$15/$47/$99/26%; $0 copay No Coverage Key Extra Benefits Vision, Hearing, Fitness, OTC allowance $25/Quarter Vision, Hearing, Fitness, OTC allowance $30/Quarter Market Service Area Statewide in North Carolina, Virginia Statewide in North Carolina, Virginia

27 DSNP AND VALUE PLUS PLANS NORTH CAROLINA DUAL-ELIGIBLE SPECIAL NEEDS PLANS (DSNP) Humana s DSNPs offer beneficiaries who qualify for both Medicare and Medicaid with $0 or low cost copays for many medical and pharmacy services, as well as rich supplemental benefits like dental coverage, eye exams and glasses, over-the-counter allowance, hearing aids, and more. DSNPs allow year-round enrollment. Eligible members must meet Medicaid requirements to enroll in these plans. VALUE PLUS PLANS A Value Plus Plan is a Medicare Advantage plan offered by Humana with those eligible for both Medicare and Medicaid in mind, but since it s a Medicare Advantage plan, it s available to anyone with Medicare. Dual-Eligible Medicare and Medicaid beneficiaries will receive $0 or low cost copays for many medical and pharmacy services, as well as rich supplemental benefits like dental coverage, eye exams and glasses, over-the-counter allowance, hearing aids, and more. Dual eligibles may enroll in this plan year-round. Unlike a DSNP, if a beneficiary loses Medicaid status, they are not required to change health plans they will keep this plan, but will lose their Medicaid benefits. Value Plus Plans also appeal to Medicare beneficiaries who are familiar with Original Medicare benefits and cost sharing, who also desire pharmacy coverage and rich supplemental benefits.

28 NORTH CAROLINA DSNP AND VALUE PLUS PLANS BENEFIT OVERVIEW Plan Name Plan Number Humana Gold Plus SNP-DE (HMO SNP) H This HMO DSNP now includes telemedicine, a personal emergency response system and a weight management program Dental $1,000 annually; $0 copayment covers: exams, x-rays, cleanings, fillings, crowns, extractions, dentures Vision Annual exam and $200 credit every year for eyewear or contact lenses including fittings Hearing $0 annual exams, fittings and TruHearing advanced level hearing aids plus 48 batteries OTC Allowance OTC $300/Quarter for select health and wellness products Transportation Current Service Area Up to 24 one-way trips to approved locations and fitness centers per year Anson, Burke, Cabarrus, Caldwell, Catawba, Gaston, Iredell, Mecklenburg, Rowan, Stanly

29 NORTH CAROLINA DSNP AND VALUE PLUS PLANS BENEFIT OVERVIEW NEW Plan Name Plan Number Humana Gold Plus SNP-DE (HMO SNP) H HMO DSNP expanded to cover 16 counties in Western NC and now includes telemedicine Dental $0 copayment covers: exams, x-rays, cleanings, fillings Vision Annual exam and $200 credit every year for eyewear or contact lenses including fittings OTC Allowance OTC $75/Month for select health and wellness products Transportation Current Service Area Unlimited one-way trips to approved locations and fitness centers per year Wake

30 NORTH CAROLINA DSNP AND VALUE PLUS PLANS BENEFIT OVERVIEW Plan Name Plan Number Humana Gold Plus SNP-DE (HMO SNP) H Introducing our HMO DSNP in Wake County Vision Annual exam and $200 credit every year for eyewear or contact lenses including fittings Hearing $0 annual exams, fittings and TruHearing advanced level hearing aids plus 48 batteries OTC Allowance OTC $300/Quarter for select health and wellness products Transportation Current Service Area Up to 50 one-way trips to approved locations and fitness centers per year Buncombe, Cherokee, Clay, Graham, Haywood, Henderson, Jackson, Macon, Madison, Mcdowell, Mitchell, Polk, Rutherford, Swain, Transylvania, Yancey

31 NORTH CAROLINA DSNP AND VALUE PLUS PLANS BENEFIT OVERVIEW Plan Name Plan Number Humana Gold Plus SNP-DE (HMO SNP) H This HMO DSNP now includes telemedicine, a personal emergency response system and a weight management program Dental $1,000 annually; $0 copayment covers: exams, x-rays, cleanings, fillings, crowns, extractions, dentures Vision Annual exam and $200 credit every year for eyewear or contact lenses including fittings Hearing $0 annual exams, fittings and TruHearing advanced level hearing aids plus 48 batteries OTC Allowance OTC $300/Quarter for select health and wellness products Transportation Current Service Area Up to 24 one-way trips to approved locations and fitness centers per year Alamance, Caswell, Davidson, Davie, Forsyth, Guilford, Person, Randolph, Rockingham, Stokes, Yadkin

32 NORTH CAROLINA DSNP AND VALUE PLUS PLANS BENEFIT OVERVIEW NEW Plan Name Plan Number HumanaChoice SNP-DE (PPO SNP) H Introducing our LPPO DE-snap with great extras like routine dental, hearing and vision, available in 47 counties Dental $1,000 annually; $0 copayment covers: exams, x-rays, cleanings, fillings, crowns, extractions, dentures Vision Annual exam and $200 credit every year for eyeglasses or contact lenses. OON coverage available. Some restrictions apply if benefits received Out-of-Network Hearing $0 annual exam, fittings and TruHearing advanced level hearing aids plus 48 batteries OTC Allowance OTC $200/Quarter for select health and wellness products Transportation Current Service Area Up to 48 one-way trips to approved locations and fitness centers per year Alexander, Alleghany, Ashe, Avery, Bertie, Bladen, Brunswick, Camden, Chatham, Chowan, Cleveland, Columbus, Cumberland, Currituck, Duplin, Durham, Franklin, Gates, Granville, Greene, Halifax, Harnett, Hertford, Hyde, Johnston, Jones, Lee, Lincoln, Montgomery, Moore, New Hanover, Northampton, Orange, Pasquotank, Pender, Perquimans, Richmond, Sampson, Scotland, Surry, Tyrrell, Union, Vance, Warren, Washington, Wilkes, Wilson

33 NORTH CAROLINA PDP PLANS Plan Name Humana Preferred Rx Plan (PDP) Humana Walmart Rx Plan (PDP) Plan Number S S Pairs well for members with Extra Help (LIS). Tier 1 & Tier 2 mailorder copays are $0 at Humana for 90-day supply. Retail copays as low as $1. Tier 1 mail-order copays are as low as $0 at Humana for 90-day supply. Premium TBD TBD Rx Deductible $415 all tiers $415 tiers 3-5 Preferred Retail 30-day Supply No Coverage $1/$4/20%/35%/25% Standard Retail 30-day Supply $0/$1/25%/37%/25% $10/$20/25%/50%/25% Preferred Mail 90-day Supply $0 copay for tiers 1 & 2 $0 copay for tier 1, $8 copay for tier 2 Market Service Area North Carolina Statewide North Carolina Statewide

34 LOCAL SUPPORT NORTH CAROLINA Bob Gailunas Broker Relationship Manager (704) Local Market Office (800) Kim Klein Broker Relationship Executive (855) Marc McMullin Broker Relationship Manager (814)