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Copay health plan

Traditional health plan with copays for routine services and a deductible for other covered services.

Interested in pricing for Copay plans?

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A health plan offering the security of copays with the premium savings of deductibles

Benefits How it works

Copay plans include:

  • Copays – for basic services like preventive exams, telemedicine and pharmacy
  • Virtual visits with board-certified doctors – 24/7, with Doctor On Demand
  • Go365® rewards for healthy behaviors – like Target and Amazon gift cards
  • Preventive care – such as annual exams, routine laboratory screenings and immunizations, covered at 100% with in-network doctors

Copay plans are great for those who visit the doctor more frequently, like families with children. Members pay a set dollar amount, or copay, for routine services like office visits and prescriptions. For other covered services, members pay their deductible and then the plan pays a percentage of the cost.*

Deductible, coinsurance and copays, including prescription drugs, count toward the maximum out-of-pocket.

Here are examples of routine services:

  • Preventive care visits – $0
  • Primary care visits – $20–$45
  • Specialist visits – $40–$90
  • Telemedicine – $20
  • Retail clinic – $40
  • Urgent care – $100
  • Pharmacy – copay varies by plan

All other services, including labs (when not part of preventive care) and emergency room, you pay coinsurance after deductible. For example:

  • Individual deductible (medical + pharmacy) – $1,000–$5,000*
  • In-network coinsurance – 50–100%
  • Individual maximum out-of-pocket – $3,500–$7,350*

All Humana medical plans can be paired with a Humana Access Spending Account which is a convenient way to help members cover their out-of-pock expenses while getting a tax-break.

*Family deductibles and out-of-pocket maximum are simply twice the individual amounts.

All costs are for in-network providers. Plan options costs vary depending on plan chosen.

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