Humana Autograph HSA Plans
Colorado Health Insurance
 

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Humana HSA
Humana Autograph HSA Plans
(Click here to view all Humana Plans available in Colorado)

The Humana Autograph HSA Plans are the most popular plans that Humana offers.  These plans allow you to set up a health savings account, or HSA.  This special bank account allows you to deposit up to $2,900 per year as an individual, or up to $5,800 per year as a family, into a tax-deductible account that can be used to pay future medical expenses.  Money can be withdrawn tax-free to cover virtually any medical expense.  Any money not withdrawn can be invested how you wish, and grows tax-free like an IRA.  Funding an HSA is a great way to build an additional retirement account.  For more information see our Health Savings Accounts page.

Please view the Autograph HSA Plan Brochures to see detailed information including Plan Provisions, Limits & Exclusions, and State Variations:

Total Plus Rx/HSA Humana HSA Adobe Acrobat Information  -  Total HSA Humana HSA Adobe Acrobat Information  -  Share 80/HSA Humana HSA Adobe Acrobat Information

Humana HSA Plans Apply Online
Plans at a Glance:
Supplemental Accident Coverage
The perfect complement to any HSA
Total Plus Rx/HSA
Plan pays for services at
PARTICIPATING providers
Plan pays for services at
NON-PARTICIPATING providers
Annual Deductible
· Annual amount (does not apply to maximum out-of-pocket expense)
Please run an Instant Quote to find deductibles in your area
Please run an Instant Quote to find deductibles in your area
Maximum Out-of-Pocket Expense
(after deductible)
· Individual (must be satisfied by each covered person)
Individual
$0
Family
 $0
Individual
$6,000
Family
$12,000

Preventive Care
· Well-child care (including immunizations) (birth to age 13)
· Routine annual PSA and digital rectal exam
· Routine annual Mammograms

· Routine Annual physical exam (age 13 and older)
· Routine immunizations
(age 13 to 18)
· Routine pap smear

· Routine lab, pathology and X-ray
100% covered





100% covered




100% covered after deductible
You pay 30% coinsurance

 

 

Not Covered




Not Covered

Physician Services
· Office visits (includes diagnostic lab and X-ray)
· Allergy testing and serum
· Inpatient services
· Outpatient services (includes surgery)
100% covered after deductible
You pay 30% coinsurance
after deductible

Hospital
Services
· Inpatient care
· Outpatient surgery - facility
· Outpatient nonsurgical
· Newborn hospital stay
· Emergency room (includes physician visits)
100% covered after deductible
You pay 30% coinsurance
after deductible

Prescription Drugs
· Benefit for each prescription or refill (up to 30-day supply)
· Mail order (90-day supply)
100% covered after deductible
You pay 30% coinsurance
after deductible

Other Medical Services
· Skilled nursing facility (up to 30 days per calendar year)
· Home health care (up to 60 days per calendar year)
· Durable medical equipment
· Hospice
· Complications of pregnancy and sick baby services
· Transplant services (organ) **

100% covered after deductible

 

** when services are performed at a National Transplant Network provider

You pay 30% coinsurance
after deductible

 

** limited to $35,000 per covered transplant
Mental Health (mental disorders, alcohol and chemical dependence)
Inpatient and Outpatient care (Combined $2,500 per calendar year maximum.  Outpatient care not to exceed $500 of the $2,500 calendar year maximum.)
You pay 50% coinsurance
after deductible
You pay 50% coinsurance
after deductible

Optional
Benefits
· Lifetime Maximum Benefit


· $500 Supplemental Accident Benefit


· $1000 Supplemental Accident Benefit
$8 million per covered person


First $500 per accident covered at 100%, then base plan benefits apply

First $1000 per accident covered at 100%, then base plan benefits apply
$8 million per covered person


First $500 per accident covered at 100%, then base plan benefits apply

First $1000 per accident covered at 100%, then base plan benefits apply
Lifetime Maximum
$5,000,000

Humana HSA plans

Total HSA
Plan pays for services at
PARTICIPATING providers
Plan pays for services at
NON-PARTICIPATING providers
Annual Deductible
· Annual amount (does not apply to maximum out-of-pocket expense)
Please run an Instant Quote to find deductibles in your area
Please run an Instant Quote to find deductibles in your area
Maximum Out-of-Pocket Expense
(after deductible)
· Individual (must be satisfied by each covered person)
Individual
$0
Family
 $0
Individual
$6,000
Family
$12,000

Preventive Care
· Well-child care (including immunizations) (birth to age 13)
· Routine annual PSA and digital rectal exam
· Routine annual Mammograms

· Routine Annual physical exam (age 13 and older)
· Routine immunizations
(age 13 to 18)
· Routine pap smear

· Routine lab, pathology and X-ray
100% covered





100% covered




100% covered after deductible
You pay 30% coinsurance

 

 

Not Covered




Not Covered

Physician Services
· Office visits (includes diagnostic lab and X-ray)
· Allergy testing and serum
· Inpatient services
· Outpatient services (includes surgery)
100% covered after deductible
You pay 30% coinsurance
after deductible

