Except in emergency or urgent situations, we do not cover services by out-of-network providers 
(doctors who are not listed in the provider directory).  
This plan is adual eligible special needs plan (D-SNP). Your ability to enroll will be based on 
verification that you are entitled to both Medicare and medical assistance from astate plan under 
Medicaid. This plan may enroll FBDE, QMB, QMB+, SLMB+. Summary of Benefits 
Humana Community HMO SNP-DE (HMO D-SNP) H1036-235 
Louisville