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Medical insurance
["Staff" HMO]
[Premier Model]
health Insurance for families
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Call 847-559-8100 for a health plan quote
847-559-8100

Last Updated
Friday, February 23, 2001 

Humana Staff Model HMO

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QuickStat

PPO Net

Maternity

8.0

Humana

Included

The Humana individual HMO offers a reasonably priced HMO plan with an ever expanding network of doctors, over 1500, and hospitals, 40+. This plan is open to residents in the Chicago area and NW Indiana only. As of 11/1/98 The plan offers offers the choice of Classic and Staff Model directory of physicains.

You can check the directory of physicians on the Humana site.

Humana

Plan Options Available:

Maternity

Included

Dental

No

Life

No

Disability

No

Plan Availability:

Chicago Area Only

Strength: Comprehensive HMO coverage, Quick Underwriting, Flexible underwriting, Good prices, Stable renewals, Good rates for people over 45.

Weakness: Copay's are a little high. $ 500 annual drug limit.  Not a good plan for those with more than one child on the plan. Those with 2 or more children should have the Premier Plan.

The following summary is NOT a solicitation to sell you insurance. Solicitations can only be made with state, and insurance company, approved brochures. Information contained in this web may contain generalities or inaccuracies. Please read the brochures and policies for specific limitations and exclusions.

Classic Network  HMO - Plan 70.

Deductible

$ 0

Hospital Expenses

100% after a $100 copayment per day up to 5 days.

Outpatient Surgery

100% after a $150 hospital copay, $50 if at a surgicenter

Accident Benefit, emergency room and out of area care

100% after a $75 copayment for covered hospital services, waived if admitted.  Prior authorization req. if not life of limb threatening.

OBGYN/Maternity services

Maximum copay of $200

Emergency Room

Physician Services

Outpatient X-ray and Lab

Routine exams and well baby care

 

 

$ 20 copay

Mental, Nervous - Inpatient

Inpatient hospital coverage to a max. of 80% for 10 days per year. Non hospital intensive outpatient may be substituted 2 for 1 inpatient day

Mental Nervous - Outpatient

Covered in full after a $20 copayment with a max. of 20 visits per year. Group sessions are $10 per visit and may be substituted 2 for 1 individual session

Ambulance Services

Covered in full for emergency transport

Private duty nursing

Covered in full if medically necessary

Medical equipment - Durable

Covered at 50%

Maximum Benefits

Unlimited

Prescription Drugs

OSCO pharmacy $7 copay per generic, $14 copay per brand name, up to $500 annual benefit limit.  Birth control pills and insulin included. 

No applicaiton fee, no billing fee.  Optional bank draft.

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THealth Insurance quoteshe following summary is NOT a solicitation to sell you insurance. Solicitations can only be made with state, and insurance company, approved brochures. Information contained in this web may contain generalities or inaccuracies. Please read the brochures and policies for specific limitations and exclusions.

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