November 21, 2009 Your source for health insurance quotes and plans.

Humana Health Insurance in OHIO – Health Plan Options

Humana — Autograph Total Plus Rx/HSA

A comparison of the Autograph Total Plus Rx/HSA offered by Humana is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	100%	70%
Office Visit	100% after deductible	70% after deductible
Copay	N/A	N/A
Deductible	$3,500	$7,000

Humana — Autograph Total Plus Rx/HSA and Dental

A comparison of the Autograph Total Plus Rx/HSA and Dental offered by Humana is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	100%	70%
Office Visit	100% after deductible	70% after deductible
Copay	N/A	N/A
Deductible	$5,000	$10,000

Humana — Autograph Total Plus Rx/HSA

A comparison of the Autograph Total Plus Rx/HSA offered by Humana is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	100%	70%
Office Visit	100% after deductible	70% after deductible
Copay	N/A	N/A
Deductible	$3,500	$7,000

Humana — Autograph Total Plus Rx/HSA and Dental

A comparison of the Autograph Total Plus Rx/HSA and Dental offered by Humana is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	100%	70%
Office Visit	100% after deductible	70% after deductible
Copay	N/A	N/A
Deductible	$5,000	$10,000

Humana — Autograph Total Plus Rx/HSA

A comparison of the Autograph Total Plus Rx/HSA offered by Humana is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	100%	70%
Office Visit	100% after deductible	70% after deductible
Copay	N/A	N/A
Deductible	$3,500	$7,000

Humana — Autograph Total Plus Rx/HSA and Dental

A comparison of the Autograph Total Plus Rx/HSA and Dental offered by Humana is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	100%	70%
Office Visit	100% after deductible	70% after deductible
Copay	N/A	N/A
Deductible	$5,000	$10,000

Humana — Autograph Total Plus Rx/HSA

A comparison of the Autograph Total Plus Rx/HSA offered by Humana is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	100%	70%
Office Visit	100% after deductible	70% after deductible
Copay	N/A	N/A
Deductible	$3,500	$7,000

Humana — Autograph Total Plus Rx/HSA and Dental

A comparison of the Autograph Total Plus Rx/HSA and Dental offered by Humana is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	100%	70%
Office Visit	100% after deductible	70% after deductible
Copay	N/A	N/A
Deductible	$5,000	$10,000

Humana — Autograph Total Plus Rx/HSA

A comparison of the Autograph Total Plus Rx/HSA offered by Humana is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	100%	70%
Office Visit	100% after deductible	70% after deductible
Copay	N/A	N/A
Deductible	$3,500	$7,000

Humana — Autograph Total Plus Rx/HSA and Dental

A comparison of the Autograph Total Plus Rx/HSA and Dental offered by Humana is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	100%	70%
Office Visit	100% after deductible	70% after deductible
Copay	N/A	N/A
Deductible	$5,000	$10,000

Humana — Autograph Total Plus Rx/HSA

A comparison of the Autograph Total Plus Rx/HSA offered by Humana is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	100%	70%
Office Visit	100% after deductible	70% after deductible
Copay	N/A	N/A
Deductible	$3,500	$7,000

Humana — Autograph Total Plus Rx/HSA and Dental

A comparison of the Autograph Total Plus Rx/HSA and Dental offered by Humana is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	100%	70%
Office Visit	100% after deductible	70% after deductible
Copay	N/A	N/A
Deductible	$5,000	$10,000

Humana — Autograph Total Plus Rx/HSA

A comparison of the Autograph Total Plus Rx/HSA offered by Humana is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	100%	70%
Office Visit	100% after deductible	70% after deductible
Copay	N/A	N/A
Deductible	$3,500	$7,000

Humana — Autograph Total Plus Rx/HSA and Dental

A comparison of the Autograph Total Plus Rx/HSA and Dental offered by Humana is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	100%	70%
Office Visit	100% after deductible	70% after deductible
Copay	N/A	N/A
Deductible	$5,000	$10,000

Humana — Autograph Total Plus Rx/HSA

A comparison of the Autograph Total Plus Rx/HSA offered by Humana is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	100%	70%
Office Visit	100% after deductible	70% after deductible
Copay	N/A	N/A
Deductible	$3,500	$7,000

