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 Plan 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
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
NUNEZ, LOURDES
12002 SW 128TH CT
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
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
ZAMBRANA, NOREEN
14687 SW 104TH ST
MIAMI, FL 33186
JACQUEMIN, THIERRY
10254 SW 128TH CT
MIAMI, FL 33186
HERNANDEZ, OSCAR
14221 SW 120TH ST
MIAMI, FL 33186
OTERO, HEATHER
13400 SW 120TH ST
MIAMI, FL 33186
ROCHER, MARAY
11981 SW 97TH TER
MIAMI, FL 33186
SCHNEIDER, JESSICA
12608 SW 88TH ST
MIAMI, FL 33186
FERRY, PAULINA
14291 SW 120TH 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.
2 question| 1 answer
does this plan cover inpatient alcohol or drug abuse facility
Q:
Asked by Anonymous 
Know the Answer? Answer this Question
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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