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 Plan - $0 Plan in Colorado

    /
    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
    TRAN, QUY
    1023 S FEDERAL BLVD
    DENVER, CO 80219
    MANKIN, JULIE
    495 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
    MORELOCK, ROBERT
    3555 LUTHERAN PKWY
    WHEAT RIDGE, CO 80033
    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
    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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