Commit
·
09a9c73
0
Parent(s):
Duplicate from gfhayworth/hack_qa
Browse filesCo-authored-by: Greg Hayworth <gfhayworth@users.noreply.huggingface.co>
- .gitattributes +37 -0
- H1036-265.pdf +3 -0
- H1036236000SB23.pdf +3 -0
- H5619075000SB23.pdf +3 -0
- README.md +13 -0
- Summary of Benefits.txt +409 -0
- app.py +162 -0
- requirements.txt +4 -0
.gitattributes
ADDED
@@ -0,0 +1,37 @@
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
1 |
+
*.7z filter=lfs diff=lfs merge=lfs -text
|
2 |
+
*.arrow filter=lfs diff=lfs merge=lfs -text
|
3 |
+
*.bin filter=lfs diff=lfs merge=lfs -text
|
4 |
+
*.bz2 filter=lfs diff=lfs merge=lfs -text
|
5 |
+
*.ckpt filter=lfs diff=lfs merge=lfs -text
|
6 |
+
*.ftz filter=lfs diff=lfs merge=lfs -text
|
7 |
+
*.gz filter=lfs diff=lfs merge=lfs -text
|
8 |
+
*.h5 filter=lfs diff=lfs merge=lfs -text
|
9 |
+
*.joblib filter=lfs diff=lfs merge=lfs -text
|
10 |
+
*.lfs.* filter=lfs diff=lfs merge=lfs -text
|
11 |
+
*.mlmodel filter=lfs diff=lfs merge=lfs -text
|
12 |
+
*.model filter=lfs diff=lfs merge=lfs -text
|
13 |
+
*.msgpack filter=lfs diff=lfs merge=lfs -text
|
14 |
+
*.npy filter=lfs diff=lfs merge=lfs -text
|
15 |
+
*.npz filter=lfs diff=lfs merge=lfs -text
|
16 |
+
*.onnx filter=lfs diff=lfs merge=lfs -text
|
17 |
+
*.ot filter=lfs diff=lfs merge=lfs -text
|
18 |
+
*.parquet filter=lfs diff=lfs merge=lfs -text
|
19 |
+
*.pb filter=lfs diff=lfs merge=lfs -text
|
20 |
+
*.pickle filter=lfs diff=lfs merge=lfs -text
|
21 |
+
*.pkl filter=lfs diff=lfs merge=lfs -text
|
22 |
+
*.pt filter=lfs diff=lfs merge=lfs -text
|
23 |
+
*.pth filter=lfs diff=lfs merge=lfs -text
|
24 |
+
*.rar filter=lfs diff=lfs merge=lfs -text
|
25 |
+
*.safetensors filter=lfs diff=lfs merge=lfs -text
|
26 |
+
saved_model/**/* filter=lfs diff=lfs merge=lfs -text
|
27 |
+
*.tar.* filter=lfs diff=lfs merge=lfs -text
|
28 |
+
*.tflite filter=lfs diff=lfs merge=lfs -text
|
29 |
+
*.tgz filter=lfs diff=lfs merge=lfs -text
|
30 |
+
*.wasm filter=lfs diff=lfs merge=lfs -text
|
31 |
+
*.xz filter=lfs diff=lfs merge=lfs -text
|
32 |
+
*.zip filter=lfs diff=lfs merge=lfs -text
|
33 |
+
*.zst filter=lfs diff=lfs merge=lfs -text
|
34 |
+
*tfevents* filter=lfs diff=lfs merge=lfs -text
|
35 |
+
H1036-265.pdf filter=lfs diff=lfs merge=lfs -text
|
36 |
+
H1036236000SB23.pdf filter=lfs diff=lfs merge=lfs -text
|
37 |
+
H5619075000SB23.pdf filter=lfs diff=lfs merge=lfs -text
|
H1036-265.pdf
ADDED
@@ -0,0 +1,3 @@
|
|
|
|
|
|
|
|
|
1 |
+
version https://git-lfs.github.com/spec/v1
|
2 |
+
oid sha256:bde88b6b53bf94477269e983dc0ab49a653c8d234d9b35d99ac632eed095be23
|
3 |
+
size 1329953
|
H1036236000SB23.pdf
ADDED
@@ -0,0 +1,3 @@
|
|
|
|
|
|
|
|
|
1 |
+
version https://git-lfs.github.com/spec/v1
|
2 |
+
oid sha256:2d497500b3b44be5581beaf4a918d33deb8ab857b8d52ba34cb932331454672d
|
3 |
+
size 7057939
|
H5619075000SB23.pdf
ADDED
@@ -0,0 +1,3 @@
|
|
|
|
|
|
|
|
|
1 |
+
version https://git-lfs.github.com/spec/v1
|
2 |
+
oid sha256:2de72477ce36c8a01768946af9bf6b3f01638408eac83986ec2ccf90c50ed4f7
