1. Welcome National Partners 2018 Market Overview Louisiana Market

2. Louisiana Competitive Landscape
Company
MA Membership
% Market Share
Humana
156,913
62.8%
Peoples
57,134
22.8%
Vantage
15,319
6.1%
Wellcare
12,753
5.1%
Blue Cross
4,493
1.8%
United Health (UHC)
1,752
0.7%
Aetna
1,690

3. Louisiana 2017 Sales To Date
Market
Sales
Statewide
25,993
Alexandria
871
Baton Rouge
4,268
Shreveport
2,684
New Orleans
6,888
Monroe
1,930
Lafayette
2,581
Bayou
1,274
Lake Charles
1,211
Northshore
2,646
Market Total
24,353
HMO
HMO DE
HMO CC
LPPO
RPPO
62%
17% 2% 5%
14%
93.7% Of Statewide Total

4. Why Humana Louisiana? Largest MA Company in state
Outstanding Provider Network
Broad portfolio of plans
Strong brand presence starting in 2004 in La
Consistent Top 10 Market in MA sales in Humana--- currently ranked #5
Plans contain many extra benefits to help our members improve overall health
5 offices statewide to support our external partners, prospects and members.
Two Bold Goal markets committed to improving community health by 20% by 2020
Two neighborhood centers with education, health and fun activities daily open to the community

5. Louisiana HMO Parishes
Green Green Green Represents $0 Premium HMO
Red Represents Premium HMO

6. New Orleans Market Key Plans
Jefferson, Orleans, St Charles
H HMO (OHS)
Separate Directory—Ochsner providers only
H HMO
H HMO CC SNP
Jefferson & Orleans Only
Separate directory—Ochsner & Jencare providers only
Premium $0
MOOP
$6,700
Inpatient Cost Share
$105 Days 1-10
$105 Days 1-10
$50 Days 1-5
PCP Co-pay
Specialist Co-pay
$40
$45
$25
Outpatient Surgery
$175 All Locations
$175 ASC /$200 Hospital
$40 ASC/$50 Hospital
Advanced Imaging
$195 All Locations
$125 All Locations
Part D Benefit
Deductible
Preferred Retail (30)
Preferred Mail Order (90)
Other Benefits:
$300 Tier 4 & 5 Only
$3/$10/$47/$99/27% $0/$0/$131/$287
Preventive Dental
OSB Dental $22.40
Vision $0 Exam/$200 Eyewear
Hearing $0 Exam/$500 per ear
OTC $30 per quarter
Transporation-6 one way trips
$400 Tier 4 & 5 Only
$5/$15/$47/$99/25%
$0/$0/$131/$287
OSB Dental $21.30
Vision $0 Exam/$100 Eyewear
Hearing $0 Exam/Aids Fixed Copays
$0 Gap coverage for tiers 1,2,3,6
$0/$10/$47/$99/33%/$0
$0/$0/$131/$287/$0
No OSB
OTC $20 per month
Transporation-18 one way trips 6

7. Baton Rouge Market Key Plans
Ascension, East Baton Rouge, Livingston, West Baton Rouge
H HMO (OHS)
Not In Ascension--Separate Directory—Ochsner providers only
H HMO
H HMO MA Only Plus additional parishes
Premium $0
MOOP
$6,700
Inpatient Cost Share
$130 Days 1-10
$145 Days 1-10
$110 dAys 1-10
PCP Co-pay $5
Specialist Co-pay
$40
$45
$50
Outpatient Surgery
$160 ASC/ $130 Hospital
$125 ASC/ $160 Hospital
$135 ASC /$175 Hospital
Advanced Imaging
$200 All Locations
Part D Benefit
Deductible
Preferred Retail (30)
Preferred Mail Order (90)
Other Benefits:
$380 Tiers 4 & 5 Only
$5/$15/$47/$99/25% $0/$0/$131/$287
Preventive Dental
OSB Dental $22.40
Vision $0 Exam/$200 Eyewear
Hearing $0 Exam/$600 per ear
OTC $30 per quarter
Transportation 6-one way trips
$400 Tiers 4 & 5 Only
$7/$15/$47/$99/25%
$0/$0/$131/$287
OSB Dental $21.30
Vision $0 Exam/$100 Eyewear
Hearing $0 Exam/Aids with fixed copays
No RX—MA Only Plan
No Preventive Dental
OSB Dental Plan $14.50 7

