0000037533 00000 n Sign up to get the latest information about your choice of CMS topics. Out-of-network coverage. CH34SEN 1021 Page 3 . 0000008158 00000 n Reimbursement Reimbursement for DME services is listed in the Kentucky Medicaid DME Fee Schedule and defined in 907 KAR 1:479. Humana Individual dental and vision plans are insured or offered by Humana Insurance Company, HumanaDental Insurance Company, Humana Insurance Company of New York, The Dental Concern, Inc., CompBenefits Insurance Company, CompBenefits Company, CompBenefits Dental, Inc., Humana Employers Health Plan of Georgia, Inc. or Humana Health Benefit Plan of Louisiana, Inc. Discount plans offered by HumanaDental Insurance Company or Humana Insurance Company. PEIA is required by law to maintain the confidentiality, privacy, and security of our members' protected health information (PHI). This webpage offers information about processes that may impact the payments you receive from Humana. State prevailing rates (or state fees), are fees for Current Procedural Terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS) codes for which the Defense Health Agency (DHA) has not established rates or fees. New Beginnings is a case management program for both pregnant women who may be at risk for pregnancy-related complications and infants that require neonatal intensive care services. Until you are reinstated, you will only be able to use direct care options, if space is available, at a military hospital or clinic. This memorandum updates reimbursement rates for medical services funded by the Military Departments (MLLDEPs) and provided at Department of Defense (DOD) deployed/nonfixed medical facilities to foreign nationals covered under Acquisition and Cross-Servicing Agreements (ACSAs). 10/27/2021 4:28:58 PM . Humana group vision plans are offered by Humana Insurance Company, HumanaDental Insurance Company, Humana Health Benefit Plan of Louisiana, Humana Insurance Company of Kentucky, Humana Insurance Company of New York, CompBenefits Insurance Company, CompBenefits Company, or The Dental Concern, Inc. New Mexico: Humana group dental and vision plans are insured by Humana Insurance Company. In the event of any disagreement between this communication and the plan document, the plan document will control. Individual applications are subject to eligibility requirements. The Consolidated Appropriations Act of 2021 (Public Law 116-260) was signed into law on December 27, 2020. LOOING FOR. 0000037657 00000 n 0000013224 00000 n or Before applying for group coverage, please refer to the pre-enrollment disclosures for a description of plan provisions which may exclude, limit, reduce, modify or terminate your coverage. Exams and X-rays at no additional cost. View plan provisions or check with your sales representative. Finally, this rule would make a few technical amendments and corrections to existing regulations related to payment for DMEPOS items and services in the End-Stage Renal Disease Prospective Payment System Proposed Rulemaking. These policies are guidelines only and do not constitute a benefit determination, medical advice, guarantee of payment, plan preauthorization, an Explanation of Benefits or a contract. Plan highlights: Co-insurance for services. (This fee is non-refundable as allowed by state). If a quantity limit is exceeded, a CMN & PA are required. Nurse Midwives fee schedules prior to Nov. 3, including archives, are available at the links below. 0000014607 00000 n This includes a separate, higher paying class for oxygen generating portable equipment, as well as separate classes for delivery of portable and stationary portable oxygen contents created in 2006. Group Dental and Vision Plans (Insurance through your employer). To update eligibility status for a family member, contact the Defense Enrollment Eligibility Reporting System (DEERS) at (800) 538-9552 and verify what documentation is required for the change. 2022 Chiropractor Fee Schedule: PDF - Excel 2021 Chiropractor Fee Schedule. 0000127168 00000 n For Texas residents: Insured or offered by Humana Insurance Company, HumanaDental Insurance Company or DentiCare, Inc (d/b/a Compbenefits). 