|
3 |
+
size 7056647
|
README.md
ADDED
@@ -0,0 +1,13 @@
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
1 |
+
---
|
2 |
+
title: Hack QA
|
3 |
+
emoji: 👀
|
4 |
+
colorFrom: green
|
5 |
+
colorTo: indigo
|
6 |
+
sdk: gradio
|
7 |
+
sdk_version: 3.16.2
|
8 |
+
app_file: app.py
|
9 |
+
pinned: false
|
10 |
+
duplicated_from: gfhayworth/hack_qa
|
11 |
+
---
|
12 |
+
|
13 |
+
Check out the configuration reference at https://huggingface.co/docs/hub/spaces-config-reference
|
Summary of Benefits.txt
ADDED
@@ -0,0 +1,409 @@
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
1 |
+
Monthly Plan Premium $0
|
2 |
+
You must keep paying your Medicare Part B premium.
|
3 |
+
Medical deductible This plan does not have a deductible.
|
4 |
+
Pharmacy (Part D) deductible This plan does not have a deductible.
|
5 |
+
Maximum out-of-pocket
|
6 |
+
responsibility
|
7 |
+
$3,900 in-network
|
8 |
+
The most you pay for copays, coinsurance and other costs for covered
|
9 |
+
medical services for the year.
|
10 |
+
Acute inpatient hospital care $250 copay per day for days 1-7
|
11 |
+
$0 copay per day for days 8-90
|
12 |
+
Your plan covers an unlimited number of days for an inpatient stay.
|
13 |
+
Outpatient hospital coverage • Outpatient surgery at Outpatient Hospital: $250 copay
|
14 |
+
• Outpatient surgery at Ambulatory Surgical Center: $200 copay
|
15 |
+
Doctor visits • Primary care provider: $0 copay
|
16 |
+
• Specialist: $15 copay
|
17 |
+
Preventive care Our plan covers many preventive services at no cost when you see
|
18 |
+
an in-network provider including:
|
19 |
+
• Abdominal aortic aneurysm screening
|
20 |
+
• Alcohol misuse counseling
|
21 |
+
• Bone mass measurement
|
22 |
+
• Breast cancer screening (mammogram)
|
23 |
+
• Cardiovascular disease (behavioral therapy)
|
24 |
+
• Cardiovascular screenings
|
25 |
+
• Cervical and vaginal cancer screening
|
26 |
+
• Colorectal cancer screenings (colonoscopy, fecal occult blood test,
|
27 |
+
flexible sigmoidoscopy)
|
28 |
+
• Depression screening
|
29 |
+
• Diabetes screenings
|
30 |
+
• HIV screening
|
31 |
+
• Medical nutrition therapy services
|
32 |
+
• Obesity screening and counseling
|
33 |
+
• Prostate cancer screenings (PSA)
|
34 |
+
• Sexually transmitted infections screening and counseling
|
35 |
+
• Tobacco use cessation counseling (counseling for people with no
|
36 |
+
sign of tobacco-related disease)
|
37 |
+
• Vaccines, including flu shots, hepatitis B shots, pneumococcal shots
|
38 |
+
• "Welcome to Medicare" preventive visit (one-time)
|
39 |
+
• Annual Wellness Visit
|
40 |
+
• Lung cancer screening
|
41 |
+
• Routine physical exam
|
42 |
+
• Medicare diabetes prevention program
|
43 |
+
Any additional preventive services approved by Medicare during the
|
44 |
+
contract year will be covered.
|
45 |
+
EMERGENCY CARE
|
46 |
+
Emergency room $110 copay
|
47 |
+
If you are admitted to the hospital within 24 hours, you do not have to
|
48 |
+
pay your share of the cost for the emergency care.
