Humana Medicare Advantage FAQs

Emory Healthcare’s current agreement with Humana for Medicare Advantage plans is set to expire on December 31, 2025. If a new agreement is not reached, Emory Healthcare—including its hospitals, facilities, employed physicians, and EHN private practice providers—will no longer be part of Humana’s Medicare Advantage network starting January 1, 2026.

Patients who are covered by Humana Medicare Advantage plans and receive care at Emory Healthcare may be impacted. If no agreement is finalized, care provided by Emory may be considered out of network for these patients beginning January 1, 2026.

No. There will be no changes to Emory Healthcare’s participation in Humana’s Medicare Advantage network for the remainder of 2025. All care provided through December 31, 2025, will be considered in network.

If Emory Healthcare is no longer in Humana’s Medicare Advantage network as of January 1, 2026, those procedures may be considered out of network. Practices should encourage patients to review their coverage options during Medicare’s open enrollment period (mid-October through early December 2025) to ensure continuity of care. Emory Healthcare has resources available to support patients in understanding their options.

Patients should be informed of the potential change and encouraged to review all available Medicare Advantage plans accepted by Emory Healthcare. Emory has resources in place to help patients make informed decisions during open enrollment.

Patients can visit Emory Healthcare’s insurance plans page: emoryhealthcare.org/insurance

Yes. Beginning on October 1, MedicareCompareUSA, a licensed insurance agency, will be offering no-cost and no obligation support to help patients understand their Medicare insurance options and find plans accepted by Emory Healthcare for 2026. Patients can speak with a licensed agent by calling (855) 256-1501, TTY 711 (Mon-Fri; 9am-8pm) or by visiting https://www.medicareondemand.com/emory for more information on accepted plans. Patients can find FAQs by visiting this patient-oriented page.

If your practice has questions related to patient coverage or Emory Healthcare's agreement status with Humana, please reach out to 404-778-7318. We are working to clarify the appropriate communication channel for these inquiries and will share updates as available.

Yes. Both organizations are engaged in ongoing discussions, and Emory Healthcare remains hopeful that a new agreement will be reached. Updates will be shared as soon as more information becomes available.

Physicians shall continue to provide covered services to any patient who is actively receiving health care services for a chronic or terminal illness or who is an inpatient for a period of sixty (60) days following the effective date of termination. Physician shall provide services in accordance with the EHN Agreement with Humana and Humana will reimburse at the rates set forth in the agreement.

If you have a direct contract with Humana, you will still be considered in-network and you will be reimbursed at the Humana in-network rates in your direct contract with Humana. Any in-patient services at an Emory Hospital will be considered out of network and patients will need to understand their out of network benefits.

Yes, if you would like to negotiate a direct agreement with Humana, please contact Humana at https://provider.humana.com/join-humana-network.

Yes, if you are having claims issues with Humana claims prior to 12/31/2026 please contact your EHN Contract Provider Services Manager for assistance. As per standard process, please reach out to Humana customer service for assistance prior to escalating the issue to EHN. If Humana is unable to assist, please escalate to the EHN and provide the reference number you received from Humana.