Your Humana Benefits include World-Class Second Opinions, Treatment Plans and Surgeries through Edison
What is the Associate Expert Care Program?
The Associate Expert Care Program ensures you receive the highest-quality healthcare from world-class medical centers at no cost or reduced cost* to you. The program focuses on the appropriateness of care and reducing your risk of misdiagnosis by working exclusively with the top surgeons and specialists in the country (aka Edison’s SmartCare Centers).
No matter what stage in your medical journey, it is so important that you receive an accurate diagnosis and appropriate treatment plan. When receiving care through this program, your medical deductibles*, copays, coinsurance, and travel expenses (including a travel companion) will be covered at 100% by your Humana medical plan.
if you have questions or you need help, call or email Edison today:
This is a more comprehensive look at what Edison covers:
Spine
Disc repair, disc replacement, fusion, injections, hemilaminectomy, etc.
Transplant
Heart, liver, kidney, lung, pancreas, blood & marrow, etc.
Complex Care
Multiple sclerosis, inflammatory bowel disease, neurological conditions, etc.
Pediatric Complex Care
Heart surgery, craniofacial surgery, gastroenterology, hematology, oncology, pulmonology, neurology, etc.
Orthopedic
Knee, hip, shoulder, foot, and hand - joint repair & replacement, arthroscopy, etc.
Cancer
All cancers for accurate diagnosis, surgery, and appropriate treatment plan.
Heart
Bypass, ablation, stent, valve, pacemaker, angioplasty, etc.
Women’s Health
Endometriosis, pelvic inflammatory disease, pelvic pain, hysterectomy, and menopause.
What are patients saying about their experience?
How does the program work? What is the process?
Edison offers Humana health plan members a VIP healthcare experience. With Edison, you are not alone in your healthcare journey, your care team will walk beside you through these simple steps:
You call our care team and provide some basic information
Our clinical team evaluates your case (gathering records, etc.)
In most cases, we schedule a virtual visit with our expert physicians for a 2nd opinion
If an in-person visit or surgery is necessary at a SmartCare Center, we handle everything
If no surgery is needed, our clinical team assists you with a local care plan
Want to learn more about our patient process? (click to watch)
What does “No Cost or Reduced Cost to You” mean?
For many Humana health plans, healthcare through this program is covered at 100%. This means that the associate pays nothing for surgeries, second opinions, and any necessary travel through the program. For HDHP plans the IRS requires that members meet a reduced minimum deductible before Humana can cover all remaining costs. When travel is necessary, that is always covered at 100% by Humana. Please reach out to Edison for more information.
Edison is here to serve Humana associates and their covered family members.
*HDHP plans have an IRS requirement that members meet a reduced minimum deductible before the medical plan can cover all remaining costs.