Humana — Autograph Total Plus Rx/HSA and Dental

A comparison of the Autograph Total Plus Rx/HSA and Dental offered by Humana is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	100%	70%
Office Visit	100% after deductible	70% after deductible
Copay	N/A	N/A
Deductible	$5,000	$10,000

Humana — Autograph Total/HSA

A comparison of the Autograph Total/HSA offered by Humana is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	100%	70%
Office Visit	100% after deductible	70% after deductible
Copay	N/A	N/A
Deductible	$2,000(one per family)	$4,000(one per family)

Humana — Autograph Total/HSA with Dental

A comparison of the Autograph Total/HSA with Dental offered by Humana is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	100%	70%
Office Visit	100% after deductible	70% after deductible
Copay	N/A	N/A
Deductible	$5,200	$10,400

Humana — Autograph Total/HSA

A comparison of the Autograph Total/HSA offered by Humana is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	100%	70%
Office Visit	100% after deductible	70% after deductible
Copay	N/A	N/A
Deductible	$2,000(one per family)	$4,000(one per family)

Humana — Autograph Total/HSA with Dental

A comparison of the Autograph Total/HSA with Dental offered by Humana is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	100%	70%
Office Visit	100% after deductible	70% after deductible
Copay	N/A	N/A
Deductible	$5,200	$10,400

Humana — Autograph Total/HSA

A comparison of the Autograph Total/HSA offered by Humana is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	100%	70%
Office Visit	100% after deductible	70% after deductible
Copay	N/A	N/A
Deductible	$2,000(one per family)	$4,000(one per family)

Humana — Autograph Total/HSA with Dental

A comparison of the Autograph Total/HSA with Dental offered by Humana is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	100%	70%
Office Visit	100% after deductible	70% after deductible
Copay	N/A	N/A
Deductible	$5,200	$10,400

Humana — Autograph Total/HSA

A comparison of the Autograph Total/HSA offered by Humana is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	100%	70%
Office Visit	100% after deductible	70% after deductible
Copay	N/A	N/A
Deductible	$2,000(one per family)	$4,000(one per family)

Humana — Autograph Total/HSA with Dental

A comparison of the Autograph Total/HSA with Dental offered by Humana is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	100%	70%
Office Visit	100% after deductible	70% after deductible
Copay	N/A	N/A
Deductible	$5,200	$10,400

Humana — Autograph Total/HSA

A comparison of the Autograph Total/HSA offered by Humana is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	100%	70%
Office Visit	100% after deductible	70% after deductible
Copay	N/A	N/A
Deductible	$2,000(one per family)	$4,000(one per family)

Humana — Autograph Total/HSA with Dental

A comparison of the Autograph Total/HSA with Dental offered by Humana is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	100%	70%
Office Visit	100% after deductible	70% after deductible
Copay	N/A	N/A
Deductible	$5,200	$10,400

Humana — Autograph Total/HSA

A comparison of the Autograph Total/HSA offered by Humana is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	100%	70%
Office Visit	100% after deductible	70% after deductible
Copay	N/A	N/A
Deductible	$2,000(one per family)	$4,000(one per family)

Humana — Autograph Total/HSA with Dental

A comparison of the Autograph Total/HSA with Dental offered by Humana is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	100%	70%
Office Visit	100% after deductible	70% after deductible
Copay	N/A	N/A
Deductible	$5,200	$10,400

Humana — Autograph Total/HSA

A comparison of the Autograph Total/HSA offered by Humana is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	100%	70%
Office Visit	100% after deductible	70% after deductible
Copay	N/A	N/A
Deductible	$2,000(one per family)	$4,000(one per family)

Humana — Autograph Total/HSA with Dental

A comparison of the Autograph Total/HSA with Dental offered by Humana is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	100%	70%
Office Visit	100% after deductible	70% after deductible
Copay	N/A	N/A
Deductible	$5,200	$10,400

Humana — Autograph Total/HSA

A comparison of the Autograph Total/HSA offered by Humana is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	100%	70%
Office Visit	100% after deductible	70% after deductible
Copay	N/A	N/A
Deductible	$2,000(one per family)	$4,000(one per family)

