Humana Health Plan - Southern Indiana

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General Information

Plan Name:	Humana Health Plan
Service Area:	Southern Indiana
Brochure:	PDF Version
Brochure:	Text Version
NCQA Accreditation:	Yes
JCAHO Accreditation:	No
URAC Accreditation:	No
Plan Type:	HMO
Enrollment Code-Self:	D21
Enrollment Code-Self & Family:	D22
Link to Plan Home Page:	http://www.humana.com
Telephone:	888/393-6765
Summary results of the 2001 consumers assessment of health plans survey

Benefits

Doctor Care/ Primary Office Visits:	$10
Hospital Inpatient Room and Board Charges:	None
RX/ Generic/ Retail:	$5
RX/ Brand/ Retail:	$20
RX/ Brand/ NonFormulary:	$40

Rates

Non-Postal
___Biweekly	Self: $31.20	Self: & Family: $88.67
___Twice Biweekly	Self: $62.40	Self: & Family: $177.34
___Monthly	Self: $67.61	Self: & Family: $192.11
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Annuitants
___Monthly	Self: $67.61	Self: & Family: $192.11
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U.S. Postal Service Employees (Type A)
___Monthly	Self: $30.42	Self: & Family: $104.71
___Biweekly	Self: $14.04	Self: & Family: $48.33
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U.S. Postal Service Employees (Type B)
___Monthly	Self: $33.77	Self: & Family: $166.70
___Biweekly	Self: $15.59	Self: & Family: $76.94
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Worker's Compensation Recipients
___Twice Biweekly	Self: $62.40	Self: & Family: $177.34
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Certain Temporary Employees
___Biweekly	Self: $124.82	Self: & Family: $312.08
___Monthly	Self: $270.44	Self: & Family: $676.17
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Former Spouse Enrollees
___Biweekly	Self: $124.82	Self: & Family: $312.08
___Monthly	Self: $270.44	Self: & Family: $676.17
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Temporary Continuation of Coverage
___Biweekly	Self: $127.32	Self: & Family: $318.32
___Monthly	Self: $275.85	Self: & Family: $689.69
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FDIC
___Biweekly	Self: $14.04	Self: & Family: $48.33
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Department of Defense Demo Project
___Monthly	Self: $107.42	Self: & Family: $285.39
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Department of Defense Demo Project Temporary Continuation of Coverage
___Monthly	Self: $325.84	Self: & Family: $784.84
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