A local PPO plan offered by Humana in select counties along Florida's Treasure Coast including Martin, Indian River & Brevard Counties
$0/mos Premium PLUS Humana rebates $164.90/mos for Part B prem
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CHECK OUT HUMANA'S CHOICE PPO PLAN HIGHLIGHTS BELOW
Use Humana Providers for the lowest out-of-pocket copays
Plan Premium - $0/MosMedical Deductible-NoneRx Deductible - Tiers 1-2: $0 Tiers 3-5: $350Out-Of-Pocket Spending Limit - $4,850Medicare Part B Premium Reduction (Up To $164.90/Mos)Health Plan Rating - (4.5 Out Of 5)Over-The-Counter Medical Supplies - $75/Quarter (3-Months)DOCTOR VISITS - Primary (In-Network: $0 Copay Out-Of-Network: $65 Copay)DOCTOR VISITS - Specialist (In-Network: $40 Copay Out-Of-Network: $65 Copay)PREVENTIVE CARE (In-Network: $0 Copay Out-Of-Network: $0 Copay Or 50% Coins)EMERGENCY ROOM ($90 Copay Per Visit)URGENT CARE: $15 Copay Per Visit OTHER PLAN COVERAGESINPATIENT HOSPITALIn-Network: ($305 Per Day For Days 1 Through 7 - $0 Per Day For Days 8 Through 91+)Out-Of-Network: 50% Per StayOUTPATIENT HOSPITAL: (In-Network: $0-250 Copay/Visit - Out-Of-Network: $65 Copay Or 50%/Visit)Skilled Nursing Facility In-Network: ($0 Per Day Days 1 Through 20 - $160 Per Day Days 21 Thru 100) Out-Of-Network: (50% Per Stay) Diagnostic Tests And Procedures In-Network: $0-150 Copay Or 20% Coins Out-Of-Network: $65 Copay Or 50% CoinsLab Services: ( In-Network: $0-50 Copay Or 20% Coins Out-Of-Network: $65 Copay Or 50% CoinsDiagnostic Radiology Services (E.G., MRI) In-Network: $0-250 Copay Out-Of-Network: $65 Copay Or 50% CoinsPRESCRIPTION DRUG (30 Day Supply) Tier 1: Preferred Generic - $0 Copay Tier 2: Generic - $5 Copay Tier 3: Preferred Brand - $47 Copay Tier 4: Non-Preferred Drug -$97 Copay Tier 5: Specialty Tier -27% CoinsuranceOccupational Therapy Visit (In-Network: $10-35 Copay - Out-Of-Network: $65 Copay Or 50% Coins)Physical Therapy,Speech,Language Therapy (In-Network: $40 Copay - Out-Of-Network: $65 Copay Or 50% Coins)GROUND AMBULANCE: In-Or-Out Of Network: $240 CopayPODIATRY: Exams And Treatment (In-Network: $35 Copay-Out-Of-Network: $65 Copay)DURABLE MEDICAL SUPPLIES (E.G., Wheelchairs, Oxygen) (In-Network: 20% Coinsurance Per Item Out-Of-Network: 30% Coins)Prosthetics (E.G., Braces, Artificial Limbs) (In-Network: 20% Coins Per Item - Out-Of-Network: 25% Coins Per Item)DIABETES SUPPLIES (In-Net: $0 Copay Or 20% Coins Out-Of-Net: 50% Coins)WELLNESS PROGRAMS - Covered (E.G., Fitness, Nursing Hotline)CHEMOTHERAPY (In-Network: 20% Coins - Out-Of-Network: 20-50% Coins)MENTAL HEALTH (In-Network: $30 Copay - Out-Of-Network: $65 Copay)PREVENTIVE DENTALOral Exam: (In & Out Of Network: $0 Copay)Cleaning: (In & Out Of Network: $0 Copay)Dental X-Ray(S) (In & Out Of Network: $0 Copay)COMPREHENSIVE DENTAL: Restorative, Endodonics, Periodontics, Extractions (In & Out Of Network: $0 Copay)VISION: Routine Eye Exams, Contact Lenses, Eyeglasses - Framses/Lenses (In & Out Of Network: $0 Copay)
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