Humana Welcome Letter - St. Mary's Medical Center

Dear St. Mary’s Member,
Thank you for choosing a Humana Health Plan. We have put together some information which will be
helpful as you begin accessing your new benefits in January 2011.
ID Cards:
Very soon you will receive your Humana ID cards in the mail. Your member ID card is proof that you are
a Humana member. It contains important information about your plan. Keep your card with you at all
times and show it to your provider each time you receive services. If you do not receive your card by
January 3, please call 1-800-4HUMANA, and one of our Customer Care Specialists can help you.
Plan A – Personal Care Account Members, please note that the attachment that will accompany your
insurance card incorrectly states that your insurance card is to be used as your Flexible Spending
Account (FSA) card, as well as your Personal Care Account (PCA) card and that you can use your PCA
allowance/funds towards prescriptions. Please note the PCA card can only be used for costs associated
with medical care – this does not include prescriptions. If you elected to participate in a Healthcare FSA,
you will receive a card from ADP to be used specifically for items eligible for the Healthcare FSA, such as
prescription co-pays.
Understanding Your Plan:
St. Mary’s and Humana have been working together over the past several months to offer you the plans
you need to meet the healthcare coverage needs of you and your family. Enclosed with this letter,
please find an overview of each of the plans offered to you as a St. Mary’s Employee. This should be
used as a quick reference guide to help you understand your benefits.
During your Open Enrollment period, a commitment was made by St. Mary’s and Humana to ensure you
have adequate access to physician services in the Tier 1 network. In order to offer you the best benefit
and ensure you and your family have easy access to physicians, St. Mary’s has enhanced the Tier 2
Network physician benefit so that it pays the same as the Tier 1 Network benefit. Basically, as St. Mary’s
members, both you and your covered dependents will receive the Tier 1 benefit whether you choose to
see a Tier 1 or Tier 2 physician. This Tier 1 coverage applies to office visits, inpatient service and
outpatient services. However, please note that if you choose to see a Tier 2 physician, in-office
procedures, including lab and x-rays provided in the doctor’s office, will only be covered with the Tier
2 network benefit.
Finding a Provider in your Network:

It’s easy to find a provider who is in your network and close to home. St. Mary’s has its own Humana
web page. Beginning January 2011, just go to stmarys.humana.com to find links to St. Mary’s Tier 1
network, your Tier 2 network (which is the Humana/ChoiceCare network) and lots of other helpful
information about benefits and services available to you and your family. If you are unable to access
information online, you can always call Humana’s Customer Care Specialists for assistance at 1-800-
4HUMANA beginning January 2011.