Benefits & Coverage

Insurance Type
Individual Health Insurance (Obamacare)
Insurance Provider
Humana
Metal Level
Silver
Plan Type
HMO
Deductible
$4600
Out-of-Pocket Maximum
$6300
Plan Highlights

Cost & Coverage

Estimated Monthly Base Rate
Estimated monthly premium starts at $197.16
Deductible
Individual: $4600
Family: $9200
In-Network Out-of-Pocket Limit
Individual: $6300
Family: $12600
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: $17 Copay
Specialty Drugs
Coverage: 50% 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 Direct Silver 4600/6300 Obamacare Plan in Florida

/
COHEN, SHELDON
9000 SW 137TH AVE
MIAMI, FL 33186
GONZALEZ, ANGELA
13550 SW 88 ST
MIAMI, FL 33186
GERALDI, MICHAEL
11246 SW 137TH AVE
MIAMI, FL 33186
MEZEY, ROBERT
12600 SW 120TH ST
MIAMI, FL 33186
KRAINSON, JAMES
12600 SW 120TH ST
MIAMI, FL 33186
FERREIRA, ISABEL
13155 SW 42ND ST
MIAMI, FL 33175
GUZMAN, FELIX
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
ESPAILLAT, IVAN
12002 SW 128TH CT
MIAMI, FL 33186
SWARTZ, ALAN
13550 N KENDALL DR
MIAMI, FL 33186
GERSTEN, JANET
8900 SW 117TH AVE
MIAMI, FL 33186
PONS, FRANCISCO
13500 SW 88TH ST
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
RODICIO, ILEANA
9000 SW 137TH AVE
MIAMI, FL 33186
CINTAS, MAURA
9000 SW 137TH AVE
MIAMI, FL 33186
CEBALLOS, CESAR
7800 SW 87TH AVE
MIAMI, FL 33173
GUPTA, PADMA
13500 SW 88TH ST
MIAMI, FL 33186
CUERVO, LUCINDA
11050 N KENDALL DR
MIAMI, FL 33176
NUNEZ, LOURDES
12002 SW 128TH CT
MIAMI, FL 33186
NUNEZ, RIGOBERTO
8900 SW 117TH AVE
MIAMI, FL 33186
BUIA, MONTSERRAT
11801 SW 90TH ST
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.
1 question| 1 answer
Surgery
Q:Does this plan cover bariatric surgery
Asked by Anonymous 

1 answer

Know the Answer? Answer this Question
A: HealthPocket is an source of information and not a health plan or an insurance agent. Such specific benefit is normally not provided on our website. It is best to speak with a licensed agent for a quick update. The phone number and hours of operation is available when you click on 'Select'.
Answered on 4/21/2014 by davina

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