Humana Health Insurance Plans Texas

 

Why Should You Buy HumanaOne?

All HumanaOne plans come with:

  An extensive network so members are covered wherever they work or travel.

   Portability should the member move to another state.

  An initial 12-month rate guarantee as long as the member remains in the same area and keeps the same benefits.

As a HumanaOne health plan owner, members enjoy::

•   24-hour access to online tools and resources that enable them to check claims status, medical expenses, compare hospital, doctor and prescription costs and more.

   Negotiated rates with Humana’s network of hospitals and pharmacies.

  Exceptional track record for timely claims payments, with an accuracy rate of 99.6%. We process 95% of all claims within 30 days, and almost all of those claims are processed within two weeks1.

HumanaOne is a division of Humana Inc., one of the nation’s largest health benefits carriers.  Add to this, doctors find it easier to do business with Humana than any other insurance company2.  With HumanaOne, a policyholder will be certain to enjoy the peace of mind, greater savings and  customer care that they should expect from their health insurance carrier.

1 Based on the Humana Claims Operations Study in May 2006..

2 Athenahealth. (2006, May 30) PayerView Index rating of health insurer performance from physicians.

Maternity

This benefit Includes routine newborn care and is paid at 60% after separate $1000 deductible for an in-network provider. The medical out-of-pocket maximum does not apply. A waiting period may apply. Benefit may vary by state.

Supplemental Accident Benefit

You can choose either a $500 or a $1,000 benefit, and each person on the policy receives the benefit. The benefit pays the first $500 or $1000 per accident at 100%, and then the base plan benefit applies. The treatment of an accident must be administered within 90 days of the accident.

HumanaOne makes it easy and affordable to add dental benefits to your health plan through the same application process. If you are approved for a health plan they are approved for dental as well.

Benefits include::

Preventive services — 100%, no deductible, including oral examinations and routine cleanings

Basic services — 50% after deductible

Teeth whitening services — 50% after deductible (not available in Florida)

Major services — 50% after deductible (Waiting period applies.

Orthodontia discount

Annual Deductible::

• $50 individual  • $150 family

Annual maximum benefit  • $1,000

Dental is not available in Indiana.

About the Rx4 Prescription Drug Benefit

Each covered prescription drug is assigned to one of four levels with a different co-payment for each level.

Level One – Lower-cost generic and some brand-name drugs

Level Two – Higher-cost generic and some brand-name drugs

Level Three – Higher-cost, mostly brand-name alternatives to drugs on Level One and Two.

Also includes some self-administered injectable medications.

Level Four – Highest cost, includes self-administered injectable medications and high technology drugs

For levels two through four, once the drug deductible is met, you are only responsible for a co-payment and the plan pays the remaining cost for drugs filled at a participating pharmacy.

For level one drugs, you are only responsible for the co-payment.


Fact:  Uninsured in Texas Equal Approximately 4,821,000 Residence

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