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Humana Doctors in Franklinton, LA

35 in-network providers across 15 specialties and 23 plans

35 Providers
15 Specialties
Humana’s Louisiana network spans 16,978 providers. Franklinton contributes 35 in-network providers. under 1% of the statewide total. The largest Humana footprint in Louisiana is in New Orleans (2,751 providers).
Showing 120 of 35 providers·
JW
Janice Williams
Physician Assistant
Riverside Medical Center
1900 Main St, Franklinton, LA 70438· 1.1 mi away
26 years experience · Other
Humana✓ Medicare6 plans

About Humana Coverage in Franklinton

Humana operates 23 distinct plans in Franklinton, LA, with a combined in-network roster of 35 doctors across 15 medical specialties. Among the five largest insurers we track in Franklinton, Humana ranks #4 by provider count, the leader is Aetna with 62 in-network doctors. Use this page to confirm a specific provider is in-network, understand which Humana plans have the widest reach in Franklinton, and compare coverage against other major insurers before scheduling care.

Humana sells PPO, HMO, PFFS, EPO and other plan types in Franklinton. 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 Franklinton with 19 plans available to seniors, listed below with star ratings and premiums. Humana does not currently sell ACA marketplace plans in LA; 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 May 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 Franklinton

Humana organizes its Franklinton 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 35-doctor network that offers plans of each type.

A high PPO share means most Humana doctors in Franklinton 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 Franklinton.

Network size35Humana providers in Franklinton
PPO
2935
83%
HMO
2835
80%
EPO
135
3%
Other
3335
94%
Other
2835
80%
Other
135
3%

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

Humana Plans in Franklinton

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

Plan / NetworkTypeDoctors

HumanaGoldChoice Ntwk PFFS

PFFS

28

Medicare PPO

PPO

28

Medicare PPO/Employer PPO Plus

PPO

28

Natl Medicare HMO/SNP-Travel

HMO

28

National Employer HMO-Home

HMO

26

Natl Med HMO/SNP H1951-Home

HMO

26

Humana USAA Honor Giveback

26

Humana Healthy Horizons in LA

25

Natl Med HMO/SNP H1036-Home

HMO

23

EyeMed

2

Employer HMO

HMO

1

Federal Standard Advantage EPO

EPO

1

Humana Medicare Advantage Plans in Franklinton

19 Humana Medicare Advantage plans available to seniors in Franklinton. 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 Value Plus H7617-081 (PPO)
PPO★★★★★ 4.5$33/moMOOP $6,100
HumanaChoice H7617-080 (PPO)
PPO★★★★★ 4.5$0/moMOOP $4,900
Humana Dual Select H1951-056 (HMO D-SNP)SNP
HMO D-SNP★★★★☆ 4.0$30/moMOOP $9,250
Humana Gold Plus H1951-024 (HMO)
HMO★★★★☆ 4.0$23/moMOOP $4,900
Humana Gold Plus H1951-028 (HMO)
HMO★★★★☆ 4.0$19/moMOOP $4,500
Humana Gold Plus H1951-052 (HMO)
HMO★★★★☆ 4.0$0/moMOOP $4,800
Humana Gold Plus SNP-DE H1951-032 (HMO D-SNP)SNP
HMO D-SNP★★★★☆ 4.0$28/moMOOP $9,250
Humana Gold Plus SNP-DE H1951-041 (HMO D-SNP)SNP
HMO D-SNP★★★★☆ 4.0$23/moMOOP $9,250
Humana Gold Plus SNP-DE H1951-057 (HMO D-SNP)SNP
HMO D-SNP★★★★☆ 4.0$13/moMOOP $9,250
Humana Gold Plus SNP-DE H1951-061 (HMO D-SNP)SNP
HMO D-SNP★★★★☆ 4.0$16/moMOOP $9,250
Humana USAA Honor Giveback (HMO)
HMO★★★★☆ 4.0MOOP $4,900
Humana Full Access R0110-003 (Regional PPO)
Regional PPO★★★★☆ 3.5$189/moMOOP $3,300

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 Franklinton network spans 15 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 Franklinton, 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 Franklinton 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 Franklinton 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.

Median19years of experience
48 Humana providers in Franklinton with graduation-year data
Early career0–5 yrs
0providers
0%
Established6–15 yrs
17providers
35%
Senior16–30 yrs
17providers
35%
Veteran30+ yrs
14providers
29%

Telehealth Coverage in Franklinton

2 of 35 Humana in-network providers (6%) offer telehealth visits in Franklinton. 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 Franklinton

Top Hospitals Serving Humana Patients in Franklinton

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 Franklinton

Side-by-side provider counts for the five largest commercial and government insurers tracked in Franklinton. 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 Franklinton provider list with the same filters, plan breakdown, and hospital affiliations that you’re seeing here.

Nearby Cities with Humana Coverage

Cities closest to Franklinton 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-Franklinton options are likely more plentiful.

Frequently Asked Questions

Common questions about Humana coverage in Franklinton

How do I find an Humana in-network doctor in Franklinton, LA?

Humana has 35 in-network providers across 15 medical specialties in Franklinton. This list is compiled from federally-mandated CMS Transparency in Coverage filings, last verified May 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 Franklinton?

Humana sells 5 distinct plan types in Franklinton: PPO (29 doctors), HMO (28 doctors), PFFS (28 doctors), EPO (1 doctors), SNP (1 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 Franklinton?

Yes. Humana offers 19 Medicare Advantage plans in Franklinton for 2026, with plan types including PPO, HMO D-SNP, HMO, Regional PPO. The average CMS star rating across these plans is 3.8 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 Franklinton?

HumanaChoice H7617-080 (PPO) (PPO) holds Humana's top CMS star rating in Franklinton 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 Franklinton?

Yes. 3 of Humana's 19 Medicare Advantage plans in Franklinton 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 Franklinton accept Humana?

Hospitals where Humana doctors most commonly practice in Franklinton include RIVERSIDE MEDICAL CENTER, ST TAMMANY PARISH HOSPITAL, EAST JEFFERSON GENERAL HOSPITAL, ABBEVILLE GENERAL HOSPITAL. 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 Franklinton?

Humana's Franklinton network is largest in Nurse Practitioner (12), Physician Assistant (4), Interventional Cardiology (4). 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 Franklinton?

Humana ranks #4 of 5 major insurers tracked in Franklinton by provider count, with 35 doctors. Aetna leads at 62 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 Franklinton.

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 May 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 May 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 Franklinton provider list was last refreshed May 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 Franklinton Humana members.

Data freshness

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