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Home My WebLink About06-30-04 Chapter 172 Employee Retiree Insurance and Benefits Board Meeting minutes ~ ~ 0 ~ >-! (j) (j) 0... (j) (j) p:> (j) (j) - ...... ...... ~ ...... ,..... ::T ,..... ::l ::l (JQ 'i::j (JQ p:> Sl 0 .B: ::l !:?. 0 ~ >-' >= (j) 8 0... 'i::j ...... (j) 0 0... r/) r/) r/) ::T ::T ::T (j) (j) (j) ::i S. ::i ,..... ,..... r/) r/) r/) p:> p:> a 8 8 '0 '0 '0 C/l C/l C/l 0 0 0 ::l ::l ::l 0 C/l -< ~ e:~~~.~ ...... ...... >-! ~ >= ...... (j) >-! ::T (j) ::i 2 >-! >= C/lC/l>=~'d e:. p:> ..0 :n (j) 0"< 8 o ,..... 8 >-!::l...... >= ::l ...... 0 p:> >= ~ p:> p:> 0 ,..... 0 (j) r/) >= -::l C/l ......::l 0 C/l p:> ...... C/lC/l::l>='g(JQ8 'i::j ;j ~ p:> (j) 'i::j >-! . CD 8 -......(j)'i::j p.. _~a~.'d 0...'0 ~ 0 ,....._ ~g-(j)~[ ...... C/l ::l ~ ::To (j) ...... (j) ~ ::l ...... ::To... (j) C/l (j) r/) ~)r t'Jj .j t) o ;>> ,.., tr:I~ o ~ ?;J~~n~o (j) 0 ,..... 0 >= >-! os;&g8(j) ~..... P:> 0 P:> 8 ~ 0... (j) ,.....::l '" (j) - ~ P:> 8 o...o...t) ......8 o 0 (j) a:: ::l '< 0... 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SE- e 0 0 ~ a:: rJJ :;< ~ e r/) rJJ ::T (j) rJJ S. ~ 0 r/) z a '0 ~ C/l 0 P rJJ 0 ~ < ~ e "'0 ~ Z e ~ z C'1 / /-70 (fir ,)1 HumarcYS Current Plan Current Plan Current Plan HUMANA LIFETIME MAXIMUMS Per Individual 1,000,000 Will Match TMJ 80% 5,000 Diaqnostic or Surqical onlv Infertility 80% 5.000 NONE Obesity 5,000 NONE Chemical Dependency 15,000 Same as any other illness up to 3 series. Sleep Disorders 2,500 NONE CALENDAR YEAR MAXIMUMS Routine PAP 1 per year CoPay Routine Mammogram 1 per year Copay Routine PSA 1 per year CoPay Mental/Nervous Disorders-In 45 days 30 Days Mental/Nervous Disorders-Out 60 visits 30 Visits Chemical Dependency 1,000 Same as any other illness Chiropractic (Woods Chiro) 500 max 20 Chiropractic (not Woods Chiro) 750 M 20 $25/visit uo to 20 visits Home Health Care 80% 100 for 2 visits up to 100 visits per calendar year Skilled nursing facility 80% 100 day maximum 50 day max Physical Therapy 80% 2000 80% after deductible Speech Therapy 80% 2000 80% after deductible 45 days inoatient/50 visits per year Deductible Individual 300 DEPENDS ON PLAN Deductible Family 900 Out of Pocket Individual 1500 1 ! I Out of Pocket Family 3000 I ~ Specialty Physicians 80% 1 (Rad, Anesth, Path, ERPhys) \ Primary Care Physicians 25 copay i i FACILITY CHARGES T Inpatient Hospital 80% I j I i Outpatient Hospital 80% \ I Outpatient Surgical 80% \ I \ Emergency Room 80% ; \ I i ~ EMERGENCY CARE i \ l up to a max of 300 per case 100% i \ ; i \ LAB 80% \ , \ j i I IMMUNIZATIONS (Age 6) 100% i i ~ I ; Preventive Care - 300 year max 100% 1 I Physicals 25 copay 1 : Well Child 25 coova i i , i MATERNITY 80% AMBULANCE 80% ~~ ~i g: ;;0 03 ]~ H. a: "< i[ ~~ :~ g.~ 0."" a> 0 '< 3 O-C ~ II> ~~ ~l II> 5" 0.10 ~~ ~ 0 0:5- -0. II> II> ~ ;; ::TO a> 2. ~':< :~ g; ~Sl ~.g lD-c ~.:c gO" ~~ .~~ .gB ~-g ~l 2." .... -co 12.3 ~~ :A:; -II> ".. ~~ OlD 5.< ag -6 ~rn ~~ !.-g. .... 5~ 5.>1 Mer ~! &~ o.~ ... 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G) " ... .'" - o ~ . ~ ~P):2;- ~~~!..: ~:jrii ~~;~ Ut~~~ lE G) ~.." a~~~ ~~~i ~)i:'~ III ~~ ~~ C) " .... .... . "0. 5 ~: <: lit." g -o)2CDiDw a ::0 s." ~5fi~ ~ iia-- ~3~ ~ C) ~.." "'C :OlD i" o 5~; ~::e:~ !~a-~"'D' ~3-.. C) :> .... .... "0. ." - is ~- ~CfI.,,; a ~i! ~5:~ S~B': ~3~ :iE . C) CoverageFirst 1000 Plan pays for services from Plan pays for services from Plan 35, Option 84 PARTICIPATING providers NONPARTICIPATING providers Hospital Services · Inpatient care (semiprivate room 100% after $1 00 copayment 70% after deductible and board, nursing care, leU) (2) per day for first five days per admission, and after deductible · Outpatient surgery - facility (2) 100% after $50 copayment per 70% after deductible procedure after deductible · Outpatient nonsurgical (including 80% after deductible 60% after deductible diagnostic lab and X-ray) · Emergency room (1) 100% after $100 copayment 70% after deductible per visit after deductible (copayment is waived if admitted) Presaiption Drugs · Rx4 See attached rider, if applicable Other Medical · Skilled nursing facility (up to 80% after deductible 60% after deductible Services 60 days per calendar year) · Home health care (up to 100 visits per calendar year) (2) · Durable medical equipment (2) · Physical, speech and hearing therapy (2), (5) · Ambulance (1) · Private duty nursing (inpatient hospital only) · Hospice (2) · Transplant services (2), (3) 100% after deductible 70% after deductible Mental Health · Inpatient (up to 30 days per 100% after $100 copayment 70% after deductible Services (4) calendar year) (2) per day for first five days per admission · Inpatient professional services 80% 60% · Outpatient (up to 30 visits per calendar year) -Individual sessions 100% after a $20 copayment 70% per visit - Group sessions 100% after a $10 copayment 70% per visit Serious · Inpatient (up to 45 days per Covered the same as any Covered the same as any Mental Illness calendar year) (2) other illness other illness · Outpatient (up to 60 visits per calendar year) Chemical Dependency · Inpatient (2) Covered the same as any Covered the same as any (lifetime maximum of · Outpatient other illness other illness three separate series of treatments for each insured person) * Level One participating physicians include family practitioner, general practitioner, pediatrician or internist and Level Two contains any other participating physician. Please contact Customer Service for details. limitations and ['his is a partial and summarized list of nitations and exclusions. Your group ..lay have specific limitations and exclusions not included on this list. Please check your Certificate for this complete listing. The Certificate is the document upon which benefit payment will be determined. Unless stated othenvise. no coverage 'will be provided for the following situations. 1 . A sickness or injury 'which is covered under any Workers' Compensation or similar law. 2. Sickness or injury for which the insured person is in any ,"vay paid or entitled to payment or care :t9-d treatment by or through a government program, other than Medicaid or as otheT'\.v;se provided by Texas law. 3. Education or training; medical services provided by the insured person's parent, spouse, brother, sister or child.. 4. Investigational or e"..perimental drugs or substances not approved by Humana or by the Food and Drug Administration. 5. Treattnent, services, supplies or surgery tllat is not medically necessary. 6. Purchase or fitting of hearing aids, implantable hearing devices or advlce on their care, unless provided by rider. TX-10434-HH 1/04 Exclusions 7. Weekend nonemergency hospital admissions. 8. In-vitro fertilization. unless our In-Vitro Fertilization Rider is included in the Group Policy; any medical or surgical trearmenr of infertility; infertility evaluations; sex change seT'\.>1ces or reversal of elective sterilization. 9. Plastic, cosmetic or reconstructive surgery, unless a functional impairment is present or if required to correct a congenital defect, birth abnormality of a newborn or for breast reconstrUction or as otheT'\.vise stated in the certificate. 10. Services and supplies for dental care, treatment of teeth or periodontium or oral surgery, unless the e~l'enses a. are medically necessary diagnostic and! or surgical treattnent of the temporomandibular Gaw or craniomandibular) joint; b. are for the surgical remov:u of a tumor or lesions in the mouth; or c. are incurred in connection with an injury to sound natural teeth or jaw, except injuries resulting from biting or ch~...ing, sustained while the person is covered by the Group Policy. For an injury, the care and treatment must be provided within the 12 month period beginning on the date of the injury. Also. the insured person must remain covered :K l!}!.~~:m_ Insured by Humana Insurance Company @2004 Humana lnc. under the Group Policy dunng the 12 month period while the care and trearment is being received. We Vi.>iIl not cover any treatment related to the preparation or the fitting of dentures. including dental implantS. 11. l'l.IJ.Y sen-"ice, supply or rreamlent connected with custodial care. 12. Sickness or injury caused by the insured person's: a. engaging in an illegal occupation; or b. commission of or an attempt to commit a criminal act. 13. Any treatment to reduce obesity, including. but not limited to. surgical procedures. 14. Electi\1e abortion unless: a. the physician certifies in writing that the pregnancy would endanger the life of the mother: or b. the pregnancy is a result of rape or incest; or c. the services are received to n'eat medical complications due to the abortioll. 15. VJ.Sion analysis. testing or orthoptic training or the purchase of eyeglasses or contact lenses. 