0000054395 00000 n The CY 2021 Medicare Physician Fee Schedule Final Rule was published on the Federal Register on December 2, 2020. .gov 0000129698 00000 n You will then see Remittance Inquiry (Humana) under Additional Remittance Tools. The sequestration reduction amount for each affected claim will be identified on the explanation of remittance healthcare providers receive from Humana. . `!BS?/;uR;c rQQ}K %xcOBIoH>2'--74c`6o"rO. Not available with all Humana health plans. Proposed Humana-CAREINGTON Dental Plan Fee Schedule (FLORIDA) 1.15.08.xls Author: BruceB Not available with all Humana health plans. /. Therefore, the blended phase in rates used to pay claims for items furni shed from January 1, 2016, through June 30, 2016, are different than the blended phase in rates used to pay claims for items furnished from July 1, 2016, through December 31, 2016, since the adjusted fee portion was updated on July 1, 2016, in accordance with section 1834(a)(1)(F)(iii) of the Social Security Act. CHAMPUS Maximum Allowable Charges (CMAC) is the most frequently used TRICARE reimbursement method for procedures or services. 2022 Humana Medicare Advantage full and partial networks private-fee-for-service (PFFS) plans Full and partial networks PFFS electronic claims flyer Full and partial networks PFFS FAQs Medicare Advantage PFFS plan model terms and conditions of payment 2021 and 2020 MA Materials (Archive) HMO 2021 HMO electronic claims flyer / 2021 HMO FAQs For a one-stop resource web page focused on the informational needs and interests of Medicare Fee-for-Service (FFS) DMEPOS suppliers, go to the DME Center (see under "Related Links" below). Resource sheet for healthcare providers, opens in new window Humana Hyatt Corporation IAC IBA IBEW Southwestern Health & Benefit Fund Idaho Pipe Trades Rates for noncontiguous areas (AK, HI, PR, VI) are not reflected in the table. 07/01/2021 Rate Type FEE SCHEDULE $937.00 Provider Fee Schedules Use the below Fee Schedule Lookup tool to view provider reimbursement schedules. Contact; Site Map; Pages; Section 13544 of OBRA of 1993, which added section 1834(i) to the Social Security Act, mandates a fee schedule for surgical dressings; the surgical dressing fee schedule was implemented on January 1, 1994. Claims may be affected by other factors, such as state and federal laws and regulations, provider contract terms and our professional judgment. Humana group medical plans are offered by Humana Medical Plan, Inc., Humana Employers Health Plan of Georgia, Inc., Humana Health Plan, Inc., Humana Health Benefit Plan of Louisiana, Inc., Humana Health Plan of Ohio, Inc., Humana Health Plans of Puerto Rico, Inc. License # 00235-0008, Humana Wisconsin Health Organization Insurance Corporation, or Humana Health Plan of Texas, Inc., or insured by Humana Health Insurance Company of Florida, Inc., Humana Health Plan, Inc., Humana Health Benefit Plan of Louisiana, Inc., Humana Insurance Company, Humana Insurance Company of Kentucky, Humana Insurance of Puerto Rico, Inc. License # 00187-0009, or administered by Humana Insurance Company or Humana Health Plan, Inc. For Arizona residents, plans are offered by Humana Health Plan, Inc. or insured by Humana Insurance Company. 0000054541 00000 n Deployment Prescription Program. If the General Dentist's normal fee for any dental procedure is less than the fee listed on this schedule, the dentist will charge 20% off of their normal fee for that . In states, and for products where applicable, the premium may include a $1 administrative fee. Humana legal entities that offer, underwrite, administer or insure insurance products and services. To take advantage of this tool, you must be a registered Availity Portal user. 0000026662 00000 n Administered by Humana Insurance Company. This communication provides a general description of certain identified insurance or non-insurance benefits provided under one or more of our health benefit plans. Contact Humana between 8 a.m. and 6 p.m. Eastern time, Monday through Friday. There is no obligation to enroll in a plan. Members can visit dentists they already know and trust. In the event of any disagreement between this communication and the plan document, the plan document will control. Individual. 