HumanaOne Enhanced Copay HMO Silver Plan - $0

Individual Health Insurance (Obamacare)

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Benefits & Coverage

Plan Name
HumanaOne Enhanced Copay HMO Silver - $0
Plan ID
74320CO0490005
Plan Year
2013
Insurance Type
Individual Health Insurance (Obamacare)
Insurance Provider
Plan Type
HMO
Deductible
0
Out-of-Pocket Maximum
$6,250
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

/
MANH, KATIE
1701 S FEDERAL BLVD STE B
DENVER, CO 80219
NGUYEN, DINH
633 S FEDERAL BLVD
DENVER, CO 80219
SANCHEZ, PORFIRIO
1601 S FEDERAL BLVD
DENVER, CO 80219
MANKIN, JULIE
495 S FEDERAL BLVD
DENVER, CO 80219
ELLES, MARK
1930 S FEDERAL BLVD
DENVER, CO 80219
VO, HUE
2200 S FEDERAL BLVD SUITE 1
DENVER, CO 80219
SUTHERLAND, JESSE
2200 S FEDERAL BLVD
DENVER, CO 80219
NGO, CUONG
2200 S FEDERAL BLVD SUITE 1
DENVER, CO 80219
UPDIKE, CHRISTIAN
120 BRYANT STREET
DENVER, CO 80219
SPEES, ALAN
1930 S FEDERAL BLVD
DENVER, CO 80219
THOMPSON, KAREN
1408 S QUITMAN ST
DENVER, CO 80219
MCNAMEE, MEGAN
75 MEADE ST
DENVER, CO 80219
DURBIN, ROY
1930 S FEDERAL BLVD
DENVER, CO 80219
WU, JOHN
2789 W ALAMEDA AVE
DENVER, CO 80219
ANDERSON, KATHERINE
4320 W ALASKA PL
DENVER, CO 80219
TRAN, QUY
1023 S FEDERAL BLVD
DENVER, CO 80219
GARRETT, RAYMOND
1930 S FEDERAL BLVD
DENVER, CO 80219
FISHER, LARRY
1930 S FEDERAL BLVD
DENVER, CO 80219
BASSE, RACHEL
1380 S SANTA FE DR
DENVER, CO 80223
MCCRANIE, KATHY
1380 S SANTA FE DR
DENVER, CO 80223
KIM, JANE
8405 W ALAMEDA AVE
LAKEWOOD, CO 80226
WORSWICK, LINDA
480 S ALLISON PKWY
LAKEWOOD, CO 80226
PFEIFFER, ROBERT
550 S WADSWORTH BLVD
LAKEWOOD, CO 80226
MINZER, SHARON
8015 W ALAMEDA AVE
LAKEWOOD, CO 80226
BRYANT, ERIC
550 S WADSWORTH BLVD
LAKEWOOD, CO 80226
Details
KATIE MANH, D.D.S.
Phone Number
(303) 935-5279
Office Locations
1701 S FEDERAL BLVD STE B
DENVER, CO 80219
1701 S FEDERAL BLVD STE B DENVER CO, 80219

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