Humana — Autograph Total/HSA with Dental

A comparison of the Autograph Total/HSA with Dental offered by Humana is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	100%	70%
Office Visit	100% after deductible	70% after deductible
Copay	N/A	N/A
Deductible	$5,200	$10,400

Humana — Monogram

A comparison of the Monogram offered by Humana is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	100%	75%
Office Visit	100% after deductible	75% after deductible
Copay	N/A	N/A
Deductible	$7,500 (Two family members must meet their individual deductibles)	$15,000 (Two family members must meet their individual deductibles)

Humana — Monogram with Dental

A comparison of the Monogram with Dental offered by Humana is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	100%	75%
Office Visit	100% after deductible	75% after deductible
Copay	N/A	N/A
Deductible	$7,500 (Two family members must meet their individual deductibles)	$15,000 (Two family members must meet their individual deductibles)

Humana — Portrait Share 80 Plus Rx Unlimited (with $0 Rx Deductible)

A comparison of the Portrait Share 80 Plus Rx Unlimited (with $0 Rx Deductible) offered by Humana is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	80%	60%
Office Visit	Primary Care (unlimited visits): $35 copayment. Specialty Care (unlimited visits): $50 copayment.	60% after deductible
Copay	Primary Care (unlimited visits): $35 copayment. Specialty Care (unlimited visits): $50 copayment.	N/A
Deductible	$1,000 (Two members must meet their deductible).	$2,000 (Two members must meet their deductible).

Humana — Portrait Share 80 Plus Rx Unlimited

A comparison of the Portrait Share 80 Plus Rx Unlimited offered by Humana is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	80%	60%
Office Visit	Primary Care (unlimited visits): $35 copayment. Specialty Care (unlimited visits): $50 copayment.	60% after deductible
Copay	Primary Care (unlimited visits): $35 copayment. Specialty Care (unlimited visits): $50 copayment.	N/A
Deductible	$1,000 (Two members must meet their deductible).	$2,000 (Two members must meet their deductible).

Humana — Portrait Share 80 Plus Rx Unlimited and Dental

A comparison of the Portrait Share 80 Plus Rx Unlimited and Dental offered by Humana is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	80%	60%
Office Visit	Primary Care (unlimited visits): $35 copayment. Specialty Care (unlimited visits): $50 copayment.	60% after deductible
Copay	Primary Care (unlimited visits): $35 copayment. Specialty Care (unlimited visits): $50 copayment.	N/A
Deductible	$2,500 (Two members must meet their deductible).	$5,000 (Two members must meet their deductible).

Humana — Portrait Share 80 Plus Rx Unlimited (with $0 Rx Deductible) with Dental

A comparison of the Portrait Share 80 Plus Rx Unlimited (with $0 Rx Deductible) with Dental offered by Humana is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	80%	60%
Office Visit	Primary Care (unlimited visits): $35 copayment. Specialty Care (unlimited visits): $50 copayment.	60% after deductible
Copay	Primary Care (unlimited visits): $35 copayment. Specialty Care (unlimited visits): $50 copayment.	N/A
Deductible	$1,000 (Two members must meet their deductible).	$2,000 (Two members must meet their deductible).

Humana — Portrait Share 80 Plus Rx Unlimited (with $0 Rx Deductible)

A comparison of the Portrait Share 80 Plus Rx Unlimited (with $0 Rx Deductible) offered by Humana is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	80%	60%
Office Visit	Primary Care (unlimited visits): $35 copayment. Specialty Care (unlimited visits): $50 copayment.	60% after deductible
Copay	Primary Care (unlimited visits): $35 copayment. Specialty Care (unlimited visits): $50 copayment.	N/A
Deductible	$1,000 (Two members must meet their deductible).	$2,000 (Two members must meet their deductible).

Humana — Portrait Share 80 Plus Rx Unlimited

A comparison of the Portrait Share 80 Plus Rx Unlimited offered by Humana is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	80%	60%
Office Visit	Primary Care (unlimited visits): $35 copayment. Specialty Care (unlimited visits): $50 copayment.	60% after deductible
Copay	Primary Care (unlimited visits): $35 copayment. Specialty Care (unlimited visits): $50 copayment.	N/A
Deductible	$1,000 (Two members must meet their deductible).	$2,000 (Two members must meet their deductible).