0000037407 00000 n Effective for claims with dates of service on or after April 1, 2021, the fee schedule amounts for HCPCS codes E0424, E0431, E0433, E0434, E0439, E0441, E0442, E0443, E0444, E0447, E1390, E1391, E1392, E1405, E1406, and K0738 are adjusted to remove a percentage reduction necessary to meet the budget neutrality requirement previously mandated by section 1834(a)(9)(D)(ii) of the Act. Who should you contact to determine which HCPCS code to use for billing? Suppliers should not use the KE modifier for accessories that were included in the 2008 CBP when these accessories are furnished to beneficiaries residing in non-rural, non-CBA areas. The lingering effects of COVID19 on in-patient volumes, scheduled surgeries, and hospital management of future outbreaks, vaccine mandates, and labor shortages. We expect high-call volumes, so if you experience long wait times, we encourage you to continue to try to call us back sometime before June 30. No supplier action is required to initiate the adjustments to correct payments for the 50/50 blended rate. It is the responsibility of the TRICARE beneficiary, parent or legal representative to report a change in status. All rights reserved | Email: [emailprotected], Behavioral health provider services humana, What stores accept united healthcare otc card, Worldwide leaders in healthcare publication, Healtheconnections northeast georgia log in. Group Dental and Vision Plans (Insurance through your employer). Humana is the brand name for plans, products and services provided by one or more of the subsidiaries and affiliate companies of Humana Inc. (Humana Entities). . See Related Links below for information about each specific fee schedule. CMAC rates are determined by procedure code, ZIP Code, the setting where the services were rendered and the provider type. (This fee is non-refundable as allowed by state). Rule 59G-4.002, Provider Reimbursement Schedules and Billing Codes. 0000007158 00000 n Humana group life plans are offered by Humana Insurance Company or Humana Insurance Company of Kentucky. 512-463-0235. All Medicare Durable Medical Equipment, Prosthetics, Orthotics, & Supplies (DMEPOS) Competitive Bidding Program contracts expired on December 31, 2018. Quarterly email newsletter featuring the latest news, resources and administrative information to support you in the care of your Humana-covered patients. Andy oversees Medusinds Virginia-based service delivery for pathology organizations. For certain accessories used with base equipment included in the CBP in 2008 (e.g. The worksheets that calculate the budget neutrality factors (ZIP) are also available. 23 Comments. For New Mexico residents: Insured by Humana Insurance Company. Phone claim payment inquiry: Call Humana's provider call center at . Humana Dental feds.humana.com 1-877-692-2468 . 2023 Medicare fee schedule and Healthcare Common Procedure Coding System (HCPCS) reference guide A final rule published in the Federal Register on November 14, 2018 (83 FR 56992) establishes new, separate payment classes for portable liquid oxygen equipment, portable gaseous oxygen equipment, and high flow portable liquid oxygen contents beginning January 1, 2019. Physicians' services include office visits, surgical procedures, anesthesia services and a range of other diagnostic and therapeutic services. If you choose not to remain enrolled in TRICARE Select, please call us as soon as possible. There is no change for TRICARE Select Group B beneficiaries, as they currently pay enrollment fees. Secure .gov websites use HTTPSA For New Mexico residents: Insured by Humana Insurance Company. 2020 Meetings. Humana group vision plans are offered by Humana Insurance Company, HumanaDental Insurance Company, Humana Health Benefit Plan of Louisiana, Humana Insurance Company of Kentucky, Humana Insurance Company of New York, CompBenefits Insurance Company, CompBenefits Company, or The Dental Concern, Inc. New Mexico: Humana group dental and vision plans are insured by Humana Insurance Company. 