Humana Humana Direct Silver 4600/6300 Plan FL

Plan Information
Company Humana Medical Plan, Inc.
State FL
Metal Tier Silver
Plan Type HMO

Cost Sharing Benefits

These details are for the standard Silver plan. For reduced Cost Sharing versions scroll down below

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.

Deductibles and Cost Sharing In Network Out of Network
Deductible (Individual) $4,600 $0
Deductible (Family) $9,200 $0
Coinsurance Data Not Available $0
Out of Pocket Maximum (Individual) $6,300 $0
Out of Pocket Maximum (Family) $12,600 $0
Services In Network Out of Network
Primary Care Visit $25 $0
Specialist Visit $35 $0
In Patient Hospital Services 20% Coinsurance after deductible $0
Emergency Room Services 20% Coinsurance after deductible Data Not Available
Mental / Behavioral Health Data Not Available $0
Imaging (CT/PET Scans, MRIs) Data Not Available $0
Rehabilitative Speech Therapy Data Not Available $0
Rehabilitative Occupational & Physical Therapy Data Not Available $0
Preventative Care $0 $0
Laboratory Outpatient and Professional Services Data Not Available $0
X-ray and Diagnostic Imaging Data Not Available $0
Prescription Drugs In Network Out of Network
Generic Rx $17
Preferred Brand Rx $50 Copay after deductible
Non Preferred Brand Rx 50% Coinsurance after deductible
Specialty Drugs 50% Coinsurance after deductible

73% Cost Sharing Benefits

Households with incomes between 200% to 250% of FPL qualify for the following cost sharing benefits for this silver plan. To understand how cost sharing reductions work and how they work for you see our article about Obamacare Cost Sharing Reduction Discounts

Deductibles and Cost Sharing In Network Out of Network
Deductible (Individual) $3,250.00
Deductible (Family) $6,500.00
Out of Pocket Maximum (Individual) $4,750.00
Out of Pocket Maximum (Family) $9,500.00
Services In Network Out of Network
Primary Care Physician $25
Specialists $35
Emergency Room 20% Coinsurance after deductible
Inpatient Facility 20% Coinsurance after deductible
Inpatient Physician 20% Coinsurance after deductible
Prescription Drugs In Network Out of Network
Generic Rx $17.00
Preferred Brand Rx $50 Copay after deductible
Non Preferred Brand Rx 50% Coinsurance after deductible
Specialty Drugs 50% Coinsurance after deductible

87% Cost Sharing Benefits

Households with incomes between 150% to 200% of FPL qualify for the following cost sharing benefits for this silver plan.

Deductibles and Cost Sharing In Network Out of Network
Deductible (Individual) $900.00
Deductible (Family) $1,800.00
Out of Pocket Maximum (Individual) $1,450.00
Out of Pocket Maximum (Family) $2,900.00
Services In Network Out of Network
Primary Care Physician $25
Specialists $35
Emergency Room 20% Coinsurance after deductible
Inpatient Facility 20% Coinsurance after deductible
Inpatient Physician 20% Coinsurance after deductible
Prescription Drugs In Network Out of Network
Generic Rx $17.00
Preferred Brand Rx $50 Copay after deductible
Non Preferred Brand Rx 50% Coinsurance after deductible
Specialty Drugs 50% Coinsurance after deductible

94% Cost Sharing Benefits

Households with incomes between 138% to 150% of FPL qualify for the following cost sharing benefits for this silver plan.

Deductibles and Cost Sharing In Network Out of Network
Deductible (Individual) $500.00
Deductible (Family) $1,000.0
Out of Pocket Maximum (Individual) $750.00
Out of Pocket Maximum (Family) $1,500.00
Services In Network Out of Network
Primary Care Physician $25
Specialists $35
Emergency Room 20% Coinsurance after deductible
Inpatient Facility 20% Coinsurance after deductible
Inpatient Physician 20% Coinsurance after deductible
Prescription Drugs In Network Out of Network
Generic Rx $17.00
Preferred Brand Rx $50 Copay after deductible
Non Preferred Brand Rx 50% Coinsurance after deductible
Specialty Drugs 50% Coinsurance after deductible

Other Plans

Other plans that are available in the state.

Plan Name
Humana Connect Basic 6350/6350 Plan
Humana Connect Bronze 4850/6350 Plan
Humana Connect Bronze 6300/6300 Plan
Humana Connect Gold 2500/3500 Plan
Humana Connect Platinum 1000/1500 Plan
Humana Connect Silver 4600/6300 Plan
Humana Direct Basic 6350/6350 Plan
Humana Direct Bronze 4850/6350 Plan
Humana Direct Bronze 6300/6300 Plan
Humana Direct Gold 2500/3500 Plan
Humana Direct Platinum 1000/1500 Plan
Humana Direct Silver 4600/6300 Plan
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