Humana Humana Connect National Preferred Platinum 0/1500 Plan TX

Plan Information
Company Humana Health Plan of Texas, Inc.
State TX
Metal Tier Platinum
Plan Type

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) $0 $2,000
Deductible (Family) $0 $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 Data Not Available 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 This plan pays 100% of the first $500 per person per calendar year; then you pay 20% 40% coinsurance
X-ray and Diagnostic Imaging This plan pays 100% of the first $500 per person per calendar year; then you pay 20% 40% coinsurance
Prescription Drugs In Network Out of Network
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 Connect National Preferred Basic 6350/6350 Plan
Humana Connect National Preferred Bronze 4850/6350 Plan
Humana Connect National Preferred Bronze 6300/6300 Plan
Humana Connect National Preferred Gold 2500/3500 Plan
Humana Connect National Preferred Platinum 0/1500 Plan
Humana Connect National Preferred 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 0/1500 Plan
Humana Direct 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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This tool is for research purposes only. The numbers shown are estimates based on the information you have provided and our best efforts to provide accurate data. We try to keep the information up to date however we cannot make warranties about the accuracy of our information. We advise that users confirm any research with the respective health insurance companies and health exchanges.