16. Care and trearment of complications of none overed procedures. unless required by state law. CoverageFirst 1500 Plan pays for services from Plan pays for services from Plan 35, Option 100 PARTICIPATING providers NONPARTICIPATING providers Hospital Services · Inpatient care (semiprivate room 100% after $100 copayment 70% after deductible and board, nursing care, leU) (2) per day for first five days per admission, and after deductible · Outpatient surgery - facility (2) 100% after $50 copayment per 70% after deductible procedure after deductible · Outpatient nonsurgical (including 80% after deductible 60% after deductible diagnostic lab and X-ray) · Emergency room (1) 100% after $100 copayment 70% after deductible per visit after deductible (copayment is waived if admitted) . Prescription Drugs · Rx4 See attached rider, if applicable Other Medical · Skilled nursing facility (up to 80% after deductible 60% after deductible Services 60 days per calendar year) · Home health care (up to 100 visits per calendar year) (2) · Durable medical equipment (2) · Physical, speech and hearing therapy (2), (5) · Ambulance (1) · Private duty nursing (Inpatient hospital only) · Hospice (2) · Transplant services (2), (3) 100% after deductible 70% after deductible Mental Health · Inpatient (up to 30 days per 100% after $100 copayment 70% after deductible Services (4) calendar year) (2) per day for first five days per admission · Inpatient professional services 80% 60% · Outpatient (up to 30 visits per calendar year) -Individual sessions 100% after a $20 copayment 70% per visit - Group sessions 100% after a $10 copayment 70% per visit Serious · Inpatient (up to 45 days per Covered the same as any Covered the same as any Mental Illness calendar year) (2) other illness other illness · Outpatient (up to 60 visits per calendar year) Chemical Dependency · Inpatient (2) Covered the same as any Covered the same as any (J;fetime maximum of · Outpatient other illness other illness three separate series of treatments for each insured person) * Level One participating physicians include family practitioner, general practitioner, pediatrician or internist and Level Two contains any other participating physician. Please contact Customer Service for details. limitations and ..""his is a partial and summarized list of -nitations and exclusions. Your group _ilay have specific llinitations and exclusions not included on this list. Please check your Certificate for this complete listing. The Certificate is the document upon which benefit payment will be determined.. Unless stated odlervv-ise, no coverage '\'I,-iJ] be provided for the folJo,,,-ing situations. I . A sickness or injury which is covered under any Workers' Compensation or similar law. 2. Sickness or injury for which the insured person is in any ,vay paid or entitled to payment or care and treatment by or through a government program, other than Medicaid or as othen.v-ise provided by Texas law. 3. Education or training; medical services provided by the insured person's parent, spouse, brotl1er, sister or child. 4. Investigational or e:l..-perimental drugs or substances not approved by H1IDlana or by the Food and Dmg Administration. 5. Treatment, services, supplies or surgery that is not medically necessary. 6. Purchase or fitting of hearing aids, implantable hearing devices or advice on their care, unless provided by rider. TX-23441-HH 1/04 Exclusions 7. Weekend nonemergency hospital admissions. 8. In-.-itro fertilization. unless our In-Vitro Fertilization Rider is included in the Group Policy; any medical or surgic3.I treaunem of infertility; infertility evaluations; sex change services or reversal of elective sterilization.. 9. Plastic. cosmetic or reconstrUctive surgery, unless a functional inlpairment is present or if required to correct a congenital defect. birth abnonnality of a newborn or for breast reconstrUction or as othen..-ise stated in the certificate. 10. Services and supplies for dental care, treatment of teeth or periodontium or oral surgery, unless the expenses a. are medically necessary diagnostic and/ or surgical treatment of the temporomandibular Gaw or craniomandibular) joint; b. are for tl1e surgical removal of a tumor or lesions in the mouth; or c. are incurred in connection v;.-itll an injury to sound natural teem or jaw, except injuries resulting from biting or che,^-wg, sustained while the person is covered by the Group Policy. For an injury, the care and treatment must be provided vi>ithin the 12 monm period beginning on the date of me injury. Also, the insured person must remain covered JZ l!.TL~~:m_ Insured by Humana Insurance Company @2004 Humana Inc. under the Group Policy during the 12 month period while the care and treatment is being received.. We will not cover any treatment related to the preparation or the fitting of dentures. including dental implants. 