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Humana - Humana Bronze 6550/Waco HMOx
Texas, 2017
Plan Type
HMO
Metal Tier
Bronze
Out of Pocket Maximum
$6,550
Deductible
$6,550
Emergency Room Care: No charge after 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) | $6,550 |
|---|---|
| Deductible (Family) | $13,100 |
| Coinsurance | Not applicable |
| Out of Pocket Maximum (Individual) | $6,550 |
| Out of Pocket Maximum (Family) | $13,100 |
Doctor Visits
| Primary Care Visit | No charge after deductible |
|---|---|
| Specialist Visit | No charge after deductible |
| Inpatient Facility | No charge after deductible |
| Inpatient Physician | No charge after deductible |
| Emergency Room Services | No charge after deductible |
Tests and Imaging
| Imaging (CT/PET Scans, MRIs) | No charge after deductible |
|---|---|
| Laboratory Outpatient and Professional Services | No charge after deductible |
| X-Ray and Diagnostic Imaging | No charge 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 | No charge after deductible |
|---|---|
| Mental / Behavioral Health Outpatient | No charge after deductible |
| Rehabilitative Speech Therapy | No charge after deductible |
| Rehabilitative Occupational & Physical Therapy | No charge after deductible |
| Outpatient Facility | No charge after deductible |
| Outpatient Surgery | No charge after deductible |
Prescription Drugs
| Generic Rx | No charge after deductible |
|---|---|
| Preferred Brand Rx | No charge after deductible |
| Non Preferred Brand Rx | No charge after deductible |
| Specialty Drugs | No charge after deductible |
Other Plans in Texas
| Plan | Deductible | Coinsurance | Out of Pocket |
|---|---|---|---|
| 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 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 6150/HMO Premier | Deductible $6,150 | 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 |