8. St. Tammany & Washington
Humana Gold Plus HMO H MAPD
St. Tammany & Washington
Premium
$28.90
MOOP
$6700
Inpatient Cost Share
$195 Days 1-10
PCP Co-pay
$10 copay
Specialist Co-pay
$45 copay
Outpatient Surgery
$150 ASC / $195 Hospital
Advanced Imaging
$195 All Locations
Part D Benefit
Deductible
Preferred Retail (30)
Preferred Mail Order (90)
$400 Tiers 4 & 5 Only
$7/$14/$47/$99/25%
$0/$0/$131/$287
Other Benefits:
Preventive Dental
OSB Dental $21.30
Vision $0 Exam/$100 Eyewear
Hearing $0 Exam/Hearing Aids with fixed copays
OTC $30 per quarter 8

9. Humana Gold Plus HMO H1951-024 MAPD
Tangipahoa
Premium
$61
MOOP
$6700
Inpatient Cost Share
$200 Days 1-7 Preferred Hospital
$275 Days 1-7 Non-Preferred Hospital
PCP Co-pay $5
Specialist Co-pay
$45
Outpatient Surgery
$200 copay ASC / $250 Hospital
Advanced Imaging
$250 copay all locations
Part D Benefit
Deductible
Preferred Retail (30)
Preferred Mail Order (90)
$320 Tiers 4 & 5 Only
$5/$12/$47/$99/26%
$0/$0/$131/$287
Other Benefits:
Preventive Dental
Vision $0 Exam/$100 Eyewear
Hearing $0 Exam/Hearing Aids with fixed copays
OTC $30 per quarter 14

10. Assumption, Lafourche, St James, St John the Baptist, Terrebonne
2018 Humana Gold Plus HMO H MAPD
Assumption, Lafourche, St James, St John the Baptist, Terrebonne
Premium
$25
MOOP
$6700
Inpatient Cost Share
$150 Days 1-10
PCP Co-pay $5
Specialist Co-pay
$50
Outpatient Surgery
$175 ASC /$200 Hospital
Advanced Imaging
$195 copay all locations
Part D Benefits
Deductible
Preferred Retail (30)
Preferred Mail Order
$400 Tiers 4 &5 Only
$5/$15/$47/$99/25%
$0/$0/$131/$287
Other Benefits:
Preventive Dental
OSB Dental $21.30
Vision $0 Exam/$100 Eyewear
Hearing $0 Exam/Aids with fixed copays
OTC $30 per quarter
Transportation 6-one way trips 14

11. East Feliciana, Iberville, Pointe Coupee, St. Helena, West Feliciana
Humana Gold Plus HMO H MAPD
East Feliciana, Iberville, Pointe Coupee, St. Helena, West Feliciana
Premium
$26
MOOP
$6700
Inpatient Cost Share
$150 Days 1-10
PCP Co-pay $5
Specialist Co-pay
$50
Outpatient Surgery
$135 ASC /$175 Hospital
Advanced Imaging
$225 copay all locations
Part D Benefits
Deductible
Preferred Retail (30)
Preferred Mail Order
$400 Tiers 4 &5 Only
$7/$15/$47/$99/25%
$0/$0/$131/$287
Other Benefits:
Preventive Dental
OSB Dental $21.30
Vision $0 Exam/$100 Eyewear
Hearing $0 Exam/Aids with fixed copays
OTC $30 per quarter
Transportation 6-one way trips 14

