High Deductible Health Plan

Plan overview

This plan features budget-friendly premiums and an integrated deductible for both medical and pharmacy costs. When a High Deductible Health Plan is paired with a Health Savings Account (HSA), you can set aside tax-free money for current-year healthcare expenses and build savings for the future.

An HDHP can be a Preferred Provider Organization (PPO) plan, Health Maintenance Organization (HMO) or Point of Service (POS) plan. According to the Internal Revenue Service (IRS), an HSA-compatible plan must have:
  • An annual deductible at or above the IRS minimum
  • An annual out-of-pocket maximum at or below the IRS maximum
  • The deductible and out-of-pocket maximum amounts can change every year, and they'll vary depending on whether you have single or family coverage.

 

How it works

A High Deductible Health Plan gives you solid healthcare coverage and greater control over healthcare spending:
  • Preventive services coverage - Many preventive services are covered 100 percent before you meet the deductible.
  • Specified out-of-pocket maximum - The plan has a built-in cap on annual healthcare expenses; your deductible applies to the maximum.
  • Opportunity to open a Health Savings Account (HSA) - Save tax-free money to pay deductible or coinsurance; you, your employer, or both can contribute to an HSA.
  • Lower premiums - High Deductible Health Plans usually have lower premiums than other kinds of health plans.

The HDHP has two key components:

  • Integrated deductible - Since your health plan and pharmacy benefits share the same deductible, your prescription costs help you meet the deductible and out-of-pocket maximum faster. The HDHP has its own list of covered drugs.
  • Coinsurance - After you reach your annual deductible, the plan pays a percentage of your costs for both medical services and prescription drugs.

Deductibles, coinsurance percentages, and out-of-pocket maximums vary, so check your plan summary for details.

For an example of how an HDHP works with an HSA, see the "How it works" page for the . Health Savings Account

 

Plan tools to maximize your value

MyHumana tools

Visit your secure Website on Humana.com to:
  • View details about your High Deductible Health plan
  • Keep track of your healthcare spending and claims
  • See how close you are to meeting your deductible
  • Use Humana's MyChoice ToolsSM to estimate costs for procedures
  • Check your spending account balance

To access these tools and more, Log in to MyHumana .

If you haven't signed up for your secure Website yet, Register for MyHumana today.

MyHumana Mobile

Humana's mobile resources are designed to support the on-the-go needs of consumers and empower healthcare decisions at the point of service. Resources featured in MyHumana Mobile include: an urgent care finder, a spending account balance viewer, and ID card details. Use your existing MyHumana login to access the resources on your mobile device's browser.

Learn more about MyHumana Mobile

Printable Humana ID card

To get printable proof of your Humana coverage, simply fill out the online form in our Humana ID Card Viewer

Humana Commercial Preauthorization and Notification Lists

These dated documents provide a complete list of services that require preauthorization or prior authorization. Some employer groups for which Humana provides administrative services only (self-insured and employer-sponsored programs) may customize their plans with different requirements.

January 22, 2011, Commercial Preauthorization and Notification List (265 KB) Download PDF English

January 24, 2010, Commercial Preauthorization and Notification List (97 KB) Download PDF English

July 10, 2009, Commercial Preauthorization and Notification List (92 KB) Download PDF English

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