Benefits & Coverage

Insurance Type
Individual Health Insurance
Insurance Provider
Humana
Plan Type
HMO
Deductible
Not Applicable
Out-of-Pocket Maximum
$6250
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 - $0 Plan in Colorado

    /
    UPDIKE, CHRISTIAN
    120 BRYANT STREET
    DENVER, CO 80219
    DURBIN, ROY
    1930 S FEDERAL BLVD
    DENVER, CO 80219
    ANDERSON, KATHERINE
    4320 W ALASKA PL
    DENVER, CO 80219
    NGUYEN, DINH
    633 S FEDERAL BLVD
    DENVER, CO 80219
    SANCHEZ, PORFIRIO
    1601 S FEDERAL BLVD
    DENVER, CO 80219
    GARRETT, RAYMOND
    1930 S FEDERAL BLVD
    DENVER, CO 80219
    NGO, CUONG
    2200 S FEDERAL BLVD SUITE 1
    DENVER, CO 80219
    THOMPSON, KAREN
    1408 S QUITMAN ST
    DENVER, CO 80219
    MANKIN, JULIE
    495 S FEDERAL BLVD
    DENVER, CO 80219
    WU, JOHN
    2789 W ALAMEDA AVE
    DENVER, CO 80219
    SUTHERLAND, JESSE
    2200 S FEDERAL BLVD
    DENVER, CO 80219
    VO, HUE
    2200 S FEDERAL BLVD SUITE 1
    DENVER, CO 80219
    TRAN, QUY
    1023 S FEDERAL BLVD
    DENVER, CO 80219
    MCCRANIE, KATHY
    1380 S SANTA FE DR
    DENVER, CO 80223
    BASSE, RACHEL
    1380 S SANTA FE DR
    DENVER, CO 80223
    HOFEDITZ, TRACY
    325 S TELLER STREET
    LAKEWOOD, CO 80226
    JOHANNES, ROBERT
    96 WADSWORTH BLVD UNIT 100
    LAKEWOOD, CO 80226
    DALEY, CATHERINE
    96 WADSWORTH BLVD
    LAKEWOOD, CO 80226
    VILIMS, BRADLEY
    325 TELLER ST
    LAKEWOOD, CO 80226
    OCONNOR, JOHN
    205 S GARRISON ST
    LAKEWOOD, CO 80226
    PANTER, NANCY
    8015 W ALAMEDA AVE
    LAKEWOOD, CO 80226
    KNIGHT, MIRNA
    7444 W ALASKA DR
    LAKEWOOD, CO 80226
    BRUNDIGE, RICHARD
    8015 W ALAMEDA AVE
    LAKEWOOD, CO 80226
    WORSWICK, LINDA
    480 S ALLISON PKWY
    LAKEWOOD, CO 80226
    SCHINDEL, MICHAEL
    7444 W ALASKA DR
    LAKEWOOD, CO 80226
    Details
    CHRISTIAN UPDIKE, MD
    Phone Number
    (303) 936-9700
    Office Locations
    120 BRYANT STREET
    DENVER, CO 80219
    120 BRYANT STREET DENVER CO, 80219

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