updates

summary-of-benefits-paragraphs.txt

@@ -211,75 +211,20 @@ For Rehabilitation services such as Pulmonary rehabilitation there is a  $10 cop
 For Telehealth services (in addition to Original Medicare) for the  Primary care provider (PCP) there is a $0 copay .
 For Telehealth services (in addition to Original Medicare) for Specialist there is a  $15 copay .
 For Telehealth services (in addition to Original Medicare) for  Urgent care services there is a  $0 copay .
-• Substance abuse and behavioral health services: $0 copay 
-
-
-More benefits with your plan 
-Enjoy some of these extra benefits included in your plan . This is a summary of what we cover. It doesn't list every service that we cover or list 
-every limitation or exclusion. The Evidence of Coverage (EOC) provides a complete list of 
-coverage and services. Visit Humana.com/medicare to view a copy of the EOC or call 
-1-800-833-2364 .
-
-Humana Flex Allowance 
-$1000 annual allowance on a prepaid 
-card to use toward out of pocket costs 
-for the plan's preventive and 
-comprehensive dental, vision, or hearing 
-services including copays. 
-Members can use this benefit at 
-participating providers where the 
-primary business is Dental Care, Vision 
-Services, or Hearing Services and Visa® 
-is accepted. 
-Cannot be used for procedures such as 
-cosmetic dentistry and teeth whitening. 
-Unused amount expires at the end of 
-the plan year. 
-
-Allowance amounts cannot be 
-combined with other benefit allowances. 
-Limitations and restrictions may apply. 
-
-Over-the-Counter (OTC) Allowance 
-$50 maximum benefit coverage 
-amount per month for over-the-counter 
-(OTC) prepaid card to purchase eligible 
-OTC health and wellness products at 
-participating retailers. 
-Unused funds carry over to the next 
-month and expire at the end of the plan 
-year. 
-Allowance amounts cannot be 
-combined with other benefit allowances. 
-Limitations and restrictions may apply. 
-
-Humana Spending Account Card 
-The allowances listed below will be 
-loaded onto this prepaid card. Each 
-allowance is separate from any other 
-allowance listed. Allowances shown are 
-accessed by using this card. Allowance 
-amounts cannot be combined with 
-other benefit allowances. Limitations 
-and restrictions may apply. 
-*Humana Flex Allowance 
-*OTC Allowance 
-Special Supplemental Benefits for 
-the Chronically Ill (SSBCI) Humana 
-Flexible Care Assistance 
-Humana Flexible Care Assistance is 
-available to members with chronic 
-health conditions, who are participating 
-in care management services, and meet 
-program criteria. Eligible members may 
-receive medical expense assistance and 
-other additional benefits, either 
-primarily health related or non-primarily 
-health related, to address the member's 
-unique individual needs. Benefits are 
-limited up to $1,000 per year and must 
-be coordinated and authorized by a care 
-manager. There is no cost to participate. 
+For Telehealth services (in addition to Original Medicare) for Substance abuse and behavioral health services there is a $0 copay .
+
+This summary of benefits is only a summary of the full set of benefits that are listed in the Evidence of Coverage (EOC), which is a document that provides a complete list of coverage and services.  Visit Humana.com/medicare to view a copy of the EOC or call 1-800-833-2364 .
+
+For the Humana Flex Allowance , there is a $1000 annual allowance on a prepaid card to use toward out of pocket costs for the plan's preventive and comprehensive dental, vision, or hearing services including copays.  Members can use this benefit at participating providers where the primary business is Dental Care, Vision Services, or Hearing Services and Visa is accepted.  This Cannot be used for procedures such as cosmetic dentistry and teeth whitening.  Unused amount expires at the end of the plan year. 
+Allowance amounts cannot be combined with other benefit allowances.  Limitations and restrictions may apply. 
+
+There is a Over-the-Counter (OTC) Allowance  of $50 maximum benefit coverage amount per month for over-the-counter (OTC) prepaid card to purchase eligible OTC health and wellness products at participating retailers.  Unused funds carry over to the next month and expire at the end of the plan year. 
+The Allowance amounts cannot be combined with other benefit allowances.  Limitations and restrictions may apply. 
+
+For the Humana Spending Account Card , the allowances listed below will be loaded onto this prepaid card. Each allowance is separate from any other allowance listed. Allowances shown are accessed by using this card. Allowance amounts cannot be combined with other benefit allowances. Limitations and restrictions may apply.  This includes the Humana Flex Allowance  and the OTC Allowance .
+
+The Special Supplemental Benefits for the Chronically Ill (SSBCI) Humana 
+Flexible Care Assistance is available to members with chronic health conditions, who are participating in care management services, and meet program criteria. Eligible members may receive medical expense assistance and other additional benefits, either primarily health related or non-primarily health related, to address the member's unique individual needs. Benefits are limited up to $1,000 per year and must be coordinated and authorized by a care manager. There is no cost to participate. 
 
 Chiropractic services 
 Routine chiropractic: