Page 7 - Florida Aquarium Benefits-at-a-Glance Guide 2022-2023
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Know Where to Go
Telemedicine Convenience Care Doctor’s office Urgent care ER
Access telehealth services Treats minor medical The best place to go For conditions that For immediate treatment
to treat minor medical concerns. Staffed by nurse for routine or aren’t life threatening. of critical injuries or illness.
conditions. Connect with a practitioners and physician preventive care, to Staffed by nurses and Open 24/7. If a situation
board-certified doctor via assistants. Located in retail keep track of doctors and usually seems life-threatening, call
video or phone when stores and pharmacies. medications, or for a have 911 or go to the nearest
where and how it works Often open nights and referral to see a extended hours. emergency room.
best for you. weekends. specialist.
› Colds and flu › Colds and flu › General health › Muscle Sprains or › Chest Pain
› Rashes › Rashes or skin conditions issues Strains › Shortness of Breath
› Sore throats › Sore throats, earaches, › Preventive care › Back Pain › Life Threatening Illness or
› Headaches sinus pain › Routine checkups › Skin Infections Injuries
› Stomachaches › Minor cuts or burns › Immunizations and › Broken Bones › Critical Conditions
› Fever › Pregnancy testing screenings
› Allergies › Vaccines
Terms to Know
Discounted Rate
When you enroll in coverage you become a Humana Member. A Humana member gets access to their
network of providers (doctors and facilities) – these are in-network providers. Humana members receive
Discounted Rates with these in-network providers.
Copays
Copays are set dollar amounts you pay for specific services. These cost are typically collected at the time of
service. For example, under the HMO Premier 2500 plan you have a $35 copay for a visit to your primary care
physician.
Deductible
Services not subject to a copay are subject to your deductible. You pay first dollar costs for claims subject to
your deductible and you receive the Discounted Rate for all covered claims with an in-network provider.
Coinsurance
Coinsurance is the percentage of covered medical expenses you pay after you've met your deductible.
Out-of-Pocket
This amount is the maximum amount you will pay towards covered services on the plan for the calendar year.
This amount includes the amounts you pay in deductible, coinsurance, copays, and prescription copays.
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