A PPO or POS plan with a built-in benefit allowance.

CoverageFirstSM

CoverageFirstSM plans are a great option for your clients who want to "dip their toe" into consumerism.

CoverageFirst is a unique Preferred Provider Organization (PPO), Point of Service (POS), or Health Maintenance Organization (HMO) plan that includes a "benefit allowance" for each covered member - money that can be used before the member has to meet the deductible. At the other end of the spectrum, CoverageFirst has an out-of-pocket maximum to limit a member's costs in case of a serious illness or injury.

Why Offer CoverageFirst?

Many CoverageFirst features are designed to promote smart healthcare decisions:

  • The allowance can only be used with in-network providers, which drives members to providers who offer discounts
  • The deductible gives employees a financial incentive to manage their spending as they near the end of their $500 allowance
  • Copayments ensure that members share in the cost of services during every phase; with CoverageFirst, employees are always responsible for copayments

CoverageFirst Network Options

Humana's network offerings for CoverageFirst vary by area. Your options may include:

  • Humana/ChoiceCare®Network is our nationwide PPO network; for more details, visit ChoiceCare Network
  • National POS - Open Access offers improved discounts and a network of providers that overlaps 95 percent with the national Humana/ChoiceCare Network
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