Humana — Portrait Share 80 Plus Rx Unlimited and Dental

A comparison of the Portrait Share 80 Plus Rx Unlimited and Dental offered by Humana is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	80%	60%
Office Visit	Primary Care (unlimited visits): $35 copayment. Specialty Care (unlimited visits): $50 copayment.	60% after deductible
Copay	Primary Care (unlimited visits): $35 copayment. Specialty Care (unlimited visits): $50 copayment.	N/A
Deductible	$2,500 (Two members must meet their deductible).	$5,000 (Two members must meet their deductible).

Humana — Portrait Share 80 Plus Rx Unlimited (with $0 Rx Deductible) with Dental

A comparison of the Portrait Share 80 Plus Rx Unlimited (with $0 Rx Deductible) with Dental offered by Humana is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	80%	60%
Office Visit	Primary Care (unlimited visits): $35 copayment. Specialty Care (unlimited visits): $50 copayment.	60% after deductible
Copay	Primary Care (unlimited visits): $35 copayment. Specialty Care (unlimited visits): $50 copayment.	N/A
Deductible	$1,000 (Two members must meet their deductible).	$2,000 (Two members must meet their deductible).

Humana — Autograph Share 80 Plus Rx

A comparison of the Autograph Share 80 Plus Rx offered by Humana is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	80%	60%
Office Visit	Office visits (including allergy injections): 100% after office visit copayment up to 6 combined primary care and specialty care visits, then 80% after deductible Diagnostic lab and X-ray, Allergy testing: First $200 per calendar year 100%, then 80% after deductible Allergy serum, Inpatient and outpatient services, Surgery: 80% after deductible	Office visits (including allergy injections): 60% after deductible Diagnostic lab and X-ray, Allergy testing: 60% after deductible Allergy serum, Inpatient and outpatient services, Surgery: 60% after deductible
Copay	Primary Care: $35 copay (limited to 6 combined primary and specialty care visits) Specialty Care: $50 copay (limited to 6 combined primary and specialty care visits)	N/A
Deductible	Individual: $5,000, Family: $10,000	Individual: $10,000, Family: $20,000

Humana — Autograph Share 80 Plus Rx (with $500 Deductible Rx)

A comparison of the Autograph Share 80 Plus Rx (with $500 Deductible Rx) offered by Humana is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	80%	60%
Office Visit	Primary Care (limited to 6 combined (Primary and Specialty Care) visits/calendar year)(includes allergy injections)- $35 copayment for 6 visits, then 80% after deductible. Specialty Care (limited to 6 combined (Primary and Specialty Care) visits/calendar year)(includes allergy injections)- $50 copayment for 6 visits, then 80% after deductible.	60% after deductible
Copay	Primary Care (limited to 6 combined (Primary and Specialty Care) visits/calendar year)(includes allergy injections)- $35 copayment for 6 visits, then 80% after deductible. Specialty Care (limited to 6 combined (Primary and Specialty Care) visits/calendar year)(includes allergy injections)- $50 copayment for 6 visits, then 80% after deductible.	N/A
Deductible	$5,000(Two family members must meet their individual deductibles)	$10,000(Two family members must meet their individual deductibles)

Humana — Autograph Share 80 Plus Rx with Dental

A comparison of the Autograph Share 80 Plus Rx with Dental offered by Humana is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	80%	60%
Office Visit	Primary Care (limited to 6 combined (Primary and Specialty Care) visits/calendar year)(includes allergy injections)- $35 copayment for 6 visits, then 80% after deductible. Specialty Care (limited to 6 combined (Primary and Specialty Care) visits/calendar year)(includes allergy injections)- $50 copayment for 6 visits, then 80% after deductible.	60% after deductible
Copay	Primary Care (limited to 6 combined (Primary and Specialty Care) visits/calendar year)(includes allergy injections)- $35 copayment for 6 visits, then 80% after deductible. Specialty Care (limited to 6 combined (Primary and Specialty Care) visits/calendar year)(includes allergy injections)- $50 copayment for 6 visits, then 80% after deductible.	N/A
Deductible	see brochure	see brochure

