Know Where to Go
Telemedicine
Convenience Care
Doctor’s office
Urgent care
ER
Access telehealth services to treat minor medical conditions. Connect with a board-certified doctor via video or phone when where and how it works best for you.
Treats minor medical concerns. Staffed by nurse practitioners and physician assistants. Located in retail stores and pharmacies. Often open nights and weekends. › Colds and flu › Rashes or skin conditions › Sore throats, earaches, sinus pain
The best place to go for routine or preventive care, to keep track of medications, or for a referral to see a specialist.
For conditions that aren’t life threatening. Staffed by nurses and doctors and usually have extended hours.
For immediate treatment of critical injuries or illness. Open 24/7. If a situation seems life-threatening, call 911 or go to the nearest emergency room. › Chest Pain › Shortness of Breath › Life Threatening Illness or Injuries › Critical Conditions
› Colds and flu › Rashes › Sore throats › Headaches › Stomachaches › Fever › Allergies
› General health issues › Preventive care
› Muscle Sprains or Strains › Back Pain
› Routine checkups › Immunizations and screenings
› Skin Infections › Broken Bones
› Minor cuts or burns › Pregnancy testing › Vaccines
Terms to Know
When you enroll in coverage you become a Humana Member. A Humana member gets access to their network of providers (doctors and facilities) – these are in-network providers. Humana members receive Discounted Rates with these in-network providers. Discounted Rate
Copays
Copays are set dollar amounts you pay for specific services. These cost are typically collected at the time of service. For example, under the HMO Premier 2500 plan you have a $35 copay for a visit to your primary care physician.
Deductible
Services not subject to a copay are subject to your deductible. You pay first dollar costs for claims subject to your deductible and you receive the Discounted Rate for all covered claims with an in-network provider.
Coinsurance
Coinsurance is the percentage of covered medical expenses you pay after you've met your deductible.
Out-of-Pocket
This amount is the maximum amount you will pay towards covered services on the plan for the calendar year. This amount includes the amounts you pay in deductible, coinsurance, copays, and prescription copays.
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