0000129266 00000 n Operational Documents. CMS develops fee schedules for physicians, ambulance services, clinical laboratory services, and durable medical equipment, prosthetics, orthotics, and supplies. The initial methodology for achieving the annual budget neutrality of these separate payment classes was established through notice and comment rulemaking, and the final rule was published in the Federal Register on November 9, 2006 (71 FR 65884). Contact information for Humana's response . 0000130312 00000 n Humana is publishing its medical claims payment policies online as a new avenue of transparency for health care providers and their billing offices. On November 14, 2018, CMS had published a final rule that affects the 2019 and 2020 DMEPOS and parenteral and enteral nutrition (PEN) fee schedules. Secure .gov websites use HTTPSA (In the rare case that a paper submission is appropriate, the plan will permit a provider to submit charges using the paper equivalent of 837I, which is Form CMS-1450, also known as UB-04). Assistive Care Services Fee Schedule. lock This instruction provides contractor requirements for the implementation of section 16007 for claims with dates of service from July 1, 2016 through December 31, 2016. lock C ontent/ U ploads/2021/10/FINAL -LC14832ALL1021- A - SDOH -Coding Flyer Humana.pdf. Rules related to assignment of claims for non-mail order diabetic testing supplies are not affected by this new law. This allows providers who become qualified after the October 1, 2021, implementation date a second opportunity to become eligible for MPIP. 0000043937 00000 n Providers of home health services to Humana Medicare Advantage plan members must use the ASC X12 837I ("Institutional") transaction (or, only when appropriate, the paper equivalent). 7500 Security Boulevard, Baltimore, MD 21244, An official website of the United States government, Cognitive Assessment & Care Plan Services, Office-Based Opioid Use Disorder (OUD) Treatment Billing, Medicare PFS Locality Configuration and Studies, Psychological and Neuropsychological Tests, Diagnostic Services by Physical Therapists, CY 2023 Medicare Physician Fee Schedule (PFS), Medicare Shared Savings Program fact sheet, Request for Information- Reducing Scope of Practice Burden (PDF), CY 2019 PFS Proposed Rule Documentation Requirements and Payment for Evaluation and Management Visits and Advancing Virtual Care (PDF), 1995 Documentation Guidelines For Evaluation and Management Services (PDF), Primary Care Incentive Program Payments for 2011 (PDF), 1997 Documentation Guidelines For Evaluation and Management Services (PDF), Place of Service Codes for Professional Claims (PDF), Primary Care Incentive Program Payments for 2012 (PDF), FAQ on Billing G0453 for Remote Intraoperative Neurophysiology Monitoring (PDF), FAQs for CR 7502: Medicares 3-Day Payment Window and the Impacts on Wholly Owned or Wholly Operated Physician Practices (PDF), Development of A Validation Model for RVUs (PDF), FAQ for Mammography Services - Updated 1/18/17 (PDF), Medicare FFS Physician Feedback Program/Value-Based Payment Modifier. If you have purchased an association plan, an association fee may also apply. Nurse Midwives fee schedules prior to Nov. 3, including archives, are available at the links below. Humana group medical plans are offered by Humana Medical Plan, Inc., Humana Employers Health Plan of Georgia, Inc., Humana Health Plan, Inc., Humana Health Benefit Plan of Louisiana, Inc., Humana Health Plan of Ohio, Inc., Humana Health Plans of Puerto Rico, Inc. License # 00235-0008, Humana Wisconsin Health Organization Insurance Corporation, or Humana Health Plan of Texas, Inc., or insured by Humana Health Insurance Company of Florida, Inc., Humana Health Plan, Inc., Humana Health Benefit Plan of Louisiana, Inc., Humana Insurance Company, Humana Insurance Company of Kentucky, Humana Insurance of Puerto Rico, Inc. License # 00187-0009, or administered by Humana Insurance Company or Humana Health Plan, Inc. For Arizona residents, plans are offered by Humana Health Plan, Inc. or insured by Humana