Humana — Autograph Share 80 Plus Rx

A comparison of the Autograph Share 80 Plus Rx offered by Humana is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	80%	60%
Office Visit	Office visits (including allergy injections): 100% after office visit copayment up to 6 combined primary care and specialty care visits, then 80% after deductible Diagnostic lab and X-ray, Allergy testing: First $200 per calendar year 100%, then 80% after deductible Allergy serum, Inpatient and outpatient services, Surgery: 80% after deductible	Office visits (including allergy injections): 60% after deductible Diagnostic lab and X-ray, Allergy testing: 60% after deductible Allergy serum, Inpatient and outpatient services, Surgery: 60% after deductible
Copay	Primary Care: $35 copay (limited to 6 combined primary and specialty care visits) Specialty Care: $50 copay (limited to 6 combined primary and specialty care visits)	N/A
Deductible	Individual: $5,000, Family: $10,000	Individual: $10,000, Family: $20,000

Humana — Autograph Share 80 Plus Rx (with $500 Deductible Rx)

A comparison of the Autograph Share 80 Plus Rx (with $500 Deductible Rx) offered by Humana is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	80%	60%
Office Visit	Primary Care (limited to 6 combined (Primary and Specialty Care) visits/calendar year)(includes allergy injections)- $35 copayment for 6 visits, then 80% after deductible. Specialty Care (limited to 6 combined (Primary and Specialty Care) visits/calendar year)(includes allergy injections)- $50 copayment for 6 visits, then 80% after deductible.	60% after deductible
Copay	Primary Care (limited to 6 combined (Primary and Specialty Care) visits/calendar year)(includes allergy injections)- $35 copayment for 6 visits, then 80% after deductible. Specialty Care (limited to 6 combined (Primary and Specialty Care) visits/calendar year)(includes allergy injections)- $50 copayment for 6 visits, then 80% after deductible.	N/A
Deductible	$5,000(Two family members must meet their individual deductibles)	$10,000(Two family members must meet their individual deductibles)

Humana — Autograph Share 80 Plus Rx with Dental

A comparison of the Autograph Share 80 Plus Rx with Dental offered by Humana is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	80%	60%
Office Visit	Primary Care (limited to 6 combined (Primary and Specialty Care) visits/calendar year)(includes allergy injections)- $35 copayment for 6 visits, then 80% after deductible. Specialty Care (limited to 6 combined (Primary and Specialty Care) visits/calendar year)(includes allergy injections)- $50 copayment for 6 visits, then 80% after deductible.	60% after deductible
Copay	Primary Care (limited to 6 combined (Primary and Specialty Care) visits/calendar year)(includes allergy injections)- $35 copayment for 6 visits, then 80% after deductible. Specialty Care (limited to 6 combined (Primary and Specialty Care) visits/calendar year)(includes allergy injections)- $50 copayment for 6 visits, then 80% after deductible.	N/A
Deductible	see brochure	see brochure

Humana — Autograph Share 80 Plus Rx

A comparison of the Autograph Share 80 Plus Rx offered by Humana is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	80%	60%
Office Visit	Office visits (including allergy injections): 100% after office visit copayment up to 6 combined primary care and specialty care visits, then 80% after deductible Diagnostic lab and X-ray, Allergy testing: First $200 per calendar year 100%, then 80% after deductible Allergy serum, Inpatient and outpatient services, Surgery: 80% after deductible	Office visits (including allergy injections): 60% after deductible Diagnostic lab and X-ray, Allergy testing: 60% after deductible Allergy serum, Inpatient and outpatient services, Surgery: 60% after deductible
Copay	Primary Care: $35 copay (limited to 6 combined primary and specialty care visits) Specialty Care: $50 copay (limited to 6 combined primary and specialty care visits)	N/A
Deductible	Individual: $5,000, Family: $10,000	Individual: $10,000, Family: $20,000

Humana — Autograph Share 80 Plus Rx (with $500 Deductible Rx)

