GMAIRC
This tab gives information on how to handle possible new members.
Prospective Mbr Grp Calls
This hyper-link is where you go to send out letters
EMME
This gives EOC information
HOWIE
What service is an Ultrasound considered?
Outpatient Basic Radiology Services
What is my benefit for wordwide coverage?
20% coinsurance. $100 Deductible per year, $25000 Maximum Benefit per year Or 60 consecutive days, whichever is reached first. Limited to emergency Medicare-covered services.
This tab gives information when a member says "I need help"
Extra Help/LIS
This hyper link shows us information about approvals
Authorization/Referral
This allows another way to search providers
Provider at a Glance (PAAG)
What is a diagnostic Colonoscopy considered?
Outpatient Surgery
How much does my pcp visit cost?
INN - $15 copay
OON - 50% Coinsurance
This tab gives information when a member says, "I want to get off this plan!"
Disenrollment/Cancellation
This hyperlink shows all services rendered by providers
Claim Summary
This allows us to look at check information for our members
Check Status Inquiry Tool
A member wants to stop smoking what service does this fall under?
Smoking Cessation
What is my maximum out of pocket for my plan?
INN - $3400
OON - $5000
This tab gives you information about termed providers and other Humana wide information.
Group Medicare FAQ
This hyperlink shows us where to find information about G&A
Grievance & Appeal Status
This allows us to look up DMR forms
Humana Image Viewer
A mbr needs a ride to and from doctor appointments, what service is this under?
Transportation (Routine)
What is my cost if I am admitted to the hospital?
INN - $0 copay/admit
OON - 30% Coinsurance/admit
This tab provides information about "Late Enrollment Penalty"
LEP
This hyperlink shows coverage for member medical benefits
Debut - Benefits
This allows us to find denial or approval letters
CGX 2.0
Bloodwork/Urinalysis falls under this service
Outpatient Lab Services
How much will my MRI cost me?
INN- $0 copay
OON - 30% Coinsurance