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Page numbers referenced within this brochure apply only to the printed brochure

Humana Health Plan of Texas, Inc.

feds.humana.com
Customer Service 1-800-4HUMANA

2023



IMPORTANT:
  • Rates
  • Changes for 2023
  • Summary of Benefits
A Health Maintenance Organization
(Standard and Basic Option)

This plan’s health coverage qualifies as minimum essential coverage and meets the minimum value standard for the benefits it provides. See page 8 for details. This plan is accredited. See page 13.

Serving: Austin, Corpus Christi, Houston and San Antonio areas

Enrollment in this plan is limited. You must live or work in our geographic service area to enroll. See page 14 for requirements.

Enrollment codes for this Plan:

Austin:

UU4 Standard Option Self Only
UU6 Standard Option Self Plus One
UU5 Standard Option Self and Family
QY1 Basic Option Self Only
QY3 Basic Option Self Plus One
QY2 Basic Option Self and Family

Corpus Christi:

UC4 Standard Option Self Only
UC6 Starndard Option Self Plus One
UC5 Standard Option Self and Family
Q21 Basic Option Self Only
Q23 Basic Option Self Plus One
Q22 Basic Option Self and Family



Houston:

EW4 Standard Option Self Only
EW6 Standard Option Self Plus One
EW5 Standard Option Self and Family
Q61 Basic Option Self Only
Q63 Basic Option Self Plus One
Q62 Basic Option Self and Family

San Antonio:

UR4 Standard Option Self Only
UR6 Standard Option Self Plus One
UR5 Standard Option Self and Family
QX1 Basic Option Self Only
QX3 Basic Option Self Plus One
QX2 Basic Option Self and Family

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