Enter your ZIP code below to see benefits and rates available in your area. You can also view links to your Plan Brochure, Summary of Benefits and Coverage (SBC), and Humana’s Plan Summary.
We offer a variety of Medical benefit plans. We’ve outlined the basic differences below to help you find one that will work best for you and your family.
To see the specific plans available in your area, enter your ZIP code above.
Benefit
|
Value Plan
(In-Network benefits) |
CoverageFirst
(In-Network benefits) |
HMO Basic Option
|
HMO Standard Option
|
HMO High Option
|
Puerto Rico (services directed by your PCP)
|
|---|---|---|---|---|---|---|
|
Deductible
A deductible is a fixed expense you must incur for certain covered services and supplies before we start paying benefits. |
$1,000 for Self only $2,000 for Self + 1 $2,000 for Self + family |
$1,000 for Self only $2,000 for Self + 1 $2,000 for Self + family You have a $1,000 benefit allowance to use before the deductible
|
None
|
None
|
None
|
None
|
|
Primary Care Physician (PCP) referral required to a specialist
Your PCP will provide most of your health care, or give you a referral to see a specialist. |
No |
No |
No referral required (except CO, IL and TX) |
No referral required (except CO, IL and TX) |
No referral required (except CO, IL and TX) |
Yes |
|
Office visit copay
A copay is a fixed amount you pay to a healthcare provider when you receive certain services |
$35 for primary care $60 for specialist 100% covered for Preventive |
$25 for primary care $50 for specialist 100% covered for Preventive |
$30 for primary care $55 for specialist 100% covered for Preventive |
$25 for primary care $50 for specialist 100% covered for Preventive |
$20 for primary care $40 for specialist 100% covered for Preventive |
$5
$5
100%
|
|
Rx coverage
This is what you must pay to fill a prescription at a participating pharmacy |
Prescription drug retail copay:
$10 Level 1 $40 Level 2 $60 Level 3 25% Level 4 |
Prescription drug retail copay:
$10 Level 1 $40 Level 2 $60 Level 3 25% Level 4 |
Prescription drug retail copay:
$10 Level 1 $40 Level 2 $60 Level 3 25% Level 4 |
Prescription drug retail copay:
$10 Level 1 $40 Level 2 $60 Level 3 25% Level 4 |
Prescription drug retail copay:
$10 Level 1 $40 Level 2 $60 Level 3 25% Level 4 |
Prescription drug retail copay:
$5 Level 1 $15 Level 2 $20 Level 3 25% Level 4 |
Enter your ZIP code below to see benefits and rates available in your area. You can also view links to your Plan Brochure, Summary of Benefits and Coverage (SBC), and Humana’s Plan Summary.
The Federal Flexible Spending Account Program (FSAFEDS) can help save you money on eligible health care expenses.
You can set up your FSA account the way that works best for you.
Learn more at: www.FSAFEDS.com
1-877-372-3337 (TTY: 866-353-8058)
Monday – Friday, 9 a.m. – 9 p.m., EST