Humana - Humana Bronze 4800/Nashville PPOx

Tennessee, 2017

  • Plan Type

    PPO

  • Metal Tier

    Bronze

  • Out of Pocket Maximum

    $6,550

  • Deductible

    $4,800

Enroll Now
{"state":{"code":"TN","name":"Tennessee","fips":47,"exchangeName":["Healthcare.gov"],"exchangeUrl":["http:\/\/www.healthcare.gov"],"exchangeType":["Federal"]},"year":"2017","plan":{"name":"Humana - Humana Bronze 4800\/Nashville PPOx","planType":"PPO","tier":"Bronze","oopm":"6550.00","deductible":"4800.00","redirectUrl":"https:\/\/www.healthcare.gov"},"phoneNum":"8558665590"}

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

{"onCurrent":true}

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) $4,800
Deductible (Family) $9,600
Coinsurance Not applicable
Out of Pocket Maximum (Individual) $6,550
Out of Pocket Maximum (Family) $13,100

Doctor Visits

Primary Care Visit 50% Coinsurance after deductible
Specialist Visit 50% Coinsurance after deductible
Inpatient Facility 50% Coinsurance after deductible
Inpatient Physician 50% Coinsurance after deductible
Emergency Room Services 50% Coinsurance after deductible

Tests and Imaging

Imaging (CT/PET Scans, MRIs) 50% Coinsurance after deductible
Laboratory Outpatient and Professional Services 50% Coinsurance after deductible
X-Ray and Diagnostic Imaging 50% 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 50% Coinsurance after deductible
Mental / Behavioral Health Outpatient 50% Coinsurance after deductible
Rehabilitative Speech Therapy 50% Coinsurance after deductible
Rehabilitative Occupational & Physical Therapy 50% Coinsurance after deductible
Outpatient Facility 50% Coinsurance after deductible
Outpatient Surgery 50% Coinsurance after deductible

Prescription Drugs

Generic Rx 50% Coinsurance after deductible
Preferred Brand Rx 50% Coinsurance after deductible
Non Preferred Brand Rx 50% Coinsurance after deductible
Specialty Drugs 50% Coinsurance after deductible

Other Plans in Tennessee

Plan Humana Gold 1250/Nashville PPOx Deductible $1,250 Coinsurance Not applicable Out of Pocket $6,000
Plan Humana Basic 7150/Knoxville PPOx Deductible $7,150 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
Plan Humana Bronze 4800/Memphis PPOx Deductible $4,800 Coinsurance Not applicable Out of Pocket $6,550
Plan Humana Silver 3550/Nashville PPOx Deductible $3,550 Coinsurance Not applicable Out of Pocket $7,150
Plan Humana Basic 7150/Nashville PPOx Deductible $7,150 Coinsurance Not applicable Out of Pocket $7,150
Plan Humana Bronze 4800/Knoxville PPOx Deductible $4,800 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/Knoxville PPOx Deductible $3,550 Coinsurance Not applicable Out of Pocket $7,150
{"onCurrent":true,"type":"tools"}

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) $4,800
Deductible (Family) $9,600
Coinsurance Not applicable
Out of Pocket Maximum (Individual) $6,550
Out of Pocket Maximum (Family) $13,100

Doctor Visits

Primary Care Visit 50% Coinsurance after deductible
Specialist Visit 50% Coinsurance after deductible
Inpatient Facility 50% Coinsurance after deductible
Inpatient Physician 50% Coinsurance after deductible
Emergency Room Services 50% Coinsurance after deductible

Tests and Imaging

Imaging (CT/PET Scans, MRIs) 50% Coinsurance after deductible
Laboratory Outpatient and Professional Services 50% Coinsurance after deductible
X-Ray and Diagnostic Imaging 50% 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 50% Coinsurance after deductible
Mental / Behavioral Health Outpatient 50% Coinsurance after deductible
Rehabilitative Speech Therapy 50% Coinsurance after deductible
Rehabilitative Occupational & Physical Therapy 50% Coinsurance after deductible
Outpatient Facility 50% Coinsurance after deductible
Outpatient Surgery 50% Coinsurance after deductible

Prescription Drugs

Generic Rx 50% Coinsurance after deductible
Preferred Brand Rx 50% Coinsurance after deductible
Non Preferred Brand Rx 50% Coinsurance after deductible
Specialty Drugs 50% Coinsurance after deductible

Other Plans in Tennessee

Plan Humana Gold 1250/Nashville PPOx Deductible $1,250 Coinsurance Not applicable Out of Pocket $6,000
Plan Humana Basic 7150/Knoxville PPOx Deductible $7,150 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
Plan Humana Bronze 4800/Memphis PPOx Deductible $4,800 Coinsurance Not applicable Out of Pocket $6,550
Plan Humana Silver 3550/Nashville PPOx Deductible $3,550 Coinsurance Not applicable Out of Pocket $7,150
Plan Humana Basic 7150/Nashville PPOx Deductible $7,150 Coinsurance Not applicable Out of Pocket $7,150
Plan Humana Bronze 4800/Knoxville PPOx Deductible $4,800 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/Knoxville PPOx Deductible $3,550 Coinsurance Not applicable Out of Pocket $7,150