PrimeCare and Humana Sign Agreement
Contract Gives Humana’s Medicare HMO Members Greater Access to Physician, Hospital Care
ONTARIO, Calif.--(BUSINESS WIRE)--North American Medical Management California, Inc. (NAMM) and Humana Inc. (NYSE: HUM) announced today a long-term agreement enabling Humana’s Medicare Advantage health maintenance organization (HMO) members to receive medical care through PrimeCare Medical Network, Inc. (PrimeCare), an affiliate of NAMM and operating in Riverside and San Bernardino counties.
Under terms of the agreement, people eligible for Medicare in San Bernardino and Riverside counties and enrolled as members of the Humana Gold Plus HMO plan will have in-network benefit access to the inpatient, outpatient and urgent care services provided by PrimeCare affiliated physicians and hospitals. The annual enrollment period to sign up for the Humana Gold Plus HMO plan is November 15 through December 31 for an effective date of benefit beginning January 1, 2010. Individuals already participating in the Medicare Part D program may enroll through March 31, 2010 as well.
PrimeCare’s network in San Bernardino and Riverside counties is comprised of more than 350 primary care physicians, 1,000 specialist physicians and 15 hospitals.
“We are proud to be able to respond to the health care needs of Humana’s Medicare Advantage membership in southern California,” said Leigh Hutchins, MBA, president and chief operating officer, NAMM/PrimeCare. “The contracted hospitals and physicians of the PrimeCare network are known for their patient care quality, innovative programs and comprehensive, well-coordinated care.”
“This agreement signifies a commitment by both organizations to provide Humana members with convenient access to quality care and the complete range of services for which NAMM and PrimeCare are known,” said Debra A. Smith, regional president of Senior Products for Humana’s West Coast and Intermountain Regions. “People who sign up for the Humana Gold Plus HMO plan will not only have access to a highly respected network of physicians and hospitals but will also have no or low monthly plan premiums, low co-payments for doctor visits, annual routine physicals and will receive money-saving features, like discounts on vision and hearing care, prescriptions and alternative medical treatments.”
In addition to the Medicare Advantage HMO health plan, Humana will offer an HMO-Point of Service option that will include both an in-network and out-of-network benefit structure.
Humana Medicare Advantage plans are an alternative to original Medicare, not Medicare supplement plans. For more information about enrolling in any Humana plan, visit www.humana-medicare.com or call toll-free 1-866-355-6152.
About North American Medical Management California
North American Medical Management California (NAMM), an organization under the Aveta, Inc. family of companies, is a leading provider of management services to medical groups and IPAs in California and Arizona. The NAMM contracted network represents more than 600 primary care physicians and 1,000 specialists committed to providing the highest quality patient care and experience to more than 200,000 commercial and 40,000 senior HMO members. For 17 years, NAMM has been an innovator in health care with a track record for quality and extraordinary service.
About Aveta
Aveta Inc. is one of the largest health organizations in the United States, caring for more than 220,000 Medicare beneficiaries and 320,000 commercial members. Aveta specializes in building provider networks and management service organizations that emphasize integration and coordination of healthcare. Aveta is headquartered in Ft. Lee, New Jersey and has operations in Puerto Rico, California and Illinois.
About Humana Senior Products
Humana Senior Products offers quality, affordable, coordinated health care coverage in 50 states, the District of Columbia and Puerto Rico. Products include Medicare Advantage plans with prescription drug coverage that integrate medical and prescription drug plans for coordinated care. Other products include stand-alone prescription drug plans, special needs plans and Medigap plans.
About Humana Inc.
Humana Inc., headquartered in Louisville, Kentucky, is one of the nation’s largest publicly traded health and specialty benefits companies, with approximately 10.3 million medical members and 6.8 million specialty-benefit members. Humana is a full-service benefits solutions company, offering a wide array of health and specialty benefit plans for employer groups, government programs and individuals.
Over its 48-year history, Humana has consistently seized opportunities to meet changing customer needs. Today, the company is a leader in consumer engagement, providing guidance that leads to lower costs and a better health plan experience throughout its diversified customer portfolio.
More information regarding Humana is available to investors via the Investor Relations page of the company’s Web site at http://www.humana.com, including copies of:
- Annual reports to stockholders
- Securities and Exchange Commission filings
- Most recent investor conference presentations
- Quarterly earnings news releases
- Replays of most recent earnings release conference calls
- Calendar of events (includes upcoming earnings conference call dates and times, as well as planned interaction with research analysts and institutional investors)
- Corporate Governance Information

