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Humana Doctors in Lake Zurich, IL

88 in-network providers across 20 specialties and 30 plans

88 Providers
20 Specialties
Humana’s Illinois network spans 38,239 providers. Lake Zurich contributes 88 in-network providers. under 1% of the statewide total. The largest Humana footprint in Illinois is in Chicago (9,979 providers).
Showing 120 of 88 providers·
BS
Bailey Swanson
Physician Assistant
Advocate Health And Hospitals Corporation
525 E Congress Pkwy, Lake Zurich, IL 60014· 11.1 mi away
9 years experience · Other
Humana✓ Medicare✓ Telehealth9 plans

About Humana Coverage in Lake Zurich

Humana operates 30 distinct plans in Lake Zurich, IL, with a combined in-network roster of 88 doctors across 20 medical specialties. Among the five largest insurers we track in Lake Zurich, Humana ranks #5 by provider count, the leader is Aetna with 182 in-network doctors. Use this page to confirm a specific provider is in-network, understand which Humana plans have the widest reach in Lake Zurich, and compare coverage against other major insurers before scheduling care.

Humana sells PPO, PFFS, HMO, SNP and other plan types in Lake Zurich. A PPO (Preferred Provider Organization) lets you see any provider without a referral; out-of-network care is covered but you pay a higher share. An HMO (Health Maintenance Organization) requires you to pick a primary-care doctor and get referrals for most specialist care, usually in exchange for lower premiums. An EPO (Exclusive Provider Organization) is in-network only, like an HMO, but skips the referral requirement. A POS (Point of Service) plan blends HMO-style in-network with PPO-style out-of-network options. Your plan name is on your member ID card.

Humana is a Medicare Advantage carrier in Lake Zurich with 14 plans available to seniors, listed below with star ratings and premiums. Humana does not currently sell ACA marketplace plans in IL; commercial coverage shown above comes through employer groups.

Data is sourced from the federally-mandated CMS Transparency in Coverage filings that every insurer must publish monthly. Medicare Advantage plans come from the CMS MA Landscape File. Last refreshed June 29, 2026. Networks change between filings, so even when a doctor appears here we recommend calling their office with your member ID to confirm current network status before your visit.

Plan Type Mix in Lake Zurich

Humana organizes its Lake Zurich network into several plan types, each with different rules about which doctors you can see and what referrals you need. The bars below show the unique-provider share of the 88-doctor network that offers plans of each type.

A high PPO share means most Humana doctors in Lake Zurich accept the insurer’s broader preferred-provider plans. these give you maximum choice and don’t require referrals to specialists. A high HMO share signals a tighter gatekeeper model: lower premiums but you usually need your primary-care doctor to refer you before a specialist will bill. EPO and POS bars sit between those two on both flexibility and cost.

Because individual doctors typically participate in multiple Humana plan types at once, these percentages don’t sum to 100%. the same provider can appear as both PPO and OAP coverage. What the chart tells you is which plan categories have meaningful depth in Lake Zurich.

Network size88Humana providers in Lake Zurich
PPO
7988
90%
HMO
6388
72%
EPO
288
2%
Other
7788
88%
Other
6788
76%
Other
1788
19%

Percentages don’t sum to 100% because most doctors participate in several plan types simultaneously.

Humana Plans in Lake Zurich

Humana contracts with doctors at the network level in Lake Zurich. Each network below is a contract; your specific plan (printed on your member ID) maps to one of them.

Plan / NetworkTypeDoctors

Medicare PPO

PPO

70

Medicare PPO/Employer PPO Plus

PPO

70

HumanaGoldChoice Ntwk PFFS

PFFS

67

Employer HMO

HMO

59

Gold Plus HMO IL

HMO

59

Natl Medicare HMO/SNP-Travel

HMO

59

Humana PathWays Dual Care

55

H1468-017 Community HMO CSNP

HMO

53

Humana Dual Integrated (HMO)

HMO

52

Humana Dual Fully Integrated

31

DSNP Non PathWays Eligible

SNP

17

Natl Med HMO/SNP H5619-Home

HMO

17

Humana Medicare Advantage Plans in Lake Zurich

14 Humana Medicare Advantage plans available to seniors in Lake Zurich. Each plan combines Medicare Parts A, B and usually D (prescription drugs) into one product, with star ratings and monthly premiums shown.

Star ratings (1-5) reflect overall plan quality measured by CMS. a 4-star plan generally indicates above-average member experience and care coordination. Premiums shown are the monthly cost on top of the standard Medicare Part B premium.

