Humana individual Medicare Advantage members in central Ohio who still see doctors at Ohio State’s Wexner Medical Center have in-network rates only through Dec. 31, 2026. Ohio State says Humana’s individual plans have been out of network at Wexner and The James since Oct. 1, with a cushion for current patients that ends with the calendar year. Medicare open enrollment, the main window to pick a 2027 plan, closes Dec. 7.
Ohio State posted the notice in September on its Humana Medicare Advantage page. It says no agreement has been reached for Humana Individual Medicare Advantage plans, meaning the coverage people bought on their own rather than through an employer or a retirement program. The page spells out the consequence plainly: those plans are out of network.
Group and individual plans are treated differently
Humana sells two kinds of Medicare Advantage coverage, and Ohio State handles them separately. Humana Group Medicare Advantage, received through a current or former employer or an employer’s retirement program, is covered by an agreement that Ohio State says took effect immediately. Wexner and The James stay in network for those plans in 2027, and patients on them do not need to change anything…