Insurance Company. His team, like all of Medusind, delivers outstanding practice performance, streamlines the collection and reporting of quality data, and helps pathology organizations achieve their business goals, big or small. However, for claims that the KE modifier would have been applicable to, the supplier may perform adjustments to append the KE modifier or notify their MAC to adjust those claims after the mass adjustments for the 50/50 blended fees have been completed. Fee Schedules Ambulance Fee Schedule (Effective 1-1-23) ASC Fee Schedule (Effective 1-1 -23) Clinical Lab Fee Schedule (Effective 1-1-23) Critical Care Access Hospitals Fee Schedule (Effective 2 -1-23) (Effective 3 -1-23) Dental Fee Schedule (Effective 1-1-23) Dialysis Fee Schedule (Effective 1-1-23) DME Fee Schedule (Effective 1-1-23) Section 636 of this new law revises the Medicare non-mail order fee schedule amounts for diabetic testing supplies. Claims may be affected by other factors, such as state and federal laws and regulations, provider contract terms and our professional judgment. 0000137821 00000 n Humana group dental plans are offered by Humana Insurance Company, HumanaDental Insurance Company, Humana Insurance Company of New York, The Dental Concern, Inc., Humana Medical Plan of Utah, Humana Health Benefit Plan of Louisiana, Inc., CompBenefits Company, CompBenefits Insurance Company, CompBenefits Dental, Inc., Humana Employers Health Plan of Georgia, Inc., or DentiCare, Inc. (DBA CompBenefits). 0000012295 00000 n 72 Please note that the non-rural fees for these KE codes will be set to zero on the files since KE is not a valid option in non-rural areas. Group A includes those retirees whose initial enlistment or appointment, or that of their sponsors, occurred before January 1, 2018. Found at Availity.com. %PDF-1.6 % More Articles About Humana Plans Humana Medicare Plan Reviews /. 2014 Meetings. 0000026892 00000 n 0000129188 00000 n 0000016048 00000 n The payment schedule varies according to the service . hVIle~xI8EYR\ J%M$NI66bQEED2**r!EAD-%'z{{o @M>90 ?@ 401 0 obj <> endobj xref Oral health plays an important role when it comes to our health, but this is still an underexposed area. ( 2022 . Contact Information. The audio begins at the 16:30 mark. 2021-Dec. 31, 2022)* Premium-Based Plan. Find detailed information about Humanas claim payment inquiry resolution processes. The DME and P&O fee schedules were implemented on January 1, 1989 with the exception of the oxygen fee schedules, which were implemented on June 1, 1989. The fee schedule amounts paid during this 2016 phase in period are based on 50 percent of the fee schedule amounts adjusted in accordance with Federal regulations at 42 CFR 414.210 (g) and 50 percent of the unadjusted fee schedule amounts (i.e., 2015 fee schedule amounts updated by the 2016 covered item update). View CMAC rates Capital and direct medical education Effective Nov. 3, 2022, NC Medicaid Nurse Practitioner and CRNA Fee Schedules (including Nurse Practitioner and CRNA and ACA Nurse Practitioner and CRNA) are located in the Fee Schedule and Covered Code site. 1887 0 obj <>stream These policies are made available to provide information on certain Humana claims payment processes. Tricare fees are based on your region and could be more or less than the CMAC fee schedule. 0000126627 00000 n 401 73 0000037228 00000 n CH34SEN 1021 Page 2 New CDT codes . Our representatives are trained to answer many of your claims questions and can initiate contact with other Humana departments when further review or research is needed. This reduction applies to all Medicare Advantage plans. As of 2/1, TRICARE Group A retirees who did not set up a payment are subject to disenrollment and have until June 30th to call us at (800) 444-5445 and be reinstated. Some plans may also charge a one-time, non-refundable enrollment fee. TRICARE is a registered trademark of the Department of Defense (DoD), DHA. . These adjustments result in an increase in fee schedule amounts ranging from $6.72 to $8.19 in former competitive bidding areas, $5.17 to $5.43 in other non-rural areas, and $4.41 to $6.82 in noncontiguous and rural areas. 