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HumanaOne Annual Max plans: Coverage at an affordable price

If you're looking for health insurance that offers both an affordable premium and a low annual deductible and do not feel you need coverage for major expenses that could exceed $100,000 or $250,000, an Annual Max plan from HumanaOne may be the appropriate choice for you. Choose from a variety of deductibles and options to create a plan that meets your needs and fits your budget. With HumanaOne's Annual Max plans you can have affordable coverage that helps protect you and your family.

Here's how it works:

  • Annual Max plans have calendar year dollar limits, or "caps," that keep premiums affordable and deductibles low.
  • Each person on a policy has his or her own annual maximum.
  • Annual maximums reset every January.
  • You are entirely responsible for any cost that exceeds your annual maximum.




Basic Coverage Options

Deductibles

    Annual Max plans offer a range of deductibles; you decide which works best for you. Single in-network deductibles range from $1,000 to $3,000, and family in-network deductibles range from $3,000 to $9,000.

Coinsurance

    Once you meet the annual deductible of your choice, your HumanaOne Annual Max plan pays 75% or 50% of most covered in-network medical costs based on the plan you choose up to the annual maximum you select.

Annual Maximum

    This is the total amount your plan pays for covered services each calendar year. Choose an annual maximum of $100,000 or increase it to $250,000 for added security.

Outpatient Services Maximum

    The total amount your plan pays for outpatient services is $5,000 each calendar year. If you select the $250,000 annual maximum option, you can increase this limit to $10,000. Expenses applied toward the outpatient services maximum will also be applied to, and reduce, the annual maximum.

Prescription Coverage

    If you choose the 75/55 HumanaOne Annual Max plan, Humana pays 100% for all network-filled prescriptions up to $2,500 per calendar year, after meeting your separate prescription deductible and paying any applicable copayments.

Office Visit Copayment

    If you choose the 75/55 HumanaOne Annual Max plan with a $1,000 or $2,000 deductible, you'll have three covered in-network office visits for illness or injury per year which are paid at 100% after a copayment.

Preventive Care and Physician Services

    All Annual Max plans include coverage for in-network preventive care, including office visits, child immunizations and preventive lab work and X-rays. You're also covered for other important services, such as office visits for illness and injury and emergency services.

Waiting periods, limitations and exclusions apply.

 

Optional Benefits

Dental Coverage

Life Insurance Coverage Options

    A life insurance rider for $20,000 is available to be purchased with your HumanaOne health plan.

    If you would like to purchase a separate term life insurance policy from $25,000 to $150,000 along with your HumanaOne health plan, you must apply over the phone.

    Learn more about our life insurance coverage options.

Supplemental Accident Benefit

    What if you had a minor accident that doesn't cost a lot? It's still a long way to go before meeting your deductible. With this benefit you're covered right away - up to $1,000 per incident.



Optional benefits available at an additional cost. For additional details, including waiting periods, limitations and exclusions please review the summary of benefits.

Important information regarding Annual Max plans:
The HumanaOne Annual Max plan has calendar year policy limits for all covered services, for outpatient services, and for pharmacy services (where applicable). Expenses applied to the outpatient and pharmacy calendar year limits will also be applied to the all covered services calendar year limit. Any costs incurred for services above the calendar year limits are the member's responsibility. Humana has other plans available that do not have calendar year limits, see your state-specific benefit summary for details.

Important information regarding this association-based plan:
The Association, Peoples' Benefit Alliance, is a membership organization that provides educational information and discounts on goods and services to its members. In order to be eligible to apply for this health insurance coverage, membership in the Association is required.

 

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