Benefits & Coverage

Insurance Type
Individual Health Insurance (Obamacare)
Insurance Provider
Humana
Metal Level
Gold
Plan Type
HMO
Deductible
$2500
Out-of-Pocket Maximum
$3500
Plan Highlights

Cost & Coverage

Estimated Monthly Base Rate
Estimated monthly premium starts at $219.51
Deductible
Individual: $2500
Family: $5000
In-Network Out-of-Pocket Limit
Individual: $3500
Family: $7000
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
$25 Copay
Specialist
$35 Copay
Hospital facility fee
20% Coinsurance after deductible
Emergency Room
20% Coinsurance after deductible

Drug Services

Generic Drugs
Coverage: $8 Copay
Specialty Drugs
Coverage: 35% Coinsurance after deductible
What drugs are covered in the formulary?

Mental Health or Substance Abuse Services

Service
In Network
Out of Network

Maternity Services

Service
In Network
Out of Network

Coverage Options Summary

Included Benefits
  • Non-preferred brand drugs

What To Know

  • This is an ACA (Obamacare) compliant health plan.
  • This plan is eligible for a tax credit subsidy

Physician Directory

List of doctors that accepts Humana Connect Gold 2500/3500 Obamacare Plan in Florida

/
COHEN, SHELDON
9000 SW 137TH AVE
MIAMI, FL 33186
MEZEY, ROBERT
12600 SW 120TH ST
MIAMI, FL 33186
GENAO, ESTEBAN
13059 SW 112TH ST
MIAMI, FL 33186
ROJAS, ROMEO
12002 SW 128TH CT STE 204
MIAMI, FL 33186
JIMENEZ, MILTON
12002 SW 128TH CT STE 204
MIAMI, FL 33186
MILLER, ARLENE
9135 S.W. 125 AV.
MIAMI, FL 33186
APOLLON, KATIA
8900 SW 117TH AVE
MIAMI, FL 33186
GOUGH-FIBKINS, SHAWN
9824 SW 133RD CT
MIAMI, FL 33186
RENE N MAYORGA M D P A
14261 SW 120TH ST
MIAMI, FL 33186
CEBALLOS, CESAR
7800 SW 87TH AVE
MIAMI, FL 33173
CUERVO, LUCINDA
11050 N KENDALL DR
MIAMI, FL 33176
KARSENTI, REBECCA
8900 SW 117TH AVE
MIAMI, FL 33186
NUNEZ, LOURDES
12002 SW 128TH CT
MIAMI, FL 33186
BUIA, MONTSERRAT
11801 SW 90TH ST
MIAMI, FL 33186
HERRERA, MAURICIO
11801 SW 90TH ST
MIAMI, FL 33186
AREVALO, EDITH
12608 SW 88TH ST
MIAMI, FL 33186
CARR, NATALIE
12608 SW 88TH ST
MIAMI, FL 33186
GALICIA, EDGAR
10010 KENNERLY RD
SAINT LOUIS, MO 63128
PELAEZ, ANNETTE
8900 SW 117TH AVE
MIAMI, FL 33186
RAJADHYAKSHA, AMAR
11801 SW 90TH ST
MIAMI, FL 33186
VAZQUEZ, NELSON
13500 SW 88 ST
KENDALL, FL 33186
ESPINOSA, CARMEN
13550 SW 88TH STREET STE 280
MIAMI, FL 33186
PANDO, JARY
13001 SW 88TH ST
MIAMI, FL 33186
RIESCO, DOUGLAS
12936 SW 133RD TER
MIAMI, FL 33186
MARTINEZ-RAMOS, MARIA
9000 SW 137 AVE
MIAMI, FL 33186
Details
SHELDON COHEN, M.D.
Phone Number
(305) 380-6773
Office Locations
9000 SW 137TH AVE
MIAMI, FL 33186
9000 SW 137TH AVE MIAMI FL, 33186

Community Q&A

Do you have questions about this plan?

Get answers from the HealthPocket community.
3 question| 3 answers
how do I look up specialists in brwd cty?
Q:
Asked by Anonymous 

1 answer

Know the Answer? Answer this Question
A: Currently on our website we do not have the tools for you to locate network specialists, you may go to the carrier's website with the following link and then hit the Find a Doctor tool at the bottom of the page, you will then be able to get more network provider details: https://www.humana.com/medicare/products-and-services/medicare-advantage/humana-choice-ppo
Answered on 4/11/2014 by davina
SPD/SBC for this plan
Q:I would like to see a copy of the SBC for this plan. The information on the site does not give a full listing of covered services and/or exclusions.
Asked by Anonymous 

1 answer

Know the Answer? Answer this Question
A: You may check the Summary of benefits and Plan brochure for more specific benefits.
Answered on 4/20/2014 by davina
International coverage
Q:I'm in FL and looking at this plan thru ACA. We travel a lot so Does it have coverage internationally?
Asked by Anonymous 

1 answer

Know the Answer? Answer this Question
A: Per the Plan Details page, you will not be covered once you go for an out of network provider. Alternatively, if you need plan recommendation, it is best to speak with a licensed agent. The phone number and hours of operation is available when you click on 'Select'.
Answered on 1/28/2014 by davina

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