Hospital
Services
· Inpatient care
· Outpatient surgery - facility
· Outpatient nonsurgical
· Newborn hospital stay
· Emergency room (includes physician visits)
100% covered after deductible
You pay 30% coinsurance
after deductible
Prescription Drugs  
Discount card included
(This added value feature is not insurance.)
Not Covered

Other Medical Services
· Skilled nursing facility (up to 30 days per calendar year)
· Home health care (up to 60 days per calendar year)
· Durable medical equipment
· Hospice
· Complications of pregnancy and sick baby services
· Transplant services (organ) **

100% covered after deductible

 

** when services are performed at a National Transplant Network provider

You pay 30% coinsurance
after deductible

 

** limited to $35,000 per covered transplant
Mental Health  
Not Covered
Not Covered

Optional
Benefits
· Lifetime Maximum Benefit


· $500 Supplemental Accident Benefit


· $1000 Supplemental Accident Benefit
$5 million per covered person


First $500 per accident covered at 100%, then base plan benefits apply

First $1000 per accident covered at 100%, then base plan benefits apply
$5 million per covered person


First $500 per accident covered at 100%, then base plan benefits apply

First $1000 per accident covered at 100%, then base plan benefits apply
Lifetime Maximum
$2,000,000

Humana HSA plans

Share 80/HSA
Plan pays for services at
PARTICIPATING providers
Plan pays for services at
NON-PARTICIPATING providers
Annual Deductible
· Annual amount (does not apply to maximum out-of-pocket expense)
Please run an Instant Quote to find deductibles in your area
Please run an Instant Quote to find deductibles in your area
Maximum Out-of-Pocket Expense
(after deductible)
· Individual (must be satisfied by each covered person)
Individual
$0
Family
 $0
Individual
$6,000
Family
$12,000

Preventive Care
· Well-child care (including immunizations) (birth to age 13)
· Routine annual PSA and digital rectal exam
· Routine annual Mammograms

· Routine Annual physical exam (age 13 and older)
· Routine immunizations
(age 13 to 18)
· Routine pap smear

· Routine lab, pathology and X-ray
80% covered





80% covered




80% covered after deductible
You pay 30% coinsurance

 

 

Not Covered




Not Covered

Physician Services
· Office visits (includes diagnostic lab and X-ray)
· Allergy testing and serum
· Inpatient services
· Outpatient services (includes surgery)
80% covered after deductible
You pay 30% coinsurance
after deductible

Hospital
Services
· Inpatient care
· Outpatient surgery - facility
· Outpatient nonsurgical
· Newborn hospital stay
· Emergency room (includes physician visits)
80% covered after deductible
You pay 30% coinsurance
after deductible
Prescription Drugs  
Discount card included
(This added value feature is not insurance.)
Not Covered

Other Medical Services
· Skilled nursing facility (up to 30 days per calendar year)
· Home health care (up to 60 days per calendar year)
· Durable medical equipment
· Hospice
· Complications of pregnancy and sick baby services
· Transplant services (organ) **

80% covered after deductible

 

** when services are performed at a National Transplant Network provider

You pay 30% coinsurance
after deductible

 

** limited to $35,000 per covered transplant
Mental Health  
Not Covered
Not Covered

Optional
Benefits
· Lifetime Maximum Benefit


· $500 Supplemental Accident Benefit


· $1000 Supplemental Accident Benefit
$5 million per covered person


First $500 per accident covered at 100%, then base plan benefits apply

First $1000 per accident covered at 100%, then base plan benefits apply
$5 million per covered person


First $500 per accident covered at 100%, then base plan benefits apply

First $1000 per accident covered at 100%, then base plan benefits apply
Lifetime Maximum
$2,000,000

Note:  These charts contain a general summary of benefits, exclusions, and limitations.  Please refer to the Autograph HSA Plan brochures for the actual terms and conditions that apply:

Total Plus Rx/HSA Humana HSA Adobe Acrobat Information  -  Total HSA Humana HSA Adobe Acrobat Information  -  Share 80/HSA Humana HSA Adobe Acrobat Information

Humana HSA plans

Coverage Synopsis:

Total Plus Rx/HSA Plan

The Total Plus Rx/HSA Plan pays 100% of your medical expenses and your prescription drugs after your annual deductible has been met.  The plan also pays for expenses up to 70% of the total cost at Non-participating providers after the non-participating provider deductible has been met. 

Lifetime maximum is $5 million, and can be increased to $8 million with the optional lifetime maximum benefit.

Preventive care is 100% covered with Participating providers before your deductible.  Some preventive care is not covered with Non-Participating providers (such as: Routine annual physical exam (age 13 and older), routine immunizations (age 13 and older), routine pap smear, and routine lab, pathology and X-ray).

Choose the Best Deductible for You with the Total Plus RX/HSA Plan

Single Deductible

Participating/
Non-Participating

Family Deductible

Participating/