- What is a Health Insurance Exchange?
- Understanding the ACA Subsidies
- Cost Sharing Reductions
- Minimum Essential Coverage
- What Is An Insurance Rating Area?
- The Individual Mandate and Penalties
- Inpatient vs Outpatient Care and Coverage
- Copay vs Coinsurance
- Average Cost of Health Insurance
- How Age Affects Your Health Insurance Costs
Humana Humana Connect Gold 2500/3500 Plan (Florida)
|Company||Humana Medical Plan, Inc.|
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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.
|Out of Pocket Maximum (Individual)||$3,500|
|Out of Pocket Maximum (Family)||$7,000|
|Primary Care Visit||$25|
|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|
|Mental / Behavioral Health||20% coinsurance|
|Rehabilitative Speech Therapy||20% coinsurance|
|Rehabilitative Occupational & Physical Therapy||20% coinsurance|
|Outpatient Facility||20% coinsurance|
|Outpatient Surgery||20% coinsurance|
|Preferred Brand Rx||$20 Copay after deductible|
|Non Preferred Brand Rx||35% Coinsurance after deductible|
|Specialty Drugs||35% Coinsurance after deductible|
Other plans that are available in the state.