Un médico consulta con un paciente mayor y su hijo​​ 

Comprensión del modelo VBID​​ 

Acerca del modelo VBID para hospicio de Humana​​ 

2024 VBID para hospicio de Humana - planes participantes​​ 

Lugar​​ Plan de Medicare​​ Áreas de servicio en el país​​ Plan/Opción​​ 
Albany/Macon, GA​​ Humana 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, Worth​​ 076/564​​ 
Albany/Macon, GA​​ HumanaChoice H5216-203 (PPO)​​ Baker, Bibb, Crawford, Dougherty, Houston, Jones, Lee, Monroe, Peach, Sumter, Terrell, Twiggs, Worth​​ 079/707​​ 
Atlanta, GA​​ Humana Gold Plus H4141-015 (HMO)​​ Clayton, DeKalb, Fulton, Gwinnett, Henry​​ 076/938​​ 
Atlanta, GA​​ HumanaChoice H5216-073 (PPO)​​ Bartow, Carroll, Cherokee, Clayton, Cobb, Coweta, Dawson, DeKalb, Douglas, Fayette, Floyd, Forsyth, Fulton, Gwinnett, Haralson, Henry, Meriwether, Newton, Paulding, Pickens, Rockdale, Walton​​ 079/424​​ 
Cleveland, OH​​ Humana Cleveland Clinic Preferido (HMO-POS)​​ Cuyahoga, Lake, Lorain, Medina, Stark, Summit​​ 056/052​​ 
Colorado, CO​​ Humana Gold Plus H0028-025 (HMO)​​ Boulder, Clear Creek, El Paso, Elbert, Fremont, Larimer, Pueblo, Teller, Weld​​ 076/218​​ 
Colorado, CO​​ Humana Gold Plus H0028-047 (HMO)​​ Adams, Arapahoe, Boulder, Broomfield, Clear Creek, Douglas, El Paso, Elbert, Fremont, Jefferson, Larimer, Pueblo, Teller, Weld​​ 076/329​​ 
Denver, CO​​ Humana Gold Plus H0028-025 (HMO)​​ Adams, Arapahoe, Broomfield, Denver, Douglas, Jefferson​​ 076/209​​ 
Kentucky y el sudeste de Indiana, IN, KY​​ Humana Gold Plus H5619-071 (HMO)​​ EN: 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, KY​​ Humana Community (HMO)​​ Jefferson​​ 076/867​​ 
Metro Georgia, GA​​ Humana 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, Webster​​ 076/092​​ 
Metro Georgia, GA​​ HumanaChoice H5216-203 (PPO)​​ Condados: 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, Whitfield​​ 079/499​​ 
Milwaukee/Green Bay, WI​​ HumanaChoice 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, Winnebago​​ 079/074​​ 
Milwaukee/Green Bay, WI​​ Humana USAA Honor con 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, Wood​​ 079/854​​ 
Milwaukee/Green Bay, WI​​ HumanaChoice 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, Wood​​ 079/855​​ 
Milwaukee/Green Bay, WI​​ Humana 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, Winnebago​​ 076/460​​ 
Richmond, VA​​ Humana 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, York​​ 076/897​​ 
Richmond-Tidewater, VA​​ HumanaChoice 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, York​​ 079/702​​ 
Richmond-Tidewater, VA​​ Humana 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, York​​ 076/834​​ 
Sur de Florida, FL​​ HumanaChoice Florida H5216-068 (PPO)​​ Broward, Miami-Dade, Palm Beach​​ 079/420​​ 

Pautas del VBID para proveedores​​ 

Pautas operativas para proveedores en la red​​ 
Pautas operativas para proveedores fuera de la red​​ 
Cobertura de cuidado simultáneo de transición​​ 

Recursos de facturación del VBID para proveedores​​ 

Trabaje con nosotros​​ 

  • Recursos para proveedores delegados​​ 
  • Efectividad y eficiencia​​ 
  • HIPAA​​ 
  • Actualizaciones de políticas importantes​​ 
  • Programa de asistencia de idiomas​​ 
  • Materiales de Medicare Advantage​​ 
  • VBID de hospicio de Medicare​​ 
  • Noticias sobre farmacia​​ 
  • Traslados de pacientes iniciados por médicos​​ 
  • Cumplimiento de las normas por parte de los proveedores​​ 
  • Publicaciones​​ 
  • Recursos sobre calidad​​ 
  • Atención basada en el valor​​