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Humana - Humana Silver 3550/Mississippi PPOx
Mississippi, 2017
Plan Type
PPO
Metal Tier
Silver
Out of Pocket Maximum
$7,150
Deductible
$3,550
Emergency Room Care: $600 Copay before deductible
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) | $3,550 |
|---|---|
| Deductible (Family) | $7,100 |
| Coinsurance | Not applicable |
| Out of Pocket Maximum (Individual) | $7,150 |
| Out of Pocket Maximum (Family) | $14,300 |
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 | 20% Coinsurance after deductible |
| Rehabilitative Speech Therapy | 20% Coinsurance after deductible |
| Rehabilitative Occupational & Physical Therapy | 20% Coinsurance after deductible |
| Outpatient Facility | 20% Coinsurance after deductible |
| Outpatient Surgery | 20% Coinsurance after deductible |
Prescription Drugs
| Generic Rx | Data Not Available |
|---|---|
| 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
| Deductible (Individual) | $3,000 |
|---|---|
| Deductible (Family) | $6,000 |
| Out of Pocket Maximum (Individual) | $5,700 |
| Out of Pocket Maximum (Family) | $11,400 |
Doctor Visits
| Primary Care Physician | |
|---|---|
| Specialists | |
| Emergency Room | $450 Copay before deductible |
| Inpatient Facility | 20% Coinsurance after deductible |
| Inpatient Physician | 20% Coinsurance after deductible |
Prescription Drugs
| Generic Rx | |
|---|---|
| Preferred Brand Rx | $45 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
| Deductible (Individual) | $900 |
|---|---|
| Deductible (Family) | $1,800 |
| Out of Pocket Maximum (Individual) | $2,050 |
| Out of Pocket Maximum (Family) | $4,100 |
Doctor Visits
| Primary Care Physician | |
|---|---|
| Specialists | |
| Emergency Room | $450 Copay before deductible |
| Inpatient Facility | 20% Coinsurance after deductible |
| Inpatient Physician | 20% Coinsurance after deductible |
Prescription Drugs
| Generic Rx | |
|---|---|
| Preferred Brand Rx | |
| Non Preferred Brand Rx | |
| Specialty Drugs |
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
| Deductible (Individual) | $250 |
|---|---|
| Deductible (Family) | $500 |
| Out of Pocket Maximum (Individual) | $850 |
| Out of Pocket Maximum (Family) | $1,700 |
Doctor Visits
| Primary Care Physician | |
|---|---|
| Specialists | |
| Emergency Room | $350 Copay before deductible |
| Inpatient Facility | 20% Coinsurance after deductible |
| Inpatient Physician | 20% Coinsurance after deductible |
Prescription Drugs
| Generic Rx | |
|---|---|
| Preferred Brand Rx | |
| Non Preferred Brand Rx | |
| Specialty Drugs |
Other Plans in Mississippi
| Plan | Deductible | Coinsurance | Out of Pocket |
|---|---|---|---|
| Plan Humana Bronze 6550/Mississippi PPOx | Deductible $6,550 | Coinsurance Not applicable | Out of Pocket $6,550 |
| Plan Humana Basic 7150/Memphis PPOx | Deductible $7,150 | Coinsurance Not applicable | Out of Pocket $7,150 |
| Plan Humana Silver 3550/ChoiceCare PPO | Deductible $3,550 | Coinsurance Not applicable | Out of Pocket $7,150 |
| Plan Humana Gold 1250/Mississippi PPOx | Deductible $1,250 | Coinsurance Not applicable | Out of Pocket $6,000 |
| Plan Humana Basic 7150/Jackson PPOx | Deductible $7,150 | Coinsurance Not applicable | Out of Pocket $7,150 |
| Plan Humana Basic 7150/ChoiceCare PPO | Deductible $7,150 | Coinsurance Not applicable | Out of Pocket $7,150 |
| Plan Humana Silver 3550/Mississippi PPOx | Deductible $3,550 | Coinsurance Not applicable | Out of Pocket $7,150 |
| Plan Humana Basic 7150/Mississippi PPOx | Deductible $7,150 | Coinsurance Not applicable | Out of Pocket $7,150 |
| Plan Humana Basic 7150/Mississippi PPOx | Deductible $7,150 | Coinsurance Not applicable | Out of Pocket $7,150 |
| Plan Humana Bronze 6550/Memphis PPOx | Deductible $6,550 | Coinsurance Not applicable | Out of Pocket $6,550 |
| Plan Humana Bronze 6150/Mississippi PPOx | Deductible $6,150 | Coinsurance Not applicable | Out of Pocket $7,150 |
| Plan Humana Bronze 6550/Mississippi PPOx | Deductible $6,550 | Coinsurance Not applicable | Out of Pocket $6,550 |
| Plan Humana Silver 3550/Jackson PPOx | Deductible $3,550 | Coinsurance Not applicable | Out of Pocket $7,150 |
| Plan Humana Bronze 4800/ChoiceCare PPO | Deductible $4,800 | Coinsurance Not applicable | Out of Pocket $6,550 |
| Plan Humana Bronze 6150/ChoiceCare PPO | Deductible $6,150 | Coinsurance Not applicable | Out of Pocket $7,150 |
| Plan Humana Bronze 6550/Jackson PPOx | Deductible $6,550 | Coinsurance Not applicable | Out of Pocket $6,550 |
| Plan Humana Bronze 6150/Mississippi PPOx | Deductible $6,150 | Coinsurance Not applicable | Out of Pocket $7,150 |
| Plan Humana Silver 3550/Memphis PPOx | Deductible $3,550 | Coinsurance Not applicable | Out of Pocket $7,150 |