Plan NameTypeStar RatingPremium / MOOP
Humana Full Access H7617-009 (PPO)
PPO★★★★★ 4.5$0/moMOOP $4,500
Humana USAA Honor Giveback (PPO)
PPO★★★★★ 4.5MOOP $6,000
HumanaChoice H7617-018 (PPO)
PPO★★★★★ 4.5$0/moMOOP $3,600
Humana Full Access H5216-412 (PPO)
PPO★★★★☆ 3.5$0/moMOOP $4,500
Humana Gold Plus Giveback H1468-021 (HMO)
HMO★★★★☆ 3.5$0/moMOOP $4,000
Humana Gold Plus H1468-013 (HMO)
HMO★★★★☆ 3.5$0/moMOOP $2,150
Humana USAA Honor Giveback (PPO)
PPO★★★★☆ 3.5MOOP $6,000
Humana USAA Honor Giveback (PPO)
PPO★★★★☆ 3.5MOOP $6,000
HumanaChoice H5216-013 (PPO)
PPO★★★★☆ 3.5$87/moMOOP $6,550
HumanaChoice H5216-251 (PPO)
PPO★★★★☆ 3.5$0/moMOOP $3,600
HumanaChoice H5216-283 (PPO)
PPO★★★★☆ 3.5$5/moMOOP $4,900
Humana USAA Honor Giveback (Regional PPO)
Regional PPO★★★☆☆ 3.0MOOP $6,750

Source: CMS Medicare Advantage Landscape File. Star ratings reflect overall plan performance per CMS quality measures. Premiums shown are monthly Part C+D consolidated.

Top Specialties Accepting Humana

Humana’s Lake Zurich network spans 20 distinct medical specialties. The mix reflects where the insurer has negotiated the deepest physician contracts. primary-care specialties and behavioral health tend to dominate, with surgical and sub-specialty networks typically narrower.

Click any specialty below to see a filtered list of just those in-network providers in Lake Zurich, including ratings, locations, years of experience, and contact information. For specialties with fewer than 10 in-network providers, you’ll likely want to check nearby cities too. the section further down on this page has your geographic options.

Physician Experience in Humana’s Lake Zurich Network

Years since medical school graduation is a reasonable proxy for experience, though it doesn’t capture fellowship training, subspecialty certifications, or years spent in specific clinical settings. For Humana’s Lake Zurich network the breakdown below gives a quick sense of whether you’re picking from a predominantly early-career roster or one weighted toward veteran practitioners.

A network heavy on early-career doctors (0–5 years) often means lower wait times for new patients and exposure to the latest training, while veteran providers (30+ years) typically bring deeper pattern recognition for unusual presentations. A balanced distribution. roughly one-quarter in each bucket. is a healthy signal that the insurer has depth at every career stage, not just new graduates filling out its directory.

Median23years of experience
179 Humana providers in Lake Zurich with graduation-year data
Early career0–5 yrs
15providers
8%
Established6–15 yrs
50providers
28%
Senior16–30 yrs
54providers
30%
Veteran30+ yrs
60providers
34%

Telehealth Coverage in Lake Zurich

18 of 88 Humana in-network providers (20%) offer telehealth visits in Lake Zurich. Video appointments are typically covered for follow-ups, medication refills and adjustments, mental-health sessions, dermatology triage, and low-acuity primary care.

Availability and reimbursement still vary by state regulation and specific plan. Psychiatry, behavioral-health, and primary-care telehealth is near-universal at this point; procedural specialties (cardiology, orthopedics) typically offer video visits for pre-op consults and post-op follow-up but not initial diagnostic visits. Call the office with your Humana member ID to confirm your plan covers the visit type you need.

Top specialties offering telehealth in Lake Zurich

Top Hospitals Serving Humana Patients in Lake Zurich

Hospitals with the most Humana-network physicians practicing there. Large affiliation counts indicate that Humana has a durable relationship with the facility, which typically means smoother prior-authorizations for admissions, lab work, and follow-up care coordinated under one roof.

Hospital coverage is a separate contract from physician coverage. your Humana plan may cover a doctor who admits at Hospital X but classify the hospital itself as out-of-network, leaving you with a surprise facility bill. Before scheduling anything inpatient or procedural, call both the doctor’s office and the hospital billing line with your member ID to confirm both sides are in-network for the specific plan you hold.

Coverage Compared in Lake Zurich

Side-by-side provider counts for the five largest commercial and government insurers tracked in Lake Zurich. These numbers show raw network breadth. they don’t adjust for quality, specialty mix, or your specific plan’s tier structure, but they’re a useful first filter when choosing a carrier at open enrollment.

If Humana’s provider count looks limited for your needs, the alternatives below may fit better. Click any row to open that insurer’s Lake Zurich provider list with the same filters, plan breakdown, and hospital affiliations that you’re seeing here.

Nearby Cities with Humana Coverage

Cities closest to Lake Zurich where Humana has an in-network provider base of meaningful size. Useful if you’re willing to drive a short distance for a hard-to-find specialist, have two offices to choose between, or are planning a move inside the region.

The mileage figures are straight-line distances computed from average practice-address coordinates, not drive-time. Counts reflect each nearby city’s Humana network size. a small count doesn’t mean no coverage, just that your in-Lake Zurich options are likely more plentiful.