A comparison of the Autograph Share 80 Plus Rx (with $500 Deductible Rx) offered by Humana is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	80%	60%
Office Visit	Primary Care (limited to 6 combined (Primary and Specialty Care) visits/calendar year)(includes allergy injections)- $35 copayment for 6 visits, then 80% after deductible. Specialty Care (limited to 6 combined (Primary and Specialty Care) visits/calendar year)(includes allergy injections)- $50 copayment for 6 visits, then 80% after deductible.	60% after deductible
Copay	Primary Care (limited to 6 combined (Primary and Specialty Care) visits/calendar year)(includes allergy injections)- $35 copayment for 6 visits, then 80% after deductible. Specialty Care (limited to 6 combined (Primary and Specialty Care) visits/calendar year)(includes allergy injections)- $50 copayment for 6 visits, then 80% after deductible.	N/A
Deductible	$5,000(Two family members must meet their individual deductibles)	$10,000(Two family members must meet their individual deductibles)

Humana — Autograph Share 80 Plus Rx with Dental

A comparison of the Autograph Share 80 Plus Rx with Dental offered by Humana is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	80%	60%
Office Visit	Primary Care (limited to 6 combined (Primary and Specialty Care) visits/calendar year)(includes allergy injections)- $35 copayment for 6 visits, then 80% after deductible. Specialty Care (limited to 6 combined (Primary and Specialty Care) visits/calendar year)(includes allergy injections)- $50 copayment for 6 visits, then 80% after deductible.	60% after deductible
Copay	Primary Care (limited to 6 combined (Primary and Specialty Care) visits/calendar year)(includes allergy injections)- $35 copayment for 6 visits, then 80% after deductible. Specialty Care (limited to 6 combined (Primary and Specialty Care) visits/calendar year)(includes allergy injections)- $50 copayment for 6 visits, then 80% after deductible.	N/A
Deductible	see brochure	see brochure

Humana — *HumanaOne PPO Short Term 80/60 (Single Pay)

A comparison of the *HumanaOne PPO Short Term 80/60 (Single Pay) offered by Humana is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	80% after deductible	80% after deductible
Office Visit	Primary Doctor (Excludes coverage for visits related to behavioral health medication checks): 80% Coinsurance after deductible Specialist (Excludes coverage for visits related to behavioral health medication checks): 80% Coinsurance after deductible	Primary Doctor (Excludes coverage for visits related to behavioral health medication checks): 80% Coinsurance after deductible Specialist (Excludes coverage for visits related to behavioral health medication checks): 80% Coinsurance after deductible
Copay	N/A	N/A
Deductible	Individual: $2,500, Family: $5,000	Individual: $2,500, Family: $5,000

Humana — *HumanaOne PPO Short Term 80/60 (Single Pay)

A comparison of the *HumanaOne PPO Short Term 80/60 (Single Pay) offered by Humana is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	80% after deductible	80% after deductible
Office Visit	Primary Doctor (Excludes coverage for visits related to behavioral health medication checks): 80% Coinsurance after deductible Specialist (Excludes coverage for visits related to behavioral health medication checks): 80% Coinsurance after deductible	Primary Doctor (Excludes coverage for visits related to behavioral health medication checks): 80% Coinsurance after deductible Specialist (Excludes coverage for visits related to behavioral health medication checks): 80% Coinsurance after deductible
Copay	N/A	N/A
Deductible	Individual: $2,500, Family: $5,000	Individual: $2,500, Family: $5,000

Humana — *HumanaOne PPO Short Term 80/60 (Single Pay)

A comparison of the *HumanaOne PPO Short Term 80/60 (Single Pay) offered by Humana is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	80% after deductible	80% after deductible
Office Visit	Primary Doctor (Excludes coverage for visits related to behavioral health medication checks): 80% Coinsurance after deductible Specialist (Excludes coverage for visits related to behavioral health medication checks): 80% Coinsurance after deductible	Primary Doctor (Excludes coverage for visits related to behavioral health medication checks): 80% Coinsurance after deductible Specialist (Excludes coverage for visits related to behavioral health medication checks): 80% Coinsurance after deductible
Copay	N/A	N/A
Deductible	Individual: $2,500, Family: $5,000	Individual: $2,500, Family: $5,000

Humana — *HumanaOne PPO Short Term 80/60 (Single Pay)

