Retiree - UK-EPO
At a glance: provides care through a broader network, including UK HealthCare facilities and physicians and Humana/ChoiceCare networks. No out-of-network coverage. The Humana/ChoiceCare networks may be accessed on Humana's website at: www.humana.com.
UK-EPO Summary of Health Plan Benefits
The UK-EPO Option is very similar to an HMO in the way benefits are applied. If you choose the UK-EPO, you must receive treatment from an in-network provider. Only emergency services, or urgent services received while out of the service area, are covered when provided by out-of-network providers or facilities. When you use in-network providers, you will have a $20 copayment for primary care visits and a $30 copayment for specialist visits.
UK-EPO Factors to Consider:
- Large selection of network providers, including UK HealthCare facilities, (such as Chandler Hospital, Good Samaritan Hospital, Kentucky Clinics), UK HealthCare physicians and the Humana/ChoiceCare networks.
- No referrals required for specialty care services.
- No coverage for out-of-network services, unless it is a life- or limb-threatening emergency.
- No deductibles to meet.
Prior authorization is required for the following services: inpatient hospital services; inpatient mental health, alcohol and/or chemical dependency services; outpatient mental health, alcohol and/or chemical dependency services; and skilled nursing facility services. Failure to obtain prior authorization will result in a 50%
* - You may search for UK HealthCare Providers online at www.humana.com.