Humana Insurance Company, Humana Insurance of Puerto Rico, Inc., and Humana Insurance Company of New York at North Carolina State Health Plan

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This document outlines the 2026 Medicare health benefits and services for members of the NC State Health Plan Humana Group Medicare Advantage PPO Base Plan. It details coverage, costs (including copayments and coinsurance), rights, and responsibilities for the plan year from January 1, 2026, to December 31, 2026. Key aspects covered include medical benefits, filing complaints, appeals processes, network and out-of-network provider usage, and special provisions for emergencies and other situations. The plan's maximum out-of-pocket amount for covered Medicare Part A and B services is $4,000.00.

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This Evidence of Coverage document details the Medicare Prescription Drug Coverage for the NC State Health Plan Humana Group Medicare Enhanced PDP Plan for the 2026 plan year. It specifies benefits, rights, eligibility requirements, drug coverage rules, cost-sharing amounts, and procedures for complaints and appeals. The plan is active from January 1, 2026, to December 31, 2026, and is offered by Humana.

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This document details the Medicare health benefits and services for members of the NC State Health Plan Humana Group Medicare Advantage PPO Enhanced Plan for the calendar year 2026, effective from January 1, 2026, to December 31, 2026. It outlines plan premiums, member cost-sharing for various medical services, maximum out-of-pocket limits ($3,300.00), and rules for network and out-of-network providers. It also covers member rights, responsibilities, and procedures for complaints and appeals related to coverage decisions and quality of care. The plan is offered by Humana and facilitates Medicare Part A and B services.

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TRICARE MANAGED CARE SUPPORT SERVICES CONTRACT, 5TH GENERATION EAST REGION