12. HMO Service Area: Lafayette, St Landry, St Martin
Lafayette Market
HMO Service Area: Lafayette, St Landry, St Martin
H HMO
H LPPO
Premium $0
$49
MOOP
$6,700
$6,700/$10,000
Plan Deductible
$1,000 OON Only
Inpatient Cost Share $ $
PCP Co-pay $5
Specialist Co-pay
$40
$45
Outpatient Surgery
$250 ASC/$275 Hospital
$175 ASC/$225 Hospital
Advanced Imaging
$250 All Locations
$195 All Locations
Part D Benefit
Deductible
Preferred Retail (30)
Preferred Mail Order (90)
Other Benefits:
$200 Tiers 4 & 5 Only
$6/$10/$47/$99/29% $0/$0/$131/$287
Preventive Dental
No OSB
Vision $0 Exam/$100 Eyewear
Hearing Aids—Fixed Copayments
OTC $30 per quarter
$400 Tiers 4 & 5 Only
$5/$15/$47/$99/25%
$0/$0/$131/$287
OSB Vision $15.30
Vision $0 Exam/$40 max
Hearing Aids---Fixed Copayments
OTC $25 per quarter 12

13. Lake Charles & Alexandria Market
Service Area: Calcasieu, Cameron, Grant, Rapides
H HMO
H LPPO Plan
LPPO Plan Available in Grant & Rapides
Premium $0
$49
MOOP
$6,700
$6,700/$10,000
Plan Deductible
$1,000 OON Only
Inpatient Cost Share
$225 Days 1-8
$225 Days 1-7
PCP Co-pay
$15 $5
Specialist Co-pay
$45
Outpatient Surgery
$225 ASC/$275 Hospital
$175 ASC/ $225 Hospital
Advanced Imaging
$250 All Locations
$195 All Locations
Part D Benefit
Deductible
Preferred Retail (30)
Preferred Mail Order (90)
Other Benefits:
$200 Tiers 4 & 5 Only
$6/$10/$47/$99/29% $0/$0/$131/$287
Preventive Dental
Vision $0 Exam/$100 eyewear
No OSB Vision
Hearing Aids-Fixed Copayments
OTC $30 per quarter
$400 Tiers 4 & 5 Only
$5/$15/$47/$99/25%
$0/$0/$131/$287
Vision $0 Exam/$40 max
OSB Vision $15.30
Hearing Aids---Fixed Copayments
OTC $25 per quarter 13

14. 2018 Humana Gold Plus HMO H1951-013 Bossier, Caddo, Webster Premium
$29
MOOP
$6700
Inpatient Cost Share
$175 copay/day Days (1-10)
PCP Co-pay $5
Specialist Co-pay
$40
Outpatient Surgery
$250 copay in Free Standing $275 copay in Hospital
Advanced Imaging
$225 All Locations
Part D Benefit
Deductible
Preferred Retail (30)
Preferred Mail Order (90)
$400 Tiers 4 & 5 Only
$6/$15/$47/$99/25%
$0/$0/$131/$287
Other Benefits:
Preventive Dental
OSB Dental Plan $22.40
Vision $0 Exam
OSB Vision Plan $15.30
OTC $30 Per quarter
Hearing Aids-Fixed Copayments 14

15. Caldwell, Morehouse, Ouachita
Monroe Market
Caldwell; Catahoula; East Carroll; Franklin; Jackson; Lincoln; Madison; Morehouse; Ouachita; Richland; Tensas;
Union; West Carroll
H HMO
H LPPO Plan
Caldwell, Morehouse, Ouachita
Premium $0
$49
MOOP
$6,700
$6,700/$10,000
Plan Deductible
$1,000 OON Only
Inpatient Cost Share
$215 Days 1-8
$225 Days 1-7
PCP Co-pay
$15 $5
Specialist Co-pay
$45
Outpatient Surgery
$250 ASC/$275 Hospital
$175 ASC/ $225 Hospital
Advanced Imaging
$250 All Locations
$195 All Locations
Part D Benefit
Deductible
Preferred Retail (30)
Preferred Mail Order (90)
Other Benefits:
$200 Tiers 4 & 5 Only
$6/$10/$47/$99/29% $0/$0/$131/$287
Preventive Dental
Vision $0 Exam/$100 eyewear
No OSB Vison
Hearing Aids-Fixed Copayments
OTC $30 per quarter
$400 Tiers 4 & 5 Only
$5/$15/$47/$99/25%
$0/$0/$131/$287
Vision $0 Exam/$40 max
OSB Vision $15.30
Hearing Aids---Fixed Copayments
OTC $25 per quarter 15