2018 Meetings. Contact the TRICARE Retail Refund Team and FAQs. A large network with more than 100,000 . 2015 Meetings. In those cases, the provider may resubmit charges using an appropriate institutional format. Remittance Inquiry (Humana) Fee schedule inquiry . licensinghelp@tsbde.texas.gov. Medicare is proposing to clarify the 3-year minimum lifetime requirement (MLR) for Durable Medical Equipment (DME) and the definition of routinely purchased DME. If the claim's date of , https://www.humanamilitary.com/provider/education-and-resources/claims/state-prevailing-rates, Health (4 days ago) WebRick Gawenda. Billing Schedule. Administered by Humana Insurance Company. For New Mexico residents: Insured by Humana Insurance Company. endstream endobj 1861 0 obj <. Subscribe to Humana Physician News Medicare and commercial manuals 2022 Provider manual for physicians, hospitals and healthcare providers - effective March 15, 2022 2022 Provider manual for physicians, hospitals and healthcare providers - delegation - effective March 15, 2022 0000037145 00000 n In cases where accessories included in the 2008 CBP are furnished for use with base equipment that was not included in the 2008 CBP (e.g., manual wheelchairs, canes and aspirators), suppliers should append the KE modifier to the HCPCS code for the accessory beginning June 1, 2018, for beneficiaries residing in rural or non-contiguous, non-competitive bid areas. The fee schedule amounts paid during this 2016 phase in period are based on 50 percent of the fee schedule amounts adjusted in accordance with Federal regulations at 42 CFR 414.210(g) and 50 percent of the unadjusted fee schedule amounts (i.e., 2015 fee schedule amounts updated by the 2016 covered item update). Check referral or authorization status, verify eligibility, view claims, billing summary and more with self-service! Promulgated Fee Schedule 2022. 2021 PT Meetings. 0000037283 00000 n View CMS-1526-P . Additional information about the fee schedule changes for non-mail order diabetic testing supplies will be provided in the April 2013 DMEPOS Fee Schedule Update that will be posted on the CMS transmittals website: /Regulations-and-Guidance/Guidance/Transmittals/index The April quarterly update to the fee schedule file is generally available in late February and is posted on the CMS website: /Medicare/Medicare-Fee-for-Service-Payment/DMEPOSFeeSched/DMEPOS-Fee-Schedule. Humana group dental plans are offered by Humana Insurance Company, HumanaDental Insurance Company, Humana Insurance Company of New York, The Dental Concern, Inc., Humana Medical Plan of Utah, Humana Health Benefit Plan of Louisiana, Inc., CompBenefits Company, CompBenefits Insurance Company, CompBenefits Dental, Inc., Humana Employers Health Plan of Georgia, Inc., or DentiCare, Inc. (DBA CompBenefits). The rule adjusts fee schedule amounts in rural and non-contiguous areas where competitive bidding has yet to be implemented using a 50/50 blend of competitive bidding pricing and historic (unadjusted) fee schedule amounts. 0000054154 00000 n On Availity Portal, you can access the benefit estimator through the Patient Cost Estimator button: As sequestration reductions have been imposed by the Centers for Medicare & Medicaid Services (CMS), Humana has implemented the same reductions to network and non-network provider payments. Before applying for group coverage, please refer to the pre-enrollment disclosures for a description of plan provisions which may exclude, limit, reduce, modify or terminate your coverage. Fees may change at the beginning of each fiscal year. 0000000016 00000 n power wheelchairs, walkers, and negative pressure wound therapy pumps), the unadjusted fee schedule amounts include a 9.5 percent fee reduction in accordance with Federal law if these accessories were also included in the 2008 CBP. Technical guidance documents for healthcare providers, Medicare provider materials This will result in the fee schedule amounts for non-mail order diabetic testing supplies being equal to the fee schedule amounts for mail order diabetic testing supplies (denoted by KL modifier). Upon direction of the Contracting Officer (CO), all or portions of . means youve safely connected to the .gov website. . Fee Schedule. 