11. Any sen>ice, supply or treatment connected widl custodial care. 12. Sickness or injury caused by the insured person's: a. engaging in an illegal occupation; or b. commission of or an attempt to commit a criminal act. 13. Any treatment to reduce obesity, including, but not limited to, surgical procedures. 14. Elective abortion unless: a. the physician certifies in writing that me pregnancy would endanger the life of the mother: or b. the pregnancy is a result of rape or incest; or c. the senrices are received to treat medical complications due to me abortion. 15. Vision. analysis, testing or ortboptic training or the purchase of eyeglasses or contact lenses. 16. Care and treatment of complications of noncovered procedures. unless required by state law. PPO 300 Plan 44, Option 5 Plan pays for services at PARTICIPATING providers Plan pays for services at NONPARTICIPATING providers other Medical - Home health care (up to 700 90% after deductible 60% after deductible Services (cont.) visits per calendar year) (2) - Durable medical equipment (2) - Physical, speech and hearing therapy (2), (5) - Ambulance (1) - Private duty nursing (inpatient hospital only) - Hospice (2) - Transplant services (2), (3) 100% after deductible 70% after deductible Mental Health -Inpatient (up to 30 days per 100% after $150 copayment per 70% after deductible Services (4) calendar year) (2) day for first five days per admission -Inpatient professional services 90% 60% - Outpatient (up to 30 visits per calendar year) - Individual sessions 100% after a $35 copayment 70% per visit - Group sessions 100% after a $20 copayment 70% per visit Serious Mental -Inpatient (up to 45 days per Covered the same as any Covered the same as any Illness calendar year) (2) other illness other illness - Outpatient (up to 60 visits per calendar year) Chemical -Inpatient (2) Covered the same as any Covered the same as any Dependency - Outpatient other illness other illness Services (lifetime maximum of three separate series of treatments for each insured person) Annual Deductible - lndividual $300 $600 (per calendar year) $900 $ 1 ,800 (copayments do not - Family apply) Maximum - Individual $2,500 $5,000 Out-Of-Pocket Expense Limit - Family $7,500 $15,000 (per calendar year) (excludes deductibles and copayments) Lifetime Maximum $5,000,000 Benefit * Level One participating physicians include family practitioner, general practitioner, pediatrician or internist and Level Two contains any other participating physician. Please contact Customer Service for details. TEXAS PPO 500 Plan pays for services at Plan pays for services at Plan 44. Option 3 PARnCIPAnNG providers NONPARnCIPAnNG providers Preventive Care · Routine immunizations (birth to 100% 100% age 7) · Routine immunizations (age 7 to 100% after deductible 70% after deductible age 78) · Annual routine mammogram · Annual routine Pap smear · Routine adult lab and X-ray · Annual routine adult physical 100% after $25 copayment per 70% after deductible examinations (76 years and visit to a Level One participating above; excludes lab and X-ray) physician or $40 copayment per · Routine child physical visit to a Level Two participating examinations (up to age 76; physician * includes lab and X-ray) Physician Services · Office visits (includes diagnostic 100% after $25copayment per 70% after deductible lab/X-ray, allergy testing) (excludes visit to a Level One participating outpatient surgery) physician or $40 copayment per · Prenatal care (office visit visit to a Level Two participating copayment applies to first visit physician * only) · Allergy serum 80% after deductible SO% after deductible · Inpatient services · Outpatient services (includes surgery) · Physician visits to emergency room (1) · Allergy injections 100% after $5 copayment per 70% after deductible visit Hospital Services · Inpatient care (semiprivate room 100% after $250 copayment per 70% after deductible and board, nursing care, leU) (2) day for first five days per admission, and after deductible · Outpatient surgery - facility (2) 100% after $100 copayment per 70% after deductible procedure after deductible · Outpatient nonsurgical (including 80% after deductible 50% after deductible diagnostic lab and X-ray) · Emergency room (1) 100% after $150 copayment per 70% after deductible visit after deductible (copayment waived if admitted) . Prescription · Rx4 See attached rider, if