16. LPPO Parishes

17. Humana Choice Local PPO (LPPO)
Three Plans With Different Service Areas But Same Benefits H H H
Premium
$49
MOOP
$6,700/$10,000
Plan Deductible
$1,000 OON Only
Inpatient Cost
$225 Days 1-7
PCP Co-pay $5
Specialist Co-pay
$45
Outpatient Surgery
$175 ASC/ $225 Hospital
$175 ASC/$225 Hospital
Advanced Imaging
$195 All Locations
Part D Benefit
Deductible
Preferred Retail (30)
Preferred Mail Order (90)
Other Benefits:
$400 Tiers 4 & 5 Only
$5/$15/$47/$99/25% $0/$0/$131/$287
Preventative Dental
Vision $0 Exam -$40 Max
OSB Vision Plan $15.30
Hearing Aids-Fixed Copayments
OTC $25 per quarter 17

18. Humana Choice Regional PPO-Statewide
R (old plan R )
PASSIVE PPO R
(old plan R ) R
(old plan R )
Premium
$89 $0
$55
MOOP
$6,700/$10,000
Plan Deductible
$1,000 OON Only
$1,000 OON Only then 30%
Inpatient Cost Share $ $
PCP Co-pay
$15
$10
Specialist Co-pay
$50
$35
Outpatient Surgery
$225 ASC $275 OP
$145 ASC $195 OP
Advanced Imaging
$225 All Locations
$150 All Locations
Part D Benefit
Deductible
Preferred Retail (30)
Preferred Mail (90)
Other Benefits:
$400 Tiers 4 & 5 Only
$6/$15/$47/$99/25% $0/$0/$131/$287
Preventive Plus Dental
OSB Dental Plan $20.20
Vision $0 Exam
OSB Vision Plan $15.30
Hearing Aids-Fixed Copayments
OTC $25 per quarter
No Rx—MA Only
OTC $30 per quarter
$300 Tiers 3,4 & 5
$1/$15/$47/$100/27% $0/$0/$131/$290
OSB Dental Plan $17.10
OSB Vision Plan $15.30 18

19. Humana Choice Regional PPO Versus Local PPO
R (old plan R )
PASSIVE PPO H R
(old plan R )
Premium
$89
$49
$55
MOOP
$6,700/$10,000
Plan Deductible
$1,000 OON Only
$1,000 OON Only then 30%
Inpatient Cost Share
$275 Days 1-7
$225 Days 1-7
$275 Days 1-7
PCP Co-pay
$15 $5
Specialist Co-pay
$50
$45
Outpatient Surgery
$225 ASC/$275 Hospital
$175 ASC/$225 Hospital
Advanced Imaging
$225 All Locations
$195 All Locations
Part D Benefit
Deductible
Preferred Retail (30)
Preferred Mail (90)
Other Benefits:
$400 Tiers 4 &5 Only
$6/$15/$47/$99/25% $0/$0/$131/$287
Preventive Plus Dental
OSB Dental Plan $20.20
Vision $0 Exam
OSB Vision Plan $15.30
Hearing Aids-Fixed Copayments
OTC $25 per quarter
$400 Tiers 4 & 5 Only
$5/$15/$47/$99/25% $0/$0/$131/$287
Preventative Dental
Vision $0 Exam -$40 Max
$300 Tiers 4 & 5 Only
$1/$15/$47/$100/27% $0/$0/$131/$290
OSB Dental Plan $17.10
OSB Vision Plan $15.30 19

20. Dual Eligible SNP Parishes

21. Dual Eligible SNP Plan Members on this Dual Eligible SNP will not be
responsible for medical copayments, medical
coinsurances, or medical deductibles on this plan.
They are cost share protected by the State Medicaid
Office because of their dual eligible status.
Providers may not balance bill these members for any
Cost sharing. Providers must bill the state for
reimbursement of member cost share. Advise
members to show both their Humana ID card and
Medicaid ID card to Providers.
Refer to Medicare Special Needs Plans Overview
document in Mentor for additional information on
cost share and benefits the member may receive.