Frequently Asked Questions

Common questions about Humana coverage in Lake Zurich

How do I find an Humana in-network doctor in Lake Zurich, IL?

Humana has 88 in-network providers across 20 medical specialties in Lake Zurich. This list is compiled from federally-mandated CMS Transparency in Coverage filings, last verified June 29, 2026. Filter by specialty, plan type, gender, telehealth or experience above to narrow your search, then click any provider for full credentials and contact details. Always confirm coverage with your specific plan before scheduling.

What Humana plan types are available in Lake Zurich?

Humana sells 5 distinct plan types in Lake Zurich: PPO (79 doctors), PFFS (67 doctors), HMO (63 doctors), SNP (17 doctors), EPO (2 doctors). PPO plans give you the broadest provider choice without referrals; HMO plans require a primary-care referral but typically have lower premiums; EPO plans skip the referral but stay in-network only; POS plans blend HMO in-network rules with PPO out-of-network options. Choose by reading what's printed on your member ID card and matching it to one of the rows in the Plans section above.

Does Humana offer Medicare Advantage in Lake Zurich?

Yes. Humana offers 14 Medicare Advantage plans in Lake Zurich for 2026, with plan types including PPO, HMO, Regional PPO, HMO D-SNP. The average CMS star rating across these plans is 3.7 of 5. Medicare Advantage (Part C) bundles Parts A and B with usually Part D prescription drug coverage, often adding dental, vision, and wellness benefits. Enrollment is open during the annual election period each fall.

What's the highest-rated Humana Medicare Advantage plan in Lake Zurich?

HumanaChoice H7617-018 (PPO) (PPO) holds Humana's top CMS star rating in Lake Zurich at 4.5 of 5, with a $0 monthly premium. Star ratings reflect overall plan quality based on member experience, customer service, drug pricing, and clinical care measures. Plans rated 4 or higher generally indicate above-average performance.

Are there $0 premium Humana Medicare Advantage plans in Lake Zurich?

Yes. 7 of Humana's 14 Medicare Advantage plans in Lake Zurich carry a $0 monthly premium for 2026. Note that $0 premium plans still require you to pay the standard Medicare Part B premium each month, plus copays and deductibles when you use care. Compare each plan's MOOP (maximum out-of-pocket) limit to understand worst-case annual cost.

Which hospitals in Lake Zurich accept Humana?

Hospitals where Humana doctors most commonly practice in Lake Zurich include ADVOCATE GOOD SHEPHERD HOSPITAL, ADVOCATE SHERMAN HOSPITAL, ADVOCATE LUTHERAN GENERAL HOSPITAL, ADVOCATE CONDELL MEDICAL CENTER. This is inferred from physician affiliations rather than direct insurer-hospital contracts, so confirm hospital network status separately with both your Humana plan and the hospital's billing department before scheduling any inpatient or surgical procedure. Even when a doctor is in-network, the hospital where they admit may not be.

Which medical specialties have the most Humana providers in Lake Zurich?

Humana's Lake Zurich network is largest in Optometry (13), Dentist (9), Nurse Practitioner (9). Primary care, behavioral health, and physical therapy tend to dominate insurer networks because high patient volumes drive deeper provider contracts. Surgical sub-specialties typically have narrower networks. Click any specialty in the section above to see a filtered list of those in-network providers.

How does Humana compare to other insurers in Lake Zurich?

Humana ranks #5 of 5 major insurers tracked in Lake Zurich by provider count, with 88 doctors. Aetna leads at 182 providers. Larger network size means more provider choice but doesn't guarantee that your specific doctor is in-network with any insurer. The Coverage Compared section above shows side-by-side counts for the top five carriers in Lake Zurich.

How do I verify a doctor is in-network with Humana?

Three steps: first match the doctor's name against this list, second call the provider's office with your member ID to confirm they currently accept your specific Humana plan, and third check Humana's own member portal for the most authoritative real-time status. Networks change between monthly federal filings; our data was last refreshed June 29, 2026.

What if my doctor isn't listed here?

This list reflects Humana's submitted network data as of the last federal filing on June 29, 2026. Doctors join and leave networks between filings, so a current in-network provider may be missing if they joined recently. Call the doctor's office to ask whether they currently accept Humana, then check Humana's own member portal for confirmation.

When was this Humana data last updated?

The Humana Lake Zurich provider list was last refreshed June 29, 2026. Doctor and network data come from the federally-mandated CMS Transparency in Coverage filings that every insurer must publish monthly. Medicare Advantage plans come from the CMS MA Landscape File. Refresh cadence: monthly for provider data, annually for marketplace and Medicare plans.

Related healthcare resources

Patient resources for Lake Zurich Humana members.

Data freshness

Last verified June 29, 2026 · Source: CMS Transparency in Coverage federal filings · Refresh cadence: monthly