Humana - Humana Bronze 6150/HMO Premier

Texas, 2017

  • Plan Type

    HMO

  • Metal Tier

    Bronze

  • Out of Pocket Maximum

    $7,150

  • Deductible

    $6,150

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) $6,150
Deductible (Family) $12,300
Coinsurance Not applicable
Out of Pocket Maximum (Individual) $7,150
Out of Pocket Maximum (Family) $14,300

Doctor Visits

Primary Care Visit 20% Coinsurance after deductible
Specialist Visit 20% Coinsurance after deductible
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 $75 Copay after deductible
Non Preferred Brand Rx 50% Coinsurance after deductible
Specialty Drugs 50% Coinsurance after deductible

Other Plans in Texas

Plan Humana Bronze 6550/San Antonio HMOx Deductible $6,550 Coinsurance Not applicable Out of Pocket $6,550
Plan Humana Basic 7150/HMO Premier Deductible $7,150 Coinsurance Not applicable Out of Pocket $7,150
Plan Humana Bronze 6150/Waco HMOx Deductible $6,150 Coinsurance Not applicable Out of Pocket $7,150
Plan Humana Bronze 6550/Waco HMOx Deductible $6,550 Coinsurance Not applicable Out of Pocket $6,550
Plan Humana Basic 7150/Corpus Christi HMOx Deductible $7,150 Coinsurance Not applicable Out of Pocket $7,150
Plan Humana Bronze 6150/San Antonio HMOx Deductible $6,150 Coinsurance Not applicable Out of Pocket $7,150
Plan Humana Silver 3550/HMO Premier Deductible $3,550 Coinsurance Not applicable Out of Pocket $7,150
Plan Humana Basic 7150/San Antonio HMOx Deductible $7,150 Coinsurance Not applicable Out of Pocket $7,150
Plan Humana Bronze 6150/Corpus Christi HMOx Deductible $6,150 Coinsurance Not applicable Out of Pocket $7,150
Plan Humana Bronze 6550/HMO Premier Deductible $6,550 Coinsurance Not applicable Out of Pocket $6,550
Plan Humana Silver 3550/Waco HMOx Deductible $3,550 Coinsurance Not applicable Out of Pocket $7,150
Plan Humana Basic 7150/Waco HMOx Deductible $7,150 Coinsurance Not applicable Out of Pocket $7,150
Plan Humana Gold 0/HMO Premier Deductible $0 Coinsurance Not applicable Out of Pocket $5,000
Plan Humana Silver 3550/San Antonio HMOx Deductible $3,550 Coinsurance Not applicable Out of Pocket $7,150
Plan Humana Bronze 6550/Corpus Christi HMOx Deductible $6,550 Coinsurance Not applicable Out of Pocket $6,550
Plan Humana Silver 3550/Corpus Christi HMOx Deductible $3,550 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) $6,150
Deductible (Family) $12,300
Coinsurance Not applicable
Out of Pocket Maximum (Individual) $7,150
Out of Pocket Maximum (Family) $14,300

Doctor Visits

Primary Care Visit 20% Coinsurance after deductible
Specialist Visit 20% Coinsurance after deductible
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 $75 Copay after deductible
Non Preferred Brand Rx 50% Coinsurance after deductible
Specialty Drugs 50% Coinsurance after deductible

Other Plans in Texas

Plan Humana Bronze 6550/San Antonio HMOx Deductible $6,550 Coinsurance Not applicable Out of Pocket $6,550
Plan Humana Basic 7150/HMO Premier Deductible $7,150 Coinsurance Not applicable Out of Pocket $7,150
Plan Humana Bronze 6150/Waco HMOx Deductible $6,150 Coinsurance Not applicable Out of Pocket $7,150
Plan Humana Bronze 6550/Waco HMOx Deductible $6,550 Coinsurance Not applicable Out of Pocket $6,550
Plan Humana Basic 7150/Corpus Christi HMOx Deductible $7,150 Coinsurance Not applicable Out of Pocket $7,150
Plan Humana Bronze 6150/San Antonio HMOx Deductible $6,150 Coinsurance Not applicable Out of Pocket $7,150
Plan Humana Silver 3550/HMO Premier Deductible $3,550 Coinsurance Not applicable Out of Pocket $7,150
Plan Humana Basic 7150/San Antonio HMOx Deductible $7,150 Coinsurance Not applicable Out of Pocket $7,150
Plan Humana Bronze 6150/Corpus Christi HMOx Deductible $6,150 Coinsurance Not applicable Out of Pocket $7,150
Plan Humana Bronze 6550/HMO Premier Deductible $6,550 Coinsurance Not applicable Out of Pocket $6,550
Plan Humana Silver 3550/Waco HMOx Deductible $3,550 Coinsurance Not applicable Out of Pocket $7,150
Plan Humana Basic 7150/Waco HMOx Deductible $7,150 Coinsurance Not applicable Out of Pocket $7,150
Plan Humana Gold 0/HMO Premier Deductible $0 Coinsurance Not applicable Out of Pocket $5,000
Plan Humana Silver 3550/San Antonio HMOx Deductible $3,550 Coinsurance Not applicable Out of Pocket $7,150
Plan Humana Bronze 6550/Corpus Christi HMOx Deductible $6,550 Coinsurance Not applicable Out of Pocket $6,550
Plan Humana Silver 3550/Corpus Christi HMOx Deductible $3,550 Coinsurance Not applicable Out of Pocket $7,150