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Humana Autograph Share 80 Plus Rx with Dental – Oklahoma Health Insurance Plan

A detailed comparison of the Humana Autograph Share 80 Plus Rx with Dental health insurance plan as offered in Oklahoma is listed below for both Network and Non-Network coverage. This is a review of the coverage for this specific Humana plan. However, GoHealthInsurance offers a large variety of health insurance options to fit your needs. If you wish, get a new Humana health insurance quote for Oklahoma now or view all of our Humana health insurance quotes.

  Network Non-Network
Copay $35 primary care/$50 specialist limited to 6 combined primary and specialty care visits Not applicable
OfficeVisit
  • Preventive Office Visits: 100%
  • Physician Office Visits (including allergy injections): 100% after office visit copayment up to 6 combined primary care and specialty care visits, then 80% after deductible
    		•
  • Preventive Office Visits: 70%
  • Physician Office Visits (including allergy injections): 60% after deductible
    		•
    Deductible true (per calendar year; copayments do not apply; two family members must each meet their individual deductible) Individual: $6,000, Family: $12,000 (per calendar year; copayments do not apply; two family members must each meet their individual deductible) Individual: $12,000, Family: $24,000
    Coinsurance 80% 60%
    Coinsurance Limit Individual: $2,000, Family: $4,000 (per calendar year; deductibles and copayments do not apply) Individual: $8,000, Family: $16,000 (per calendar year; deductibles and copayments do not apply)
    Out-of-Pocket Maximum N/A N/A
    Lifetime Maximum Unlimited Unlimited
    Prescription Drugs Rx4 Prescription Drug (medical out-of-pocket maximum does not apply) -
    • Deductible per Individual: Separate $1,000 deductible (Level 1 drugs are subject to copay, no deductible)
    • Copay for each Prescription or Refill (up to 90-day supply; wi
    		 Rx4 Prescription Drug (medical out-of-pocket maximum does not apply) -
    • Deductible per Individual: Separate $1,000 deductible (Level 1 drugs are subject to copay, no deductible)
    • Copay for each Prescription or Refill (up to 90-day supply; wi
    Emergency Room 80% after $75 copayment per visit and deductible (copayment waived if admitted) 80% after $75 copayment per visit and deductible (copayment waived if admitted)
    Adult Preventative Care
  • Preventive Office Visits: 100%
  • Prostate Screening: 100%
  • Pap Smear: 100%
  • Preventive X-ray and Preventive Lab: 100%
  • Mammogram: 100%
    		•
  • Preventive Office Visits: 70%
  • Prostate Screening: 70%
  • Pap Smear: 70%
  • Preventive X-ray and Preventive Lab: 70%
  • Mammogram: 100%
    		•
    Child Preventative Care
  • Preventive Office Visits: 100%
  • Child Immunizations to age 18: 100%
    		•
  • Preventive Office Visits: 70%
  • Child Immunizations to age 18: 100%
    		•
    Lab / X-Ray Diagnostic Lab and X-ray: First $200 per calendar year 100% then 80% after deductible Diagnostic Lab and X-ray: 70% after deductible
    Maternity Pregnancy Complications and Sick Baby Services: 80% after deductible (Prior authorization required in order to be eligible for these benefits) Pregnancy Complications and Sick Baby Services: 60% after deductible (Prior authorization required in order to be eligible for these benefits)
    Physical Therapy N/A N/A
    Home Health Care
  • Hospice: 80% after deductible (Prior authorization required in order to be eligible for these benefits)
  • Home Health Care (up to 60 visits per calendar year): 80% after deductible (Prior authorization required in order to be eligible for these b
    		•
  • Hospice: 60% after deductible (Prior authorization required in order to be eligible for these benefits)
  • Home Health Care (up to 60 visits per calendar year): 60% after deductible (Prior authorization required in order to be eligible for these b
    		•
    Mental Health Mental Health, Chemical and Alcohol Dependency (medical out-of-pocket maximum does not apply) -
    • Inpatient Services: 50% after deductible
    • Outpatient and Office Therapy Sessions: 50% after deductible
    		 Mental Health, Chemical and Alcohol Dependency (medical out-of-pocket maximum does not apply) -
    • Inpatient Services: 50% after deductible
    • Outpatient and Office Therapy Sessions: 50% after deductible
    Hospital Care Physician Services -
    • Allergy Testing: First $200 per calendar year 100% then 80% after deductible
    • Allergy Serum: 80% after deductible
    • Inpatient and Outpatient Services: 80% after deductible
    • Surgery: 80% after deductible
    F    		 Physician Services -
    • Allergy Testing: 60% after deductible
    • Allergy Serum: 60% after deductible
    • Inpatient and Outpatient Services: 60% after deductible
    • Surgery: 60% after deductible
    Facility Services -
    • Inpatient
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