1. No category

2016 Humana
Copagos Aplicables Para Especialistas Y Terapias
Copago/ Coaseguro
en sesiones de
terapias 2016
Plan/Group Name
PlanCode
GrpNum
CESAR CASTILLO INC.
H4007801
292464
$0.00
$0.00
CHICAGO TEACHERS' PNS FUND
H4007801
293140
$25.00
$25.00
292128
$5.00
$5.00
292151
$7.00
$7.00
292166
$0.00
$0.00
250242
$5.00
$5.00
292152
$5.00
$5.00
292171
$7.00
$7.00
292187
$0.00
$0.00
H4007808
250552
$5.00
$5.00
H4007012
245326
$9.00
$9.00
H4007013
243148
$50.00
$40.00
H4007017
294194
$15.00
$40.00
001
$0.00
$0.00
002
$1.00
$1.00
H4007801
Benefits
Copago/Coaseguro
en visitas a
especialistas 2016
ELA-CENTRAL RETIREMENT
H4007808
H4007801
ELA-TEACHER RETIREMENT
Humana Gold Plus HMO
Humana Gold Plus HMOSNP
H4007016
258017
Humana PR Enhanced PDP
S2874001
239641
100%
100%
Humana PR Preferred PDP
S2874004
239641
100%
100%
HumanaChoice Value PPO
H2029001
243090
$25.00
$25.00
UNILEVER DE PUERTO RICO
H2029801
252793
$5.00
$5.00