MEDICAL, DENTAL & PRESCRIPTION DRUG PLANS

Humana National POS – Open Access Plus                                 Group#: 553280

You can access Humana’s online services at www.humana.com

Member/Provider Service: 866-427-7478                                            

Nurse Advice Line:                          800-622-9529                            ER or Urgent Care?     

Humana Pharmacists:                     800-865-8715                            Where to get care?

Humana Claims:                         
                                                     P. O. Box 14601
                                                     Lexington, KY 40512-4601    

Humana Claims Appeal Address:

     P. O. Box 14601
     Lexington, KY 40512-4601

PY 2017 Premium Rate Sheet

Summary of Benefits and Coverages:

NPOS-OAP (Plan 1) - 2017_JAN_NPOS_80-60 SBC Final.pdf

NPOS – OAP (Plan 2) - 2017_JAN_NPOS_80 SBC_Final.pdf

High Deductible Health Plan (Plan 3) - 2017_JAN_EHDHP_SBC_Final.pdf

2017 Humana Rx 4 Prescription Drug List:

Humana 2017 Rx 4 List.pdf

Humana 2017 Rx3 & Rx4 Formulary Alternatives List.pdf

Humana Dental Traditional Preferred (DPPO)

Member Service:                              800-233-4013

Dental Provider Service:                800-833-2223

Humana Dental Claims Office:    

P. O. Box 14611
Lexington, KY 40512-4611

Humana Dental Claims Appeal Address:

 Humana Dental Claims Office
 P.O. Box 14638
 Lexington, KY 40512-4638

Dental Summary Plan Description - 2017_Jan_Dental SPD.pdf

Humana Dental Health Maintenance Organization (DHMO)

Member Service:                              800-342-5209

Complaints:                                     

Grievance and Appeals Department
P. O. Box 14729
Lexington, KY 40512-4729

DHMO (CS 450-TX) Handbook – DHMO Member Handbook & Evidence of Coverage.pdf

NEED MORE INFORMATION?

To review the entire Summary Plan Description (SPD), log in to your MyHumana account at www.humana.com and choose View Coverage Details. You can then choose to see Medical, Dental and/or Pharmacy plan details. 

If you don’t already have a MyHumana account the following PDF contains easy step by step instructions on how to register, as well as a list of information you will have access to by registering.

Register MyHumana Flyer.pdf

SUPPLEMENTAL INSURANCE

MetLife – Hays County provides a basic life insurance policy in the amount of $25,000 to all eligible employees. Also available at no cost to the employee, with the Employer paid basic life, are three additional benefits. The 3 flyers below  provide additional information on these extras. 

VALIC – 457(b) Deferred Compensation Plan – An opportunity to take advantage of tax-deferred income for your retirement. Contact your VALIC financial advisor Don Franzen at: 512-656-1103 or email Donald.franzen@valic.com

The Yarbrough Agency offers Term Life, Whole Life and Vision insurance.  Contact Scott Yarbrough or Debbie Casey at: (512)214-8730

Member Service: 800-507-3800

To register for your on-line account go to www.superiorvision.com, once registered you will have access to ID cards and plan information.

AFLAC offers supplemental insurance for individuals and family members.  Contact local representative Stephanie Garland at: (512)470-5322 or email at Stephanie_garland@us.aflac.com for questions regarding the following policies:

  • Accident
  • Cancer
  • Short-Term Disability
  • Personal Sickness Indemnity
  • Critical Illness

AFLAC customer service call: 1-800-992-3522.  To file your claim via fax or mail, download the appropriate claim form at: www.aflac.com/business/file-a-claim/default.aspx

AFLAC Critical Illness call: 1-800-433-3036, or download the appropriate claim form at: www.caicworksite.com/customerService/claims.aspx