About Humana Coverage in Charleroi
Humana operates 18 distinct networks in Charleroi, PA, with a combined in-network roster of 0 doctors across 10 medical specialties. Use this page to confirm a specific provider is in-network, understand which Humana networks have the widest reach in Charleroi, and compare coverage against other major insurers before scheduling care.
Humana publishes its Charleroi directory at the network level rather than the consumer-plan level. The labels on each row below (for example HumanaGoldChoice Ntwk PFFS) are network identifiers, not the plan names printed on your member ID card. Your specific plan typically maps to one of these networks, but the mapping isn’t exposed in the federal filing. Match the doctor’s name first, then call the office with your member ID to confirm your plan is accepted.
Data is sourced from the federally-mandated CMS Transparency in Coverage filings that every insurer must publish monthly. 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.
Humana Networks in Charleroi
Humana contracts with doctors at the network level in Charleroi. Each network below is a contract; your specific plan (printed on your member ID) maps to one of them.
HumanaGoldChoice Ntwk PFFS
PFFS
17
Medicare PPO
PPO
17
Medicare PPO/Employer PPO Plus
PPO
17
Gold Plus Dual Eligible SNP
SNP
15
Gold Plus HMO PA
HMO
15
National Employer HMO-Home
HMO
15
Natl Medicare HMO/SNP-Travel
HMO
15
EyeMed
4
HumanaDental Network
2
Humana Family Dental PPO
PPO
2
PPO/Traditional Preferred
PPO
2
HumanaDental Medicare Access
1
Top Specialties Accepting Humana
Humana’s Charleroi network spans 10 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 Charleroi, 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 Charleroi 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 Charleroi 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.
Top Hospitals Serving Humana Patients in Charleroi
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.
Penn Highlands Mon Valley
Monongahela, PA
Jefferson Hospital
Jefferson Hills, PA
Washington Hospital, The
Washington, PA
Magee Womens Hospital Of Upmc Health System
Pittsburgh, PA
Reid Health
Richmond, IN
Penn Highlands Connellsville
Connellsville, PA
Nearby Cities with Humana Coverage
Cities closest to Charleroi 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-Charleroi options are likely more plentiful.
Frequently Asked Questions
Common questions about Humana coverage in Charleroi
How do I find an Humana in-network doctor in Charleroi, PA?
Humana has 0 in-network providers across 10 medical specialties in Charleroi. 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.
Which hospitals in Charleroi accept Humana?
Hospitals where Humana doctors most commonly practice in Charleroi include PENN HIGHLANDS MON VALLEY, JEFFERSON HOSPITAL, WASHINGTON HOSPITAL, THE, MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM. 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 Charleroi?
Humana's Charleroi network is largest in Physical Therapist In Private Practice (8), Ophthalmology (3), Optometry (2). 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.
Why don't I see specific Humana plan names like Bronze or Silver?
Humana files its Charleroi provider directory at the network level rather than by consumer plan name. The labels above (such as HumanaGoldChoice Ntwk PFFS) are the network identifiers Humana uses internally. Your specific plan, whether commercial group, Medicare, or Medicaid, maps to one of these networks but the federal filing format doesn't expose which plan goes with which network. To verify your exact plan covers a specific doctor, call the provider with your member ID handy.
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 Charleroi 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. Refresh cadence: monthly for provider data, annually for marketplace and Medicare plans.
Related healthcare resources
Patient resources for Charleroi Humana members.
Common health topics
Common medications
Common procedure costs
Data freshness
Last verified May 29, 2026 · Source: CMS Transparency in Coverage federal filings · Refresh cadence: monthly