Humana Humana National Preferred Platinum 1000/1500 Plan IL

Plan Information
Company Humana Insurance Company
State IL
Metal Tier Platinum
Plan Type PPO

Cost Sharing Benefits

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) $1,000 $2,000
Deductible (Family) $2,000 $4,000
Coinsurance 20% 40%
Out of Pocket Maximum (Individual) $1,500 $6,000
Out of Pocket Maximum (Family) $3,000 $12,000
Services In Network Out of Network
Primary Care Visit $25 40% coinsurance
Specialist Visit $35 40% coinsurance
In Patient Hospital Services 20% Coinsurance after deductible 40% coinsurance
Emergency Room Services 20% Coinsurance after deductible 20% coinsurance
Mental / Behavioral Health 20% coinsurance 40% coinsurance
Imaging (CT/PET Scans, MRIs) 20% coinsurance 40% coinsurance
Rehabilitative Speech Therapy 20% coinsurance 40% coinsurance
Rehabilitative Occupational & Physical Therapy 20% coinsurance 40% coinsurance
Preventative Care $0 40% coinsurance
Laboratory Outpatient and Professional Services 20% coinsurance 40% coinsurance
X-ray and Diagnostic Imaging 20% coinsurance 40% coinsurance
Outpatient Facility 20% coinsurance 40% coinsurance
Outpatient Surgery 20% coinsurance 40% coinsurance
Prescription Drugs In Network Out of Network
Generic Rx $8
Preferred Brand Rx $20 Copay after deductible
Non Preferred Brand Rx 32% Coinsurance after deductible
Specialty Drugs 32% Coinsurance after deductible

Other Plans

Other plans that are available in the state.

Plan Name
Humana Basic 6600/Chicago HMOx
Humana Bronze 6300/Chicago HMOx
Humana Bronze 4850/Chicago HMOx
Humana Silver 4600/Chicago HMOx
Humana Gold 2500/Chicago HMOx
Humana Platinum 1000/Chicago HMOx
Humana Basic 6600/Rockford-Peoria HMOx
Humana Bronze 6300/Rockford-Peoria HMOx
Humana Bronze 4850/Rockford-Peoria HMOx
Humana Silver 4600/Rockford-Peoria HMOx
Humana Gold 2500/Rockford-Peoria HMOx
Humana Platinum 1000/Rockford-Peoria HMOx
Humana Basic 6600/Springfield HMOx
Humana Bronze 6300/Springfield HMOx
Humana Bronze 4850/Springfield IL HMOx
Humana Silver 4600/Springfield IL HMOx
Humana Gold 2500/Springfield IL HMOx
Humana Platinum 1000/Springfield IL HMOx
Humana Basic 6600/Choice POS
Humana Bronze 6300/Choice POS
Humana Bronze 4850/Choice POS
Humana Silver 4250/Choice POS
Humana Silver 3650/Choice POS
Humana Gold 2500/Choice POS
comments powered by Disqus