Humana Premier 77


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	["Staff" HMO] [Premier Model]


	Last Updated Friday, February 23, 2001


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QuickStat	PPO Net	Maternity
9.0	Humana	Incl

The Humana Premier individual HMO offers a top quality HMO using the expanded PREMIER network. the Premier Network includes over 730 affiliated medical group locations with over 2,500 participating primary care physicians and 4,000 specialist. 60 Chicago area hospitals have physicians with admitting privileges.

You must be employed and work at least 30 hours to be eligible for the Premier plan.




	Plan Options Available:

Maternity	Included
Dental	HMO-option
Life	No
Disability	No


	Plan Availability:

Chicago Area Only

The Premier network plan offers virtually 100% coverage with little or no copayment for most claims.. This plan is open to residents in the Chicago area and NW Indiana only.

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

Strength: Comprehensive HMO coverage, Top benefits, Expanded premier network, Stable renewals

Weakness: Can be pricey above in certain, more senior, age groups. There is an application fee.


	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.


	Premier Network HMO - Plan 77

Benefit	You Pay
Deductible	$ 0
Hospital Expenses Unlimited days semiprivate room General Nursing Care Intensive Care Ancillary Services	$ 0.
Outpatient care and Surgery	$ 10 copay at surgi-center
Emergency Room-	$ 0
Physician Services- when obtained or arranged through Primary care physician. routine treatment of illness or injury, routine physicals, well-baby care, immunizations, routine diagnostic lab and Xray, in office allergy treatment and materials. Outpatient Surgery, casts, splints, crutches, braces and prosthetic devices, hearing and vision exams including eye refractions. Emergency Care visits Inpatient visits.	$ 10 copay
Mental, Nervous - Inpatient	Inpatient hospital coverage to a max. of 30 days per year. Non hospital intensive outpatient may be substituted 2 for 1 inpatient day.
Mental Nervous - Outpatient	Covered in full after a $10 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 Home Health Care Skilled Nursing facility (120 days per year) Durable Medical Equipment Physical, occupational, and speech therapy ( if member can improve with 2 months)	$ 0
Maternity Services Prenatal Post Natal Well-baby care All hospital care mother and child.	$ 0
Private duty nursing	Covered in full if medically necessary
Hospice Services -outpatient (includes bereavement counseling)	$ 0 - up to $2000 in coverage per calendar year.
Prescription Drugs	OSCO pharmacy $10 copay. Birth control pills and insulin included.
Maximum Benefits	Unlimited

* Plan Shown is through the Combined Employers Association and has some of the following provisions.

Medically underwirtten, if accepted, no pre-exisiting condition clause.
There is a $25 applicaiton fee and $25 of annual dues.
No waiting period for maternity benefits. Fertiility is not covered.
All applicants must be employed or self employed full-time.
Females with dependents must include dependents on the plan.




	feedback legal copyright © 1999 Castle Group Health

	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.