updates

summary-of-benefits-paragraphs.txt

@@ -109,62 +109,40 @@ Network dentists have agreed to provide services at contracted fees (the in-netw
 Use the HumanaDental Medicare network for the Mandatory Supplemental Dental. The provider locator can be found at 
 Humana.com > Find a Doctor > from the Search Type drop down select Dental > under Coverage Type select All Dental Networks > enter zip code > from the network drop down select HumanaDental Medicare. 
 
-Vision • Medicare-covered vision services: $15 copay 
-• Medicare-covered diabetic eye exam: $0 copay 
-• Medicare-covered glaucoma screening: $0 copay 
-• Medicare-covered eyewear (post-cataract): $0 copay 
-Routine vision: 
-In-Network: 
-VIS733 
-• $0 copay for routine exam up to 1 per year. 
-• $300 maximum benefit coverage amount per year for contact 
-lenses or eyeglasses-lenses and frames, fitting for eyeglasses-lenses 
-and frames. 
-• Eyeglass lens options may be available with the maximum benefit 
-coverage amount up to 1 pair per year. 
-• Maximum benefit coverage amount is limited to one time use per 
-year. 
-You do not need a referral to receive covered services from plan providers. Certain procedures, services and drugs 
-may need advance approval from your plan. This is called a "prior authorization" or "preauthorization." Please 
-contact your PCP or refer to the Evidence of Coverage (EOC) for services that require a prior authorization from the 
-plan . c
-10 Summary of Benefits H1036236000SB23 
-H1036236000 
-Covered Medical and Hospital Benefits (cont.) 
-The provider locator for routine vision can be found at Humana.com > 
-Find a Doctor > select Vision care icon > Vision coverage through 
-Medicare Advantage plans. 
-
-Mental health services Inpatient: 
-• $250 copay per day for days 1-6 
-• $0 copay per day for days 7-90 
-• Your plan covers up to 190 days in a lifetime for inpatient mental 
-health care in a psychiatric hospital. 
-Outpatient (group and individual therapy visits): $15 to $65 copay 
+Medicare-covered vision services have a $15 copay. 
+A Medicare-covered diabetic eye exam has a $0 copay .
+A Medicare-covered glaucoma screening has a $0 copay .
+Medicare-covered eyewear that is post-cataract has a  $0 copay .
+Routine vision that is In-Network with the code VIS733 , has a  $0 copay for routine exam up to 1 per year. 
+There is a $300 maximum benefit coverage amount per year for contact lenses or eyeglasses-lenses and frames, fitting for eyeglasses-lenses and frames. 
+ Eyeglass lens options may be available with the maximum benefit coverage amount up to 1 pair per year. 
+The maximum benefit coverage amount is limited to one time use per year. 
+The provider locator for routine vision can be found online at Humana.com > Find a Doctor > select Vision care icon > Vision coverage through Medicare Advantage plans. 
+
+For Mental health services that are Inpatient, there is a $250 copay per day for days 1 through 6. And there is a  $0 copay per day for days 7 through 90 .  Your plan covers up to 190 days in a lifetime for inpatient mental health care in a psychiatric hospital. 
+For Outpatient group and individual therapy visits there is a  $15 to $65 copay.
 Cost share may vary depending on where service is provided. 
 
-Skilled nursing facility (SNF) • $0 copay per day for days 1-20 
-• $196 copay per day for days 21-100 
-• Your plan covers up to 100 days in a SNF 
-Physical Therapy • $15 copay 
+For a Skilled nursing facility (SNF) there is a  $0 copay per day for days 1 through 20 . And there is a  $196 copay per day for days 21-100 . Your plan covers up to 100 days in a SNF or Skilled nursing facility.
+
+For Physical Therapy, there is a $15 copay .
 
-ADDITIONAL BENEFITS 
-Ambulance $270 copay per date of service 
-Transportation $0 copay for plan approved location up to 48 one-way trip(s) per year. 
+For Ambulance service, there is a $270 copay per date of service.
+
+For the Transportation benefit, there is a $0 copay for a plan approved location with up to 48 one-way trips per year. 
 This benefit is not to exceed 25 miles per trip. 
-The member must contact transportation vendor to arrange 
-transportation and should contact Customer Care to be directed to 
+The member must contact transportation vendor to arrange transportation and should contact Customer Care to be directed to 
 their plan's specific transportation provider. 
-Medicare Part B drugs • Chemotherapy drugs: 19% of the cost 
-• Other Part B drugs: 19% of the cost 
 
-Prescription Drug Benefits 
-PRESCRIPTION DRUGS 
-Important Message About What You Pay for Vaccines 
+For Medicare Part B drugs, for Chemotherapy drugs, you are responsible for 19% of the cost .
+For Other Part B drugs you are responsible for 19% of the cost .
+
+This plan has Prescription Drug Benefits .
+Here is information about what You Pay for Vaccines .
 Our plan covers most Part D vaccines at no cost to you, no matter what cost-sharing tier it’s on .
-Important Message About What You Pay for Insulin 
-You won’t pay more than $35 for a one-month (up to 30-day) supply of each Part D insulin product 
-covered by our plan, no matter what cost-sharing tier it’s on . This applies to all Part D covered insulins, 
+
+Here is information about What You Pay for Insulin .
+You won’t pay more than $35 for a one-month (up to 30-day) supply of each Part D insulin product covered by our plan, no matter what cost-sharing tier it’s on . This applies to all Part D covered insulins, 
 including the Select Insulins covered under the Insulin Savings Program as described below. If you receive 
 "Extra Help", you will still pay no more than $35 for a one-month supply for each Part D covered insulin. 
 Please see your Prescription Drug Guide to find all Part D insulins covered by your plan.