About Humana Coverage in Maple Heights
Humana operates 19 distinct plans in Maple Heights, OH, with a combined in-network roster of 38 doctors across 12 medical specialties. Among the five largest insurers we track in Maple Heights, Humana ranks #1 by provider count. Use this page to confirm a specific provider is in-network, understand which Humana plans have the widest reach in Maple Heights, and compare coverage against other major insurers before scheduling care.
Humana sells PPO, HMO, PFFS, EPO and other plan types in Maple Heights. 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 Maple Heights with 25 plans available to seniors, listed below with star ratings and premiums. Humana does not currently sell ACA marketplace plans in OH; 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 27, 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 Maple Heights
Humana organizes its Maple Heights 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 38-doctor network that offers plans of each type.
A high PPO share means most Humana doctors in Maple Heights 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 Maple Heights.
Percentages don’t sum to 100% because most doctors participate in several plan types simultaneously.
Humana Plans in Maple Heights
Humana contracts with doctors at the network level in Maple Heights. Each network below is a contract; your specific plan (printed on your member ID) maps to one of them.
Humana Healthy Horizons in OH
32
HumanaGoldChoice Ntwk PFFS
PFFS
6
Medicare PPO
PPO
6
Medicare PPO/Employer PPO Plus
PPO
6
National Employer HMO-Home
HMO
6
Natl Med HMO/SNP (OH)-Home
HMO
6
Natl Medicare HMO/SNP-Travel
HMO
6
Humana Family Dental PPO
PPO
3
PPO/Traditional Preferred
PPO
3
HumanaDental Network
3
HumanaDental Medicare Access
3
HumanaDental Medicare
3
Humana Medicare Advantage Plans in Maple Heights
25 Humana Medicare Advantage plans available to seniors in Maple Heights. 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.
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 Maple Heights network spans 12 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 Maple Heights, 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.
Coverage Compared in Maple Heights
Side-by-side provider counts for the five largest commercial and government insurers tracked in Maple Heights. 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 Maple Heights provider list with the same filters, plan breakdown, and hospital affiliations that you’re seeing here.
Nearby Cities with Humana Coverage
Cities closest to Maple Heights 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-Maple Heights options are likely more plentiful.
Frequently Asked Questions
Common questions about Humana coverage in Maple Heights
How do I find an Humana in-network doctor in Maple Heights, OH?
Humana has 38 in-network providers across 12 medical specialties in Maple Heights. This list is compiled from federally-mandated CMS Transparency in Coverage filings, last verified June 27, 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 Maple Heights?
Humana sells 5 distinct plan types in Maple Heights: PPO (9 doctors), HMO (6 doctors), PFFS (6 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 Maple Heights?
Yes. Humana offers 25 Medicare Advantage plans in Maple Heights for 2026, with plan types including PPO, Regional PPO, HMO-POS, PPO 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 Maple Heights?
HumanaChoice Giveback H7617-003 (PPO) (PPO) holds Humana's top CMS star rating in Maple Heights 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 Maple Heights?
Yes. 9 of Humana's 25 Medicare Advantage plans in Maple Heights 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 medical specialties have the most Humana providers in Maple Heights?
Humana's Maple Heights network is largest in Mental Health Counselor (9), Registered Nurse (7), Clinical Social Worker (5). 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 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 27, 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 27, 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 Maple Heights provider list was last refreshed June 27, 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 Maple Heights Humana members.
Common health topics
Common medications
Common procedure costs
Data freshness
Last verified June 27, 2026 · Source: CMS Transparency in Coverage federal filings · Refresh cadence: monthly