Humana Humana Connect Gold 2500/3500 Plan (Florida)

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Company Humana Medical Plan, Inc.
Plan Year 2014
State Florida
Metal Tier Gold
Plan Type HMO
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Cost Sharing Benefits (In Network)

Policyholders are generally responsible for 100% of costs until the deductible amount is met. After the deductible has been met the policyholder is responsible for the coinsurance / copay until the out of pocket maximum is reached at which point the insurance company assumes 100% of all costs.

Deductible (Individual) $2,500
Deductible (Family) $5,000
Coinsurance 20%
Out of Pocket Maximum (Individual) $3,500
Out of Pocket Maximum (Family) $7,000

Doctors Visits

Primary Care Visit $25
Specialist Visit $35
In Patient Hospital Services 20% Coinsurance after deductible
Emergency Room Services 20% Coinsurance after deductible

Tests and Imaging

Imaging (CT/PET Scans, MRIs) 20% coinsurance
Laboratory Outpatient and Professional Services This plan pays 100% of the first $500 per person per calendar year; then you pay 20% after you pay your deductible
X-ray and Diagnostic Imaging This plan pays 100% of the first $500 per person per calendar year; then you pay 20% after you pay your deductible

Other

Mental / Behavioral Health 20% coinsurance
Rehabilitative Speech Therapy 20% coinsurance
Rehabilitative Occupational & Physical Therapy 20% coinsurance
Outpatient Facility 20% coinsurance
Outpatient Surgery 20% coinsurance

Prescription Drugs

Generic Rx $8
Preferred Brand Rx $20 Copay after deductible
Non Preferred Brand Rx 35% Coinsurance after deductible
Specialty Drugs 35% Coinsurance after deductible

Other Plans

Other plans that are available in the state.

Plan Name
Humana Basic 6600/HMO Premier
Humana Bronze 6300/HMO Premier
Humana Bronze 4850/HMO Premier
Humana Silver 4600/HMO Premier
Humana Gold 2500/HMO Premier
Humana Platinum 1000/HMO Premier
Humana Basic 6600/South Florida HUMx (HMOx)
Humana Bronze 6300/South Florida HUMx (HMOx)
Humana Bronze 4850/South Florida HUMx (HMOx)
Humana Silver 4600/South Florida HUMx (HMOx)
Humana Gold 2500/South Florida HUMx (HMOx)
Humana Platinum 1000/South Florida HUMx (HMOx)
Humana Basic 6600/Tampa Bay HUMx (HMOx)
Humana Bronze 6300/Tampa Bay HUMx (HMOx)
Humana Bronze 4850/Tampa Bay HUMx (HMOx)
Humana Silver 4600/Tampa Bay HUMx (HMOx)
Humana Gold 2500/Tampa Bay HUMx (HMOx)
Humana Platinum 1000/Tampa Bay HUMx (HMOx)
Humana Basic 6600/Volusia HUMx (HMOx)
Humana Bronze 6300/Volusia HUMx (HMOx)
Humana Silver 4600/Volusia HUMx (HMOx)
Humana Gold 2500/Volusia HUMx (HMOx)
Humana Platinum 1000/Volusia HUMx (HMOx)
Humana Basic 6600/South Florida HUMx (HMOx)
Humana Bronze 6300/South Florida HUMx (HMOx)
Humana Bronze 4850/South Florida HUMx (HMOx)
Humana Silver 4600/South Florida HUMx (HMOx)
Humana Gold 2500/South Florida HUMx (HMOx)
Humana Platinum 1000/South Florida HUMx (HMOx)
Humana Basic 6600/South Florida HUMx (HMOx)
Humana Bronze 6300/South Florida HUMx (HMOx)
Humana Bronze 4850/South Florida HUMx (HMOx)
Humana Silver 4600/South Florida HUMx (HMOx)
Humana Gold 2500/South Florida HUMx (HMOx)
Humana Platinum 1000/South Florida HUMx (HMOx)

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