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
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 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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