The Humana One health insurance plan uses the most common values for
most of the plan's features, while still giving options in those areas
where choices are most often desired.
As of year-end, 2002, Humana is a Fortune 200 company with 2002 revenues
of approximately $11.3 billion, and total assets of approximately $4.6
billion. A company experiencing astounding growth and success, Humana's
pre-tax income rose to $210 million ($143 million net) in 2002, compared
to $183 million ($117 million net) in 2001. Humana has approximately 6.6
million medical members primarily in 18 states plus Puerto Rico.
Lifetime Maximum Benefit
The maximum dollar amount that would be paid by Humana towards any covered individual's medical expenses during their lifetime. -Details-
Options:
$5 Million
Plan Deductible
The amount each covered individual pays each calendar year before Humana begins paying benefits. With Humana, the family deductible is 2 or 3 times the selected individual deductible. -Details-
Options:
$500
$1,000
$1,500
$2,500
$5,000
Coinsurance
The percentage of elligible expenses that Humana pays once the Plan Deductible is met, and until the Out-Of-Pocket Maximum is reached. -Details-
Options:
80%
Out-of-Pocket Maximum
The maximum amount each individual is required to pay in coinsurance per calendar year. After this amount is reached, Humana pays for elligible expenses 100%. The family Out-of-Pocket Maximum is 2 times the individual Out-of-Pocket Maximum. -Details-
Options:
$2,000
Office Visit Copay
The amount the individual pays for doctor's office visits, up to 4 visits per year. In addition to the Office Visit Copay, each individual is covered for the first $100 of x-rays and lab work at 100%. -Details-
Options:
$25
No Copay
Prescription Drugs
The Prescription Drug benefits with Humana One are as follows:
$10 Copay for Level 1 Drugs (low-cost Generic & Brand-name)
$50 Copay for Level 3 Drugs (high cost, usually Brand-name,
where alternatives are available in Levels 1 or 2)
25% Copayment for Level 4 Drugs (includes self-administered
injectable and high technology medications), up to $2,500 Out-Of-Pocket
Maximum (applies to Level 4 Prescriptions only)
No annual limit on prescription drug benefits.
There is an optional Prescription Deductible (separate from the Plan Deductible
& applies only to Prescriptions). The Prescription benefits listed above will
be available once the Prescription Deductible is satisfied. -Details-
Options:
No Deductible
$500
PlanBuilderUSA Help Center
Click on any term in green for
further explanation.
Even if you're familiar with insurance terms,
choosing the right options can be difficult.
And with so many options to choose from, it's not easy to
figure out what combination will work best for your situation.
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and experience, to make sure you're building a perfect plan
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and if you're ready, we can submit your application today, totally risk-free. Remember: No payment is required
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The above plan description is a basic outline of coverage, and NOT the
insurance contract. Refer to your policy for full plan details, as only
the policy itself is legally binding. All above rates and percentages are
based on In-Network or Participating Providers -- Out-of-Network or Non-participating
Providers may be subject to reduced coverage.
Assurant Health (tm), Fortis (tm), and the Fortis Logo are registered trademarks of Time Insurance Company.
Humana (tm), HumanaOne (tm), and respective logos are registered trademarks of Humana, Inc. Plan Builder USA proudly
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