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CoverageFirst

CoverageFirstSM

CoverageFirst is a health plan that combines coverage for basic healthcare with protection for a major unexpected illness or injury.

CoverageFirst is ideal for health plan members who have claims at or below $500 a year.

How CoverageFirst Works

CoverageFirst works differently from other plans. It pays your expenses up front while encouraging you to make good financial decisions about your healthcare. Instead of meeting a deductible right away, you get a $500 allowance that pays for your basic healthcare services. For many people, that's all they need in a year. Here's how it works:

  • CoverageFirst pays your first $500 of healthcare costs – except for your copayments – before you start paying toward a deductible, as long as the costs are for covered services from in-network providers.

  • Once the allowance is spent, you have a deductible to meet.

  • After you meet the deductible, you and Humana share in the cost of most additional eligible medical expenses until you've met an annual out-of-pocket maximum amount.

  • You pay only a copayment for preventive care office visits, even after your $500 is gone; copayments don't count toward the deductible or out-of-pocket maximum, and you can't use the $500 allowance to cover copayments.

  • The plan includes a “safety net” - an out-of-pocket maximum to limit your costs in case of a serious illness or injury.

  • Premiums are generally lower than those of many other plans.

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