Questions & answers · Vision insurance
What events does Humana Insurance Company's filed vision insurance policy say it pays for?
AI-drafted from filed documents · reviewed: pendingwhether a specific event is coveredHumana Insurance Company
Humana Insurance Company's filed vision insurance policy in Kansas (KS) states that it pays for services and materials covered under the "Vision Benefits" provision [1]. When services or materials are provided by preferred providers, the policyholder’s cost is the amount shown in the Preferred Provider Benefit column [1]. When services or materials are provided by non-preferred providers, Humana will pay the lesser of the actual expense incurred or the reimbursement limit for each covered benefit [2]. If a benefit is subject to a frequency limitation, that limitation is calculated based on the length of time between dates of service [1]. This does not appear in these excerpts — check the full "Vision Benefits" provision in the policy.
Information only — not legal advice. The insurer decides.
These answers quote forms insurers filed with state regulators. Your own policy, its endorsements and your state’s rules control. A filed form may not be the version sold to you.
Where this comes from (2)
[1] Humana Insurance Company · KS · SERFF HUMA-133494112 · form KS-70147-01 EM HV PLUS · p. 1 · 1 · (머리 앞)
[HV PLUS Plan 100-200] [Use this Schedule for Humana Vision Plus 100,130,150,160,200. Please note that discount only services will not pull onto the schedule if applicable for plan type. Only covered services will pull onto the schedule for any given plan.] Policyholder [(Employer)]: [GROUP NAME] Group Number: [GROUP NUMBER] Type of coverage: [PLAN NAME] Effective Date: [EFFECTIVE DATE] Schedule of benefits This summary provides an overview of plan benefits. Refer to your “Vision Benefits” provision for detailed descriptions, including additional limitations or exclusions. When services or materials are provided by preferred providers, your cost will be the cost shown in the Preferred Provider Benefit columns shown in the Vision Benefits provision below. When services or materials are provided by non-preferred providers, we will pay the lesser of the actual expense incurred or the reimbursement limit for each covered benefit. If a benefit is subject to a frequency limitation, that limitation is calculated based on the length of time between dates of service. … (excerpt — the filed text continues)
[2] Humana Insurance Company · KS · SERFF HUMA-133480564 · form GN-70147-01 EM HV CR · p. 1 · 1 · (머리 앞)
[HV Plan 100-200] Policyholder {(Employer)}: {GROUP NAME} Group Number: {COMPANY NUMBER} Type of coverage: {PLAN NAME} Effective Date: {EFFECTIVE DATE} Schedule of benefits This summary provides an overview of plan benefits. Refer to your “Vision Benefits” provisions for detailed descriptions, including additional limitations or exclusions. When services or materials are provided by preferred providers, your cost will be the cost shown in the Preferred Provider Benefit column shown in the Vision Benefits provision below. When services or materials are provided by non-preferred providers, we will pay the lesser of the actual expense incurred or the reimbursement limit for each covered benefit. If a benefit is subject to a frequency limitation, that limitation is calculated based on the length of time between dates of service. … (excerpt — the filed text continues)
Drafted by a local AI model from the excerpts above, then checked by rules (citations, no rankings, no “not covered” claims from a partial excerpt). Question id Q0a2e7d5b. Spotted an error? Tell us.