HumanaOne Enhanced Copay HMO Silver Plan - $0

Individual Health Insurance (Obamacare)

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Benefits & Coverage

Plan Name
HumanaOne Enhanced Copay HMO Silver - $0
Plan ID
74320CO0490005
Plan Year
2013
Insurance Type
Individual Health Insurance (Obamacare)
Insurance Provider
Humana
Plan Type
HMO
Deductible
0
Out-of-Pocket Maximum
$6,250
Plan Highlights

Cost & Coverage

Estimated Monthly Base Rate
Estimated monthly premium starts at $273.06
How many applications are denied?
0% of the applicants were denied
How accurate is this estimate?
0% of the applicants ended up paying a higher amount than the quoted price
Deductible
Individual: N/A
Family: N/A
In-Network Out-of-Pocket Limit
Individual: $6250
Family: $12500
What is included in the in-network out-of-pocket limit?
Coinsurance + Co-pay
Is this plan Health Savings Account (HSA) eligible?
No
How can I find a doctor in this plan's network?
Plan Type
HMO

Health Services Options

Service
In Network
Out of Network
Primary care physician office visit
$35 Copay
Not Covered
Specialist
$60 Copay
Not Covered
Diagnostic Test (X-ray, blood work)
$50 Copay
Not Covered
Outpatient Facility Fee
$2000 Copay
Not Covered
Outpatient Physician/Surgeon Fee
$750 Copay
Not Covered
Hospital facility fee
$2000 Copay
Not Covered
Hospital physician/surgeon fee
$250 Copay
Not Covered
Emergency Room
$1000 Copay
$1000 Copay

Drug Services

Generic Drugs
Coverage: $5 Copay
Preferred Brand Drugs
Coverage: $25 Copay
Specialty Drugs
Coverage: 50% Coinsurance
What drugs are covered in the formulary?

Mental Health or Substance Abuse Services

Service
In Network
Out of Network
Mental/behavioral health outpatient services
$150 Copay
Not Covered
Mental/behavioral health inpatient services
$2000 Copay
Not Covered
Substance use disorder inpatient services
$2000 Copay
Not Covered
Substance use disorder outpatient services
$150 Copay
Not Covered

Maternity Services

Service
In Network
Out of Network
Prenatal/postnatal care
$35 Copay
Not Covered
Delivery and all inpatient services for maternity care
$2000 Copay
Not Covered

Coverage Options Summary

Included Benefits
  • Durable medical equipment
  • Emergency Transportation
  • Habilitation
  • Home health care
  • Hospice
  • Imaging (CT/PET scans, MRIs)
  • Inpatient rehabilitation
  • Non-preferred brand drugs
  • Skilled nursing care
  • Other practitioner office visit
  • Outpatient rehabilitation
  • Preventive care, screening, immunization
  • Urgent Care
Excluded Benefits
  • Acupuncture
  • Bariatric surgery
  • Cosmetic surgery
  • Dental care adult
  • Dental check up children
  • Eye exam adult
  • Eye glasses children
  • Infertility treatment
  • Long Term Care
  • Private duty nursing
  • Routine eye exam children
  • Routine foot care
  • Routine hearing tests
  • Weight loss program
Limited Benefits
  • Chiropractic
  • Hearing Aid
  • Non-emergency care outside U.S.

What To Know

  • 0%of the applicants were denied
  • 0%of the applicants ended up paying a higher amount than the quoted price
  • Deductible amount is NOT included as part of the out-of-pocket limit

Physician Directory

List of doctors that accepts HumanaOne Enhanced Copay HMO Silver Plan - $0 Plan in Colorado

/
NGUYEN, DINH
633 S FEDERAL BLVD
DENVER, CO 80219
GARRETT, RAYMOND
1930 S FEDERAL BLVD
DENVER, CO 80219
TRAN, QUY
1023 S FEDERAL BLVD
DENVER, CO 80219
ANDERSON, KATHERINE
4320 W ALASKA PL
DENVER, CO 80219
CHU, HENRY
7444 W ALASKA DR
LAKEWOOD, CO 80226
MINZER, SHARON
8015 W ALAMEDA AVE
LAKEWOOD, CO 80226
KNIGHT, MIRNA
7444 W ALASKA DR
LAKEWOOD, CO 80226
WORSWICK, LINDA
480 S ALLISON PKWY
LAKEWOOD, CO 80226
ROSENBERG, JENNIFER
9808 W CEDAR AVE
LAKEWOOD, CO 80226
LANE, JOHAN
8383 W ALAMEDA AVE
LAKEWOOD, CO 80226
KELLOGG, KATHLEEN
2550 E BROADWAY ST
HELENA, MT 59601
FISCHER, KIRSTEN
1375 E 20TH AVE
DENVER, CO 80205
MAY, STEPHANIE
6950 E GOLF LINKS RD
TUCSON, AZ 85730
DRAPER, DARLA
205 S GARRISON ST
LAKEWOOD, CO 80226
NGUYEN, LISA
8015 W ALAMEDA
LAKEWOOD, CO 80226
KASHUK, JEFFRY
777 BANNOCK ST
DENVER, CO 80204
KUNG, SHIRLEY
11600 W 2ND PL
LAKEWOOD, CO 80228
WALKER, EDWIN
3555 LUTHERAN PKWY
WHEAT RIDGE, CO 80033
MOSBY, JAMES
4231 W 16TH AVE
DENVER, CO 80204
KRUGER, DAVID
4231 W 16TH AVE
DENVER, CO 80204
OTT, CHRISTOPHER
11600 W 2ND PL
LAKEWOOD, CO 80228
TRIPP, GERALD
11600 W 2ND PL
LAKEWOOD, CO 80228
SCHMIDT, ROBERT
11600 W 2ND PL
LAKEWOOD, CO 80228
WIEBE, DAVID
4231 W 16TH AVE
DENVER, CO 80204
ROSENBERG, ALAN
4200 W CONEJOS PL
DENVER, CO 80204
Details
DINH NGUYEN, M.D.
Phone Number
(303) 935-3566
Office Locations
633 S FEDERAL BLVD
DENVER, CO 80219
633 S FEDERAL BLVD DENVER CO, 80219

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