Company: HUM
Filing Date: 2025-02-20
Form Type: 10-K
Source: 0000049071-25-000007
Chunk: 75

Company: HUMANA INC
Filing Date: 2025-02-20
Form: 10-K
Item: Item 1
Chunk 75
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. The segment also includes our Pharmacy Benefit Manager, or PBM, business. These products are described in the discussion that follows. 

The following table presents our premiums and services revenue for the Insurance segment by product for the year ended December 31, 2024:

Insurance SegmentPremiums andServices RevenuePercent ofConsolidatedPremiums andServices Revenue (dollars in millions)Premiums:Individual Medicare Advantage$88,019 75.6 %Group Medicare Advantage7,731 6.6 %Medicare stand-alone PDP3,137 2.7 %Total Medicare98,887 84.9 %Commercial fully-insured501 0.4 %Specialty benefits955 0.8 %Medicare Supplement846 0.7 %State-based contracts and other10,915 9.4 %Total premiums revenue112,104 96.2 %Services:Commercial ASO50 — %Military services and other916 0.8 %Services revenue966 0.8 %Total Insurance segment premiums and services revenue$113,070 97.0 %

Medicare

We have participated in the Medicare program for private health plans for over 30 years and have established a national presence, offering at least one type of Medicare plan in all 50 states. We have a geographically diverse membership base that we believe provides us with greater ability to expand our network of PPO and HMO providers. We employ strategies including health assessments and clinical guidance programs such as lifestyle and fitness programs for seniors to guide Medicare beneficiaries in making cost-effective decisions with respect to their health care. We believe these strategies result in cost savings that occur from making positive behavior changes.

Medicare is a federal program that provides persons age 65 and over and some disabled persons under the age of 65 certain hospital and medical insurance benefits. CMS, an agency of the United States Department of Health and Human Services, administers the Medicare program. Hospitalization benefits are provided under Part A, without the payment of any premium, for up to 90 days per incident of illness plus a lifetime reserve aggregating 60 days. Eligible beneficiaries are required to pay an annually adjusted premium to the federal government to be eligible for physician care and other services under Part B. Beneficiaries eligible for Part A and Part B coverage under traditional fee-for-service Medicare are still required to pay out-of-pocket deductibles and coinsurance. Throughout this document this program is referred to as