applicable Drugs Other Medical · Skilled nursing facility (up to 60 80% after deductible 50% after deductible Services days per calendar year) HumanaPPO combines the cost-saving incentives of a modern health plan with freedom of choice. When you see participating providers, you receive the highest level of benefits available under your plan. At the same time. you retain the flexibility to see any physician. TX-1 041 O-HH 1/04 Payments - Plan benefits are paid based on reasonable charges, as defined in your r:ertificate. Participating providers agree to :cept reasonable charges, as listed in negotiated payment schedules, as payment in full. For services rendered by nonparticipating physicians, the member is responsible for charges exceeding a fee schedule selected by your employer and defined in your Certificate. For services from other nonparticipating providers, the member is responsible for amounts exceeding reasonable charges, as defined in your Certificate. Participating primary care and specialist physicians and other providers in Humana's networks are not the agents, employees or partners of Humana or any of its affiliates or subsidiaries. They are independent contractors. Humana is not a provider of medical services. Humana does not endorse or control the clinical judgement or treatment recommendations made by the physicians or other providers listed in network directories or otherwise selected by you. Emergency services received while out of the service area are covered at participating provider level. To be covered, expenses must be medically necessary and specified as covered. Please see your Certificate for more information on medical necessity and other specific plan benefits. (1) Emergency care provided by a nonparticipating provider will be covered at the participating provider level. (2) Prior authorization required in order to receive these benefits. (3) Transplant services do not apply toward the maximum out-of-pocket expense limit. (4) Any out-of-pocket expense for the treatment of mental health services does not apply towards any out-of-pocket expense limits except for serious mental illness. (5) Subject to certain limitations and exclusions. Refer to the Certificate for additional information. The amount of ben.ifits provided depends upon the plan selected. Pmnilllns will val)' accordillg to the selection made. For ge/leral questions about the plan, C,l/1tact )'ol/r berufirs ad millistrator. Limitations and This is a partial and summarized list of limitations and exclusions. Your group may have specific limitations and exclusions not included on this ist. Please check your Certificate for .'~is complete listing. The Certificate is Ie document upon which benefit payment will be determined. Unless stated otherwise, no coverage ".'ill be provided for the follov<.'ing situations. 1. A sickness or injury which is covered under any Workers' Compensation or similar law. 2. Sickness or mjury for which the insured person is in any "-'"3Y paid or entided to payment or care and treatment by or through a goverrunent prog=, other than Medicaid or as otherwise prO'lTided by Texas law. 3. Education or training; medical services provided by the insured person's parent, spouse, brother, sister or child. 4. Investigational or experimental drugs or substances not approved by Humana or by the Food and Drug Administration. 5. Treannent, services. supplies or surgery 'that is not medically necessary. 6. Purchase or fitting of hearing aids, inlplantable hearing devices or advice on their care. unless provided by rider. 7. Weekend non emergency hospital admissions. TX-10410-HH 1/04 Exclusions 8. In-vitro fertilization, unless our In-VitrO Fertilization Rider is included in the Group Policy; any medical or surgical trearment of infertility; infertility e..aJuations; sex change services or reversal of elective sterilization. 9. Plastic, cosmetic or reconsn-uctive surgery, unless a functional impairment is present or if required to correct a congenital defect, birth abnormality of a newborn or for breast reconstruction or as otherwise stated in the certificate. 