Humana - Humana Gold 1400/Lexington UK HealthCare HMOx

Kentucky, 2017

  • Plan Type

    HMO

  • Metal Tier

    Gold

  • Out of Pocket Maximum

    $6,000

  • Deductible

    $1,400

Enroll Now
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Call (855) 866-5590 to speak with a licensed agent about a new health plan.

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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.

Deductible (Individual) $1,400
Deductible (Family) $2,800
Coinsurance Not applicable
Out of Pocket Maximum (Individual) $6,000
Out of Pocket Maximum (Family) $12,000

Doctor Visits

Primary Care Visit Data Not Available
Specialist Visit Data Not Available
Inpatient Facility 20% Coinsurance after deductible
Inpatient Physician 20% Coinsurance after deductible
Emergency Room Services $600 Copay before deductible

Tests and Imaging

Imaging (CT/PET Scans, MRIs) 20% Coinsurance after deductible
Laboratory Outpatient and Professional Services 20% Coinsurance after deductible
X-Ray and Diagnostic Imaging 20% Coinsurance after deductible

Health Management Programs

Asthma Not available
Depression Not available
Diabetes Available
Heart Disease Available
High Blood Pressure / High Cholesterol Not available
Lower Back Pain Not available
Pain Management Not available
Pregnancy Available
Weight Loss Not available

Other

Mental / Behavioral Health Inpatient 20% Coinsurance after deductible
Mental / Behavioral Health Outpatient Data Not Available
Rehabilitative Speech Therapy 20% Coinsurance after deductible
Rehabilitative Occupational & Physical Therapy Data Not Available
Outpatient Facility 20% Coinsurance after deductible
Outpatient Surgery 20% Coinsurance after deductible

Prescription Drugs

Generic Rx Data Not Available
Preferred Brand Rx Data Not Available
Non Preferred Brand Rx Data Not Available
Specialty Drugs

Other Plans in Kentucky

Plan Humana Silver 4150/Norton + Just For Kids HMOx Deductible $4,150 Coinsurance Not applicable Out of Pocket $7,150
Plan Humana Basic 7150/Lexington UK HealthCare HMOx Deductible $7,150 Coinsurance Not applicable Out of Pocket $7,150
Plan Humana Bronze 6550/Norton + Just For Kids HMOx Deductible $6,550 Coinsurance Not applicable Out of Pocket $6,550
Plan Humana Bronze 6550/Lexington UK HealthCare HMOx Deductible $6,550 Coinsurance Not applicable Out of Pocket $6,550
Plan Humana Silver 4150/Lexington UK HealthCare HMOx Deductible $4,150 Coinsurance Not applicable Out of Pocket $7,150
Plan Humana Basic 7150/Norton + Just For Kids HMOx Deductible $7,150 Coinsurance Not applicable Out of Pocket $7,150
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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.

Deductible (Individual) $1,400
Deductible (Family) $2,800
Coinsurance Not applicable
Out of Pocket Maximum (Individual) $6,000
Out of Pocket Maximum (Family) $12,000

Doctor Visits

Primary Care Visit Data Not Available
Specialist Visit Data Not Available
Inpatient Facility 20% Coinsurance after deductible
Inpatient Physician 20% Coinsurance after deductible
Emergency Room Services $600 Copay before deductible

Tests and Imaging

Imaging (CT/PET Scans, MRIs) 20% Coinsurance after deductible
Laboratory Outpatient and Professional Services 20% Coinsurance after deductible
X-Ray and Diagnostic Imaging 20% Coinsurance after deductible

Health Management Programs

Asthma Not available
Depression Not available
Diabetes Available
Heart Disease Available
High Blood Pressure / High Cholesterol Not available
Lower Back Pain Not available
Pain Management Not available
Pregnancy Available
Weight Loss Not available

Other

Mental / Behavioral Health Inpatient 20% Coinsurance after deductible
Mental / Behavioral Health Outpatient Data Not Available
Rehabilitative Speech Therapy 20% Coinsurance after deductible
Rehabilitative Occupational & Physical Therapy Data Not Available
Outpatient Facility 20% Coinsurance after deductible
Outpatient Surgery 20% Coinsurance after deductible

Prescription Drugs

Generic Rx Data Not Available
Preferred Brand Rx Data Not Available
Non Preferred Brand Rx Data Not Available
Specialty Drugs

Other Plans in Kentucky

Plan Humana Silver 4150/Norton + Just For Kids HMOx Deductible $4,150 Coinsurance Not applicable Out of Pocket $7,150
Plan Humana Basic 7150/Lexington UK HealthCare HMOx Deductible $7,150 Coinsurance Not applicable Out of Pocket $7,150
Plan Humana Bronze 6550/Norton + Just For Kids HMOx Deductible $6,550 Coinsurance Not applicable Out of Pocket $6,550
Plan Humana Bronze 6550/Lexington UK HealthCare HMOx Deductible $6,550 Coinsurance Not applicable Out of Pocket $6,550
Plan Humana Silver 4150/Lexington UK HealthCare HMOx Deductible $4,150 Coinsurance Not applicable Out of Pocket $7,150
Plan Humana Basic 7150/Norton + Just For Kids HMOx Deductible $7,150 Coinsurance Not applicable Out of Pocket $7,150