0000127374 00000 n OBRA of 1990 added a separate subsection, 1834(h), for P&O. Member Schedule: HMNA (2021 CDT Compliant) Effective January 1, 2021 Page 1 of 2 . Claims submissions Claims mailing addresses HumanaDental claims office P.O. Box 14283 Lexington, KY 40512-4283 Electronic payer IDs You can decide how often to receive updates. 0000011992 00000 n We will promptly process your voluntary disenrollment and will no longer reach out to set up payment. Section 16007(a) of this new law extended the 6 month phase in period for adjusting DMEPOS fee schedule amounts using information from the competitive bidding program from June 30, 2016 to December 31, 2016. 0000055126 00000 n 0000012785 00000 n 0000003112 00000 n 0000043649 00000 n Whether a procedure is covered shall be determined based on the terms and provisions of a specific member plan or policy. means youve safely connected to the .gov website. 0000055272 00000 n ABA Maximum Allowed Amounts Effective May 1, 2021 (15 min) (15 min) T1023 (per measure reported) LOC State Location Name BCBA-D/BCBA/Assistant BCBA-Ds BCBAs Assistant BTs BCBA-Ds BCBAs Assistant BCBA-D/BCBA/Assistant BCBA-D/BCBA . Humana group life plans are offered by Humana Insurance Company or Humana Insurance Company of Kentucky. These policies are not intended to address every claim situation. Due to the volume of adjustments anticipated, the contractors have been provided 6 months to complete all adjustments. The 2017 fee schedule amounts for therapeutic CGMs (PDF) are available for download. CMS issued theMedicare Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) final rule (CMS-1738-F, CMS-1687-F, and CMS-5531-F) that updates payment and benefit category policies and other provisions for DMEPOS items. or Rule 59G-4.002, Provider Reimbursement Schedules and Billing Codes. 0000015910 00000 n For additional information, please go here. The estimate is specific to the healthcare provider and treatment/service and based on a real-time snapshot of the patients benefits. Humana group medical plans are offered by Humana Medical Plan, Inc., Humana Employers Health Plan of Georgia, Inc., Humana Health Plan, Inc., Humana Health Benefit Plan of Louisiana, Inc., Humana Health Plan of Ohio, Inc., Humana Health Plans of Puerto Rico, Inc. License # 00235-0008, Humana Wisconsin Health Organization Insurance Corporation, or Humana Health Plan of Texas, Inc., or insured by Humana Health Insurance Company of Florida, Inc., Humana Health Plan, Inc., Humana Health Benefit Plan of Louisiana, Inc., Humana Insurance Company, Humana Insurance Company of Kentucky, Humana Insurance of Puerto Rico, Inc. License # 00187-0009, or administered by Humana Insurance Company or Humana Health Plan, Inc. For Arizona residents, plans are offered by Humana Health Plan, Inc. or insured by Humana Insurance Company. If you have purchased an association plan, an association fee may also apply. 1877 0 obj <>/Filter/FlateDecode/ID[<66A0DCBA65916342A77F35338044ED7F>]/Index[1860 28]/Info 1859 0 R/Length 91/Prev 342597/Root 1861 0 R/Size 1888/Type/XRef/W[1 3 1]>>stream Group Dental and Vision Plans (Insurance through your employer). Humana is the brand name for plans, products and services provided by one or more of the subsidiaries and affiliate companies of Humana Inc. (Humana Entities). 0000128557 00000 n Select the Eligibility and Benefits Inquiry link to look up your patients coverage. Commonwealth of KentuckyCabinet for Health and Family Services. Humana has full and final discretionary authority for their interpretation and application. Al Codes 99201- 99496, which are available in the Practitioner Fee Schedule. DENTAL FEE SCHEDULE Effective 01/01/2020 Print Date: 05/05/2020 Current Dental Terminology (including procedure codes, nomenclature, descriptors and other data contained therein) . hbbd```b``nd dL`X0{ fO @H~$? ? Our health benefit plans have exclusions and limitations and terms under which the coverage may be continued in force or discontinued.