A comparison of the *HumanaOne PPO Short Term 80/60 (Single Pay) offered by Humana is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	80% after deductible	80% after deductible
Office Visit	Primary Doctor (Excludes coverage for visits related to behavioral health medication checks): 80% Coinsurance after deductible Specialist (Excludes coverage for visits related to behavioral health medication checks): 80% Coinsurance after deductible	Primary Doctor (Excludes coverage for visits related to behavioral health medication checks): 80% Coinsurance after deductible Specialist (Excludes coverage for visits related to behavioral health medication checks): 80% Coinsurance after deductible
Copay	N/A	N/A
Deductible	Individual: $2,500, Family: $5,000	Individual: $2,500, Family: $5,000

Humana — *HumanaOne PPO Short Term 100/75 (Single Pay)

A comparison of the *HumanaOne PPO Short Term 100/75 (Single Pay) offered by Humana is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	100% after deductible	100% after deductible
Office Visit	Primary Doctor (Excludes coverage for visits related to behavioral health medication checks): 100% Coinsurance after deductible Specialist (Excludes coverage for visits related to behavioral health medication checks): 100% Coinsurance after deductible	Primary Doctor (Excludes coverage for visits related to behavioral health medication checks): 100% Coinsurance after deductible Specialist (Excludes coverage for visits related to behavioral health medication checks): 100% Coinsurance after deductible
Copay	N/A	N/A
Deductible	Individual: $1,000, Family: $2,000	Individual: $1,000, Family: $2,000

Humana — *HumanaOne PPO Short Term 100/75 (Single Pay)

A comparison of the *HumanaOne PPO Short Term 100/75 (Single Pay) offered by Humana is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	100% after deductible	100% after deductible
Office Visit	Primary Doctor (Excludes coverage for visits related to behavioral health medication checks): 100% Coinsurance after deductible Specialist (Excludes coverage for visits related to behavioral health medication checks): 100% Coinsurance after deductible	Primary Doctor (Excludes coverage for visits related to behavioral health medication checks): 100% Coinsurance after deductible Specialist (Excludes coverage for visits related to behavioral health medication checks): 100% Coinsurance after deductible
Copay	N/A	N/A
Deductible	Individual: $1,000, Family: $2,000	Individual: $1,000, Family: $2,000

Humana — *HumanaOne PPO Short Term 100/75 (Single Pay)

A comparison of the *HumanaOne PPO Short Term 100/75 (Single Pay) offered by Humana is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	100% after deductible	100% after deductible
Office Visit	Primary Doctor (Excludes coverage for visits related to behavioral health medication checks): 100% Coinsurance after deductible Specialist (Excludes coverage for visits related to behavioral health medication checks): 100% Coinsurance after deductible	Primary Doctor (Excludes coverage for visits related to behavioral health medication checks): 100% Coinsurance after deductible Specialist (Excludes coverage for visits related to behavioral health medication checks): 100% Coinsurance after deductible
Copay	N/A	N/A
Deductible	Individual: $1,000, Family: $2,000	Individual: $1,000, Family: $2,000

Humana — HumanaOne PPO Short Term 80/60 (up to 6 Months)

A comparison of the HumanaOne PPO Short Term 80/60 (up to 6 Months) offered by Humana is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	80% after deductible	80% after deductible
Office Visit	Primary Doctor (Excludes coverage for visits related to behavioral health medication checks): 80% Coinsurance after deductible Specialist (Excludes coverage for visits related to behavioral health medication checks): 80% Coinsurance after deductible	Primary Doctor (Excludes coverage for visits related to behavioral health medication checks): 80% Coinsurance after deductible Specialist (Excludes coverage for visits related to behavioral health medication checks): 80% Coinsurance after deductible
Copay	N/A	N/A
Deductible	Individual: $500, Family: $1,000	Individual: $500, Family: $1,000

Humana — HumanaOne PPO Short Term 80/60 (up to 6 Months)

A comparison of the HumanaOne PPO Short Term 80/60 (up to 6 Months) offered by Humana is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	80% after deductible	80% after deductible
Office Visit	Primary Doctor (Excludes coverage for visits related to behavioral health medication checks): 80% Coinsurance after deductible Specialist (Excludes coverage for visits related to behavioral health medication checks): 80% Coinsurance after deductible	Primary Doctor (Excludes coverage for visits related to behavioral health medication checks): 80% Coinsurance after deductible Specialist (Excludes coverage for visits related to behavioral health medication checks): 80% Coinsurance after deductible
Copay	N/A	N/A
Deductible	Individual: $1,000, Family: $2,000	Individual: $1,000, Family: $2,000