10. Services and supplies for dental care, treatment of teeth or periodontium or oral surge"" unless the expenses a.. are medically necessary diagnostic ancjJ or surgical treatment of the temporomandibular Gaw or craniomandibular) joint; b. are for the surgical removal of a tumor or lesions in the mouth: or c. are incurred in connection with an injury to sOWld natural teeth or jaw, except illjuries resulting from biting or chewing, sustained while the person is covered by the Group Policy. For an injury. the care and treatment must be provided '.vithin the 12 month period beginning on the date of the injury. R~~- Insured by Humana Insurance Company @2004 Humana Inc. Also, the insured person must remain covered under the Group Policy during the 12 month period while the care and treatment is being received. We ",rill not cover any treatment related to the preparation or the fitting of dentures, including dental implants. 11. Any service, supply or treatment connected vlith custodial care. 12. Sickness or injury caused by the insured person's: :L. engaging in an illegal occupation: or b. commission of or an attempt to commit a criminal act. 13. Any treatment to reduce obesity, including, but not limited to, surgical procedures. 14. Elective abortion unless: a. the physician certifies in writing that the pregnancy ",""Quld endanger the life of the mother; or b. the pregnancy is a result of rape or incest; or c. the services are received to treat medical complications due to the abortion. 15. Vision analysis, testing or orthoptic training or the purchase of eyeglasses or contact lenses. 16. Care and treatment of complications of noncovered pmcedures. unless required by state law. Mail-order benefit For your convenience, you may receive a maximum 90-day supply per prescription or refill through the mail (maximum 3D-day supply for self-administered injectable drugs). The same requirements apply when purchasing medications through a participating mail-order pharmacy as apply when purchasing in person at a pharmacy. Members can call Customer Serv-ice or visit our Web site for more information, including mail-order forms. Definition of terms . Drug List: a list of prescription drugs, medicines. medications and supplies specitied by Humana. This list identifies drugs as Level One, Level Two, Level Three or Level Four and indicates applicable dispensing limits andlor any prior authorization requirements. (This list is subject to change.) . Copayrnent: the amount to be paid by the member tov.;ard the cost of each separate prescription or refill of a covered drug when dispensed by a pharmacy. . Nonparticipating pharmacy: a pharmacy which has not been designated by Humana as a participating pharmacy. . Participating pharmacy: a pharmacy which has entered into an agreement with Humana or which has been designated by H= to pro"\-ide services to all covered persons. Participating pharmacy designation by Humana may be limitea to specified sen-ices. Limitations and exclusions GN-12140-HH 5/03 Unless specifically stated othen,,-ise, no coverage is provided for the follo"\'.--ing: . Any portion of a prescription or refill that exceeds a 30-day supply for a medication - 90-day supply for a prescription or refill (30-day supply for self-administered injectables) purchased through mail order. . Prescription refills in excess of the number specified by the physician's original order or dispensed more than one year from the date of the original order . . The administration of a covered medication . Immunizing agents or biological serums or allergy eA"tracts (may be covered under the medical plan) . Infertility drugs (e.\:cept where required by law) . Drug delivery implants . Any drug, medicine or medication labeled "Caution - limited by federal law to investigational use" or any experirnental drug, medicine or medication, even though a charge is, or may be, made to the member . Any COSts related to the mailing, sending or delivery of prescription drugs . Any drug used for weight control (except where required by law) . Any drug prescribed for a noncovered sickness or injury . Abortifacients (drugs used to induce abortions) . Any drug prescribed for in1pOtence andlor sex-ual dysfunction, e.g.Via",crra . Injectable drugs. including but not limited to immunizing agents, biological sera, blood, blood plasma or self-administered injectable drugs not approved by Humana . Dietary supplements, except for amino acid modified preparations and low-protein modified food products necessary for the treatment of inherited metabolic diseases. 'Ib.is is only a partial list of limitations and exclusions. Please refer to the Certificate of CoveragelInsurance for complete details regarding prescription drug coverage. " l!2-~_ Insured by Humana Health Insurance Company of Florida, Inc., Humana Insurance Company. Hum.ma Health Plan, Inc.. 01' Humana Insurance of Pueno Rico. Ine. (g2003 Humana Ine. HwnanaPPO