22. SERVICE AREAS 2018 GOLD PLUS HMO DE SNP H1951-032 EXTRA BENEFITS
TRANSPORTATION- 48 one way trips
PREVENTIVE DENTAL
ROUTINE VISION -$0 copay exam $200 Eyewear
HEARING SERVICES-$0 copay $1,000 per ear/year
OTC- $75 per month
WELL DINE- $0 copay 2 meals per day/5 days
ENHANCED NUTRITION THERAPY SESSIONS
SMOKING CESSATION COUNSELING
PHILIPS LIFELINE $0 copay for fall detection device
WIGS-$500 per year due to Chemo hair loss
WEIGHT MANAGEMENT- Jenny Craig Initial Enrollment Fee waived 22

23. SERVICE AREAS 2018 GOLD PLUS HMO DE SNP H1951-033 EXTRA BENEFITS
TRANSPORTATION- 48 one way trips
PREVENTIVE DENTAL
ROUTINE VISION -$0 copay exam $200 Eyewear
HEARING SERVICES-$0 copay $1,000 per ear/year
OTC- $50 per month
WELL DINE- $0 copay 2 meals per day/5 days
ENHANCED NUTRITION THERAPY SESSIONS
SMOKING CESSATION COUNSELING
PHILIPS LIFELINE $0 copay for fall detection device
WIGS-$500 per year due to Chemo hair loss
WEIGHT MANAGEMENT- Jenny Craig Initial Enrollment Fee waived 23

24. SERVICE AREAS 2018 GOLD PLUS HMO DE SNP H1951-034 EXTRA BENEFITS
TRANSPORTATION- 48 one way trips
PREVENTATIVE DENTAL
ROUTINE VISION -$0 copay exam $200 Eyewear
HEARING SERVICES-$0 copay $1,000 per ear/year
OTC- $75 per month
WELL DINE- $0 copay 2 meals per day/5 days
ENHANCED NUTRITION THERAPY- $0 copay up to 4 one-hour sessions per 12 months
SMOKING CESSATION- $0 copay for up to 4 sessions per year
PHILIPS LIFELINE $0 copay for fall detection device
WIGS-$500 per year due to Chemo hair loss 24

25. SERVICE AREAS 2018 GOLD PLUS HMO DE SNP H1951-041 EXTRA BENEFITS
TRANSPORTATION- 48 one way trips
PREVENTATIVE DENTAL
ROUTINE VISION -$0 copay exam $300 Eyewear
HEARING SERVICES-$0 copay $1,000 per ear/year
OTC- $75 per month
WELL DINE- $0 copay 2 meals per day/5 days
ENHANCED NUTRITION THERAPY- $0 copay up to 4 one-hour sessions per 12 months
SMOKING CESSATION COUNSELING
PHILIPS LIFELINE $0 copay for fall detection device LIF003
WIGS-$500 per year due to Chemo hair loss 25

26. 2018 Changes For All Plans
Member cost or location of service change on all plans
Emergency Room: $75 to $80
Skilled Nursing Facility: Days $ (some 2017 plans were already at this level)
Diabetic Supplies:
2017 $0 Preferred DME Provider/20% Non-Preferred DME/10%Pharmacy
$0 Preferred Diabetic Supplier/20% Diabetic Supplier/10% Pharmacy
Available On all plans:
$0 copayment for Tier 1 & 2 through Humana Pharmacy Mail Order
24/7 Nursing Hotline
Go365 Rewards for Healthy Behaviors
Meals at home after Hospital Stay
No Longer Available
Removed Counseling Service (MAP)
Removed Smoking Cessation Except DE SNP plans
Removed Health Education (Personal Coach)
Humana MarketPOINT Internal Use Only - For Training Purposes ONLY (Not CMS Approved)
11/10/2018

27. Humana Louisiana 2018 Benefits
Humana MarketPOINT Internal Use Only - For Training Purposes ONLY (Not CMS Approved)

28. Louisiana Market Managers
Steve Kent
Dale LaBorde
Elizabeth
Gremillion
Bonnie Lee
Rebecca Rome
Joseph Ewell External Channel