Quick Links
See how easy it is to get free quotes…
Safe, Secure & Absolutely FreeThis website's security is certifed by:
Humana – Autograph Total/HSA – ARKANSAS
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 |
| Application | Autograph Total/HSA Application | Autograph Total/HSA Application |
| Brochure | Autograph Total/HSA Brochure | Autograph Total/HSA Brochure |
| Copay | N/A | N/A |
| Office Visit | 100% after deductible | 70% after deductible |
| Deductible | $2,000 | $4,000 |
| Coinsurance | 100% | 70% |
| Coinsurance Limit | Maximum Out-of-Pocket Expense Limit: $0 Individual and $0 Family. | Maximum Out-of-Pocket Expense Limit: $6,000 Individual and $12,000 Family. |
| Out-of-Pocket Maximum | Maximum Out-of-Pocket Expense Limit: $0 Individual and $0 Family. | Maximum Out-of-Pocket Expense Limit: $6,000 Individual and $12,000 Family. |
| Lifetime Maximum | $2,000,000 per covered person | $2,000,000 per covered person |
| Prescription Drugs | Not covered | |
| Emergency Room | 100% after deductible | 70% after deductible |
| Adult Preventative Care | Autograph Total/HSA | Autograph Total/HSA |
| Child Preventative Care | Autograph Total/HSA | Autograph Total/HSA |
| Lab / X-Ray | Autograph Total/HSA | Autograph Total/HSA |
| Maternity | Pregnancy Complications and Sick Baby Services (No prior authorization required): 100% after deductible | Pregnancy Complications and Sick Baby Services (No prior authorization required): 70% after deductible |
| Physical Therapy | N/A | N/A |
| Skilled Nursing | 100% after deductible (Up to 30 days admission, prior authorization required in order to be eligible for these benefits) | 70% after deductible (Up to 30 days admission, prior authorization required in order to be eligible for these benefits) |
| Home Health Care | 100% after deductible (up to 60 days per calendar year) | 70% after deductible (up to 60 days per calendar year) |
| Mental Health | Not Covered | Not Covered |
| Hospital Care | 100% after deductible | 70% after deductible |
| Optional Benefits | Optional Benefits-
|
Optional Benefits-
|