Humana — HumanaOne PPO Short Term 80/60 (up to 6 Months)

A comparison of the HumanaOne PPO Short Term 80/60 (up to 6 Months) offered by Humana is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	80% after deductible	80% after deductible
Office Visit	Primary Doctor (Excludes coverage for visits related to behavioral health medication checks): 80% Coinsurance after deductible Specialist (Excludes coverage for visits related to behavioral health medication checks): 80% Coinsurance after deductible	Primary Doctor (Excludes coverage for visits related to behavioral health medication checks): 80% Coinsurance after deductible Specialist (Excludes coverage for visits related to behavioral health medication checks): 80% Coinsurance after deductible
Copay	N/A	N/A
Deductible	Individual: $2,500, Family: $5,000	Individual: $2,500, Family: $5,000

Humana — HumanaOne PPO Short Term 80/60 (up to 6 Months)

A comparison of the HumanaOne PPO Short Term 80/60 (up to 6 Months) offered by Humana is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	80% after deductible	80% after deductible
Office Visit	Primary Doctor (Excludes coverage for visits related to behavioral health medication checks): 80% Coinsurance after deductible Specialist (Excludes coverage for visits related to behavioral health medication checks): 80% Coinsurance after deductible	Primary Doctor (Excludes coverage for visits related to behavioral health medication checks): 80% Coinsurance after deductible Specialist (Excludes coverage for visits related to behavioral health medication checks): 80% Coinsurance after deductible
Copay	N/A	N/A
Deductible	Individual: $5,000, Family: $10,000	Individual: $5,000, Family: $10,000

Humana — HumanaOne PPO Short Term 100/75 (up to 6 Months)

A comparison of the HumanaOne PPO Short Term 100/75 (up to 6 Months) offered by Humana is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	100% after deductible	100% after deductible
Office Visit	Primary Doctor (Excludes coverage for visits related to behavioral health medication checks): 100% Coinsurance after deductible Specialist (Excludes coverage for visits related to behavioral health medication checks): 100% Coinsurance after deductible	Primary Doctor (Excludes coverage for visits related to behavioral health medication checks): 100% Coinsurance after deductible Specialist (Excludes coverage for visits related to behavioral health medication checks): 100% Coinsurance after deductible
Copay	N/A	N/A
Deductible	Individual: $1,000, Family: $2,000	Individual: $1,000, Family: $2,000

Humana — HumanaOne PPO Short Term 100/75 (up to 6 Months)

A comparison of the HumanaOne PPO Short Term 100/75 (up to 6 Months) offered by Humana is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	100% after deductible	100% after deductible
Office Visit	Primary Doctor (Excludes coverage for visits related to behavioral health medication checks): 100% Coinsurance after deductible Specialist (Excludes coverage for visits related to behavioral health medication checks): 100% Coinsurance after deductible	Primary Doctor (Excludes coverage for visits related to behavioral health medication checks): 100% Coinsurance after deductible Specialist (Excludes coverage for visits related to behavioral health medication checks): 100% Coinsurance after deductible
Copay	N/A	N/A
Deductible	Individual: $2,500, Family: $5,000	Individual: $2,500, Family: $5,000

Humana — HumanaOne PPO Short Term 100/75 (up to 6 Months)

A comparison of the HumanaOne PPO Short Term 100/75 (up to 6 Months) offered by Humana is detailed out below for both Network and Non-Network coverage.

	Network	Non-Network

Network	See Provider	See Provider
Coinsurance	100% after deductible	100% after deductible
Office Visit	Primary Doctor (Excludes coverage for visits related to behavioral health medication checks): 100% Coinsurance after deductible Specialist (Excludes coverage for visits related to behavioral health medication checks): 100% Coinsurance after deductible	Primary Doctor (Excludes coverage for visits related to behavioral health medication checks): 100% Coinsurance after deductible Specialist (Excludes coverage for visits related to behavioral health medication checks): 100% Coinsurance after deductible
Copay	N/A	N/A
Deductible	Individual: $5,000, Family: $10,000	Individual: $5,000, Family: $10,000

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