Product and Plan Review INDIANA MARKET Product and Plan Review

Central Indiana Market (See Territory Map for Counties) Metrics: Market Information Overview: HMO, CC and DE SNP plans, LPPO and RPPO plans available (Search individual county plans for details) Providers include: Riverview Hospital, St Vincent’s Hospital, Community Hospital, Hancock Regional Hospital and Westview Hospital Staffing 26 Wal-marts in this Market area I

2014 MA Plan Summaries 2014 MA Plan Summaries For Central Indiana Market Area Plan Type: HMO Premium: $0 MOOP: $5,900 PCP: $10 Specialist: $40 Hospital: $250 per day 1-7 PDP Benefit: $5/$15/$45/$95/33% Plan Type: LPPO Premium: $50 PCP: $15 Specialist: $35 PDP Benefit: $6/$15/$45/$95/33% SNP Plans Available in HMO Counties 0 premium RPPO/MA only value for Vets $66 premium RPPO also available Example **Plan availability can be determined by searching ZIP Codes fro Humana Plans! I

Southeast Market (See Territory Map for Counties) Metrics: Market Information Overview: HMO , CC and DE SNP Plans, LPPO and RPPO Plans, limited PFFS availability (Search individual county plans for details) Columbus Regional (Bartholemew Co), Clark County Memorial plus Louisville Hospital for HMO, add Floyd Memorial for the PPO Staffing 18 Wal-marts in this Market area List bullet points specific to your market such as: # of eleigibles Years that Humana has been in the market Types of plan offerings membership

2014 MA Plan Summaries for Southeast Market Area Plan Type: HMO Premium: $21 MOOP: $6,700 PCP: $10 Specialist: $40 Hospital: $250 per days 1-7 PDP Benefit: $5/$15/$45/$95/33% Plan Type: LPPO Premium: $50 MOOP: $5,900 PCP: $15 Specialist: $40 Hospital: $255 per day 1-7 PDP Benefit: $5/$10/$45/$95/33% SNP Plans available in HMO Counties 0 premium RPPO/MA only value for Vets $66 premium RPPO also available Example **Plan availability can be determined by searching ZIP Codes fro Humana Plans! I

Fort Wayne Market (See Territory Map for Counties) Metrics: Market Information Overview: HMO, LPPO, RPPO and limited PFFS availability (Search individual county plans for details) Parkview and Lutheran Hospitals Staffing 16 Wal-marts in this market area List bullet points specific to your market such as: # of eleigibles Years that Humana has been in the market Types of plan offerings membership

2014 MA Plan Summaries For Fort Wayne Market Area Plan Type: HMO Premium: $0 MOOP: $3,950 PCP: $5 Specialist: $35 Hospital: $235 per days 1-7 PDP Benefit: $5/$15/$45/$95/33% Plan Type: LPPO Premium: $46 MOOP: $5,500 PCP: $15 Specialist: $40 Hospital: $250 per days 1-7 PDP Benefit: $6/$15/$45/$95/33% No SNP Plans available in this Market Area 0 premium RPPO/MA only value for Vets $66 premium RPPO also available Example **Plan availability can be determined by searching ZIP Codes fro Humana Plans! I

South Bend Market (See Territory Map for Counties) Metrics: Market Information Overview: HMO, LPPO, RPPO and limited PFSS availability (Search individual county plans for details) St Joseph Regional, Lutheran in limited areas Staffing 23 Wal-marts in this Market area List bullet points specific to your market such as: # of eleigibles Years that Humana has been in the market Types of plan offerings membership

2014 MA Plan Summaries For South Bend Market Area Plan Type: HMO Premium: $0 MOOP: $4,900 PCP: $12 Specialist: $40 Hospital: $250 per days 1-7 PDP Benefit: $5/$15/$45/$95/33% Plan Type: LPPO Premium: $46 MOOP: $5,500 PCP: $15 Specialist: $40 Hospital:, $250 per days 1-7 PDP Benefit: $6/$15/$45/$95/33% No SNP Plans in this market 0 premium RPPO/MA only value for Vets $66 premium RPPO also available Example **Plan availability can be determined by searching ZIP Codes fro Humana Plans! I

Evansville Market (See Territory Map for Counties) Metrics: Martket Information Overview: Deaconness and St. Mary’s Hospital for PPO and Deaconness for the HMO (Search individual county plans for details) Staffing 16 Wal-marts in this Market area List bullet points specific to your market such as: # of eleigibles Years that Humana has been in the market Types of plan offerings membership

2014 MA Plan Summaries For Evansville Market Area Plan Type: HMO Premium: $0 MOOP: $4,900 PCP: $7 Specialist: $35 Hospital: $250 per days 1-7 PDP Benefit: $5/$15/$45/$95/33% Plan Type: LPPO Premium: $40 PCP: $15 Specialist: $45 Hospital:, $250 per days 1-7 PDP Benefit: $6/$15/$45/$95/33% No SNP Plans in this market 0 premium RPPO/MA only value for Vets $66 premium RPPO also available Example **Plan availability can be determined by searching ZIP Codes fro Humana Plans!