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Understanding the VBID model

About Humana’s Hospice VBID model

2024 Humana Hospice VBID—participating plans

LocationMedicare PlanCounty Service AreasPlan/Option
Albany/Macon, GAHumana Gold Plus H4141-017 (HMO)Baker, Baldwin, Bibb, Butts, Crawford, Dougherty, Glascock, Hancock, Houston, Jasper, Jefferson, Jones, Lamar, Laurens, Lee, Macon, Monroe, Peach, Pike, Schley, Spalding, Sumter, Taliaferro, Taylor, Terrell, Twiggs, Upson, Warren, Washington, Wilkes, Wilkinson, Worth076/564
Albany/Macon, GAHumanaChoice H5216-203 (PPO)Baker, Bibb, Crawford, Dougherty, Houston, Jones, Lee, Monroe, Peach, Sumter, Terrell, Twiggs, Worth079/707
Atlanta, GAHumana Gold Plus H4141-015 (HMO)Clayton, DeKalb, Fulton, Gwinnett, Henry076/938
Atlanta, GAHumanaChoice H5216-073 (PPO)Bartow, Carroll, Cherokee, Clayton, Cobb, Coweta, Dawson, DeKalb, Douglas, Fayette, Floyd, Forsyth, Fulton, Gwinnett, Haralson, Henry, Meriwether, Newton, Paulding, Pickens, Rockdale, Walton079/424
Cleveland, OHHumana Cleveland Clinic Preferred (HMO-POS)Cuyahoga, Lake, Lorain, Medina, Stark, Summit056/052
Colorado, COHumana Gold Plus H0028-025 (HMO)Boulder, Clear Creek, El Paso, Elbert, Fremont, Larimer, Pueblo, Teller, Weld076/218
Colorado, COHumana Gold Plus H0028-047 (HMO)Adams, Arapahoe, Boulder, Broomfield, Clear Creek, Douglas, El Paso, Elbert, Fremont, Jefferson, Larimer, Pueblo, Teller, Weld076/329
Denver, COHumana Gold Plus H0028-025 (HMO)Adams, Arapahoe, Broomfield, Denver, Douglas, Jefferson076/209
Kentucky and Southern Indiana, IN, KYHumana Gold Plus H5619-071 (HMO)IN: Clark, Floyd, Harrison

KY: Adair, Anderson, Ballard, Bath, Bell, Bourbon, Boyle, Bracken, Breathitt, Breckinridge, Bullitt, Caldwell, Calloway, Carlisle, Carroll, Casey, Christian, Clark, Clay, Clinton, Crittenden, Cumberland, Daviess, Elliott, Estill, Fayette, Fleming, Floyd, Franklin, Fulton, Gallatin, Garrard, Graves, Grayson, Green, Hancock, Hardin, Harlan, Harrison, Henry, Hickman, Hopkins, Jackson, Jefferson, Jessamine, Johnson, Knott, Knox, Larue, Laurel, Lawrence, Lee, Leslie, Letcher, Lewis, Lincoln, Livingston, Lyon, Madison, Magoffin, Marion, Marshall, Martin, Mason, McCracken, McCreary, McLean, Meade, Menifee, Mercer, Montgomery, Morgan, Muhlenberg, Nelson, Nicholas, Ohio, Oldham, Owen, Owsley, Perry, Powell, Pulaski, Robertson, Rockcastle, Rowan, Russell, Scott, Shelby, Spencer, Taylor, Todd, Trigg, Trimble, Union, Washington, Wayne, Webster, Whitley, Wolfe, Woodford
076/126
Louisville, KYHumana Community (HMO)Jefferson076/867
Metro Georgia, GAHumana Gold Plus H4141-017 (HMO)Barrow, Bartow, Bryan, Bulloch, Burke, Chatham, Chattahoochee, Cherokee, Clarke, Clayton, Cobb, Columbia, Coweta, DeKalb, Douglas, Effingham, Elbert, Fayette, Floyd, Forsyth, Fulton, Greene, Gwinnett, Hall, Harris, Henry, Jackson, Liberty, Lincoln, Madison, Marion, McDuffie, Meriwether, Morgan, Muscogee, Newton, Oconee, Oglethorpe, Paulding, Pickens, Putnam, Richmond, Rockdale, Stewart, Talbot, Troup, Walton, Webster076/092
Metro Georgia, GAHumanaChoice H5216-203 (PPO)Barrow, Bartow, Butts, Carroll, Catoosa, Chattahoochee, Chattooga, Cherokee, Clarke, Clayton, Cobb, Coweta, Dade, Dawson, DeKalb, Douglas, Fayette, Floyd, Forsyth, Fulton, Gordon, Gwinnett, Hall, Haralson, Harris, Heard, Henry, Jackson, Jasper, Lamar, Madison, Marion, Meriwether, Murray, Muscogee, Newton, Oconee, Oglethorpe, Paulding, Pickens, Pike, Polk, Rockdale, Spalding, Stewart, Talbot, Troup, Upson, Walker, Walton, Webster, Whitfield079/499
Milwaukee/Green Bay, WIHumanaChoice H5216-001 (PPO)Brown, Calumet, Dodge, Door, Fond du Lac, Forest, Green Lake, Kenosha, Kewaunee, Manitowoc, Marathon, Marinette, Marquette, Menominee, Milwaukee, Oconto, Outagamie, Ozaukee, Portage, Racine, Sheboygan, Washington, Waukesha, Waupaca, Waushara, Winnebago079/074
Milwaukee/Green Bay, WIHumana USAA Honor with Rx (PPO)Brown, Calumet, Dodge, Door, Fond du Lac, Forest, Green Lake, Kenosha, Kewaunee, Manitowoc, Marathon, Marinette, Marquette, Menominee, Milwaukee, Oconto, Outagamie, Ozaukee, Portage, Racine, Shawano, Sheboygan, Washington, Waukesha, Waupaca, Waushara, Winnebago, Wood079/854
Milwaukee/Green Bay, WIHumanaChoice H5216-253 (PPO)Brown, Calumet, Dodge, Door, Fond du Lac, Forest, Green Lake, Kenosha, Kewaunee, Manitowoc, Marathon, Marinette, Marquette, Menominee, Milwaukee, Oconto, Outagamie, Ozaukee, Portage, Racine, Shawano, Sheboygan, Washington, Waukesha, Waupaca, Waushara, Winnebago, Wood079/855
Milwaukee/Green Bay, WIHumana Gold Plus H6622-001 (HMO)Brown, Calumet, Dane, Fond du Lac, Green Lake, Jefferson, Kenosha, Kewaunee, Manitowoc, Marathon, Marinette, Marquette, Milwaukee, Oconto, Outagamie, Ozaukee, Racine, Rock, Shawano, Sheboygan, Walworth, Washington, Waukesha, Waupaca, Waushara, Winnebago076/460
Richmond, VAHumana Gold Plus H6622-004 (HMO)Accomack, Charles City, Chesapeake City, Chesterfield, Colonial Heights City, Dinwiddie, Gloucester, Hampton City, Hanover, Henrico, Hopewell City, Isle of Wight, James City, Mathews, Newport News City, Norfolk City, Northampton, Petersburg City, Poquoson City, Portsmouth City, Prince George, Richmond City, Suffolk City, Surry, Sussex, Virginia Beach City, Williamsburg City, York076/897
Richmond-Tidewater, VAHumanaChoice H5216-144 (PPO)Amelia, Caroline, Chesapeake City, Chesterfield, Colonial Heights City, Cumberland, Dinwiddie, Franklin City, Gloucester, Goochland, Hampton City, Hanover, Henrico, Hopewell City, Isle of Wight, James City, King and Queen, Louisa, New Kent, Newport News City, Norfolk City, Petersburg City, Poquoson City, Portsmouth City, Powhatan, Prince George, Richmond City, Southampton, Suffolk City, Surry, Sussex, Virginia Beach City, Williamsburg City, York079/702
Richmond-Tidewater, VAHumana Gold Plus H5619-157 (HMO)Accomack, Amelia, Charles City, Chesapeake City, Chesterfield, Colonial Heights City, Cumberland, Dinwiddie, Franklin City, Gloucester, Goochland, Hampton City, Hanover, Henrico, Hopewell City, Isle of Wight, James City, King William, King and Queen, Louisa, Mathews, Middlesex, New Kent, Newport News City, Norfolk City, Northampton, Petersburg City, Poquoson City, Portsmouth City, Powhatan, Prince George, Richmond City, Southampton, Suffolk City, Surry, Sussex, Virginia Beach City, Williamsburg City, York076/834
South Florida, FLHumanaChoice Florida H5216-068 (PPO)Broward, Miami-Dade, Palm Beach079/420

VBID guidelines for providers

Operational guidelines for in-network providers
Operational guidelines for out-of-network providers
Transitional concurrent care coverage

VBID billing resources for providers

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