|
49 |
+
Urgently needed services $20 copay at an urgent care center
|
50 |
+
Urgently needed services are provided to treat a non-emergency,
|
51 |
+
unforeseen medical illness, injury or condition that requires immediate
|
52 |
+
medical attention.
|
53 |
+
OUTPATIENT CARE AND SERVICES
|
54 |
+
Diagnostic services, labs and
|
55 |
+
imaging
|
56 |
+
Cost share may vary depending
|
57 |
+
on the service and where service
|
58 |
+
is provided
|
59 |
+
• Diagnostic mammography: $0 to $15 copay
|
60 |
+
• Diagnostic colonoscopy $0 copay
|
61 |
+
• Diagnostic radiology: $180 to $300 copay
|
62 |
+
• Lab services: $0 to $20 copay
|
63 |
+
• Diagnostic tests and procedures: $0 to $100 copay
|
64 |
+
• Outpatient X-rays: $0 to $75 copay
|
65 |
+
• Radiation therapy: $15 copay or 20% of the cost
|
66 |
+
Hearing Medicare-covered hearing exam: $15 copay
|
67 |
+
Routine hearing:
|
68 |
+
In-Network:
|
69 |
+
HER963
|
70 |
+
• $0 copay for routine hearing exams up to 1 per year.
|
71 |
+
• $0 copay for each Advanced level hearing aid up to 1 per ear every 3
|
72 |
+
years.
|
73 |
+
• $299 copay for each Premium level hearing aid up to 1 per ear every
|
74 |
+
3 years.
|
75 |
+
Hearing aid purchase includes:
|
76 |
+
• Unlimited follow-up provider visits during first year following
|
77 |
+
TruHearing hearing aid purchase
|
78 |
+
• 60-day trial period
|
79 |
+
• 3-year extended warranty
|
80 |
+
• 80 batteries per aid for non-rechargeable models
|
81 |
+
You must see a TruHearing provider to use this benefit. Call
|
82 |
+
1-844-255-7144 to schedule an appointment (for TTY, dial 711).
|
83 |
+
Dental Medicare-covered dental services: $15 copay
|
84 |
+
Routine dental:
|
85 |
+
The cost-share indicated below is what you pay for the covered service.
|
86 |
+
In-Network:
|
87 |
+
DEN046
|
88 |
+
• $0 copay for scaling and root planing (deep cleaning) up to 1 per
|
89 |
+
quadrant every 3 years.
|
90 |
+
• $0 copay for comprehensive oral evaluation or periodontal exam,
|
91 |
+
occlusal adjustment, scaling for moderate inflammation up to 1
|
92 |
+
every 3 years.
|
93 |
+
• $0 copay for bridges, complete dentures, crown recementation,
|
94 |
+
denture recementation, panoramic film or diagnostic x-rays, partial
|
95 |
+
dentures up to 1 every 5 years.
|
96 |
+
• $0 copay for crown, root canal, root canal retreatment up to 1 per
|
97 |
+
tooth per lifetime.
|
98 |
+
• $0 copay for bitewing x-rays, intraoral x-rays up to 1 set(s) per year.
|
99 |
+
You do not need a referral to receive covered services from plan providers. Certain procedures, services and drugs
|
100 |
+
may need advance approval from your plan. This is called a "prior authorization" or "preauthorization." Please
|
101 |
+
contact your PCP or refer to the Evidence of Coverage (EOC) for services that require a prior authorization from the
|
102 |
+
plan . c
|
103 |
+
H1036236000SB23 Summary of Benefits 9
|
104 |
+
H1036236000
|
105 |
+
Covered Medical and Hospital Benefits (cont.)
|
106 |
+
• $0 copay for adjustments to dentures, denture rebase, denture
|
107 |
+
reline, denture repair, emergency diagnostic exam, tissue
|
108 |
+
conditioning up to 1 per year.
|
109 |
+
• $0 copay for emergency treatment for pain, fluoride treatment, oral
|
110 |
+
surgery, periodic oral exam, prophylaxis (cleaning) up to 2 per year.
|
111 |
+
• $0 copay for periodontal maintenance up to 4 per year.
|
112 |
+
• $0 copay for amalgam and/or composite filling, necessary
|
113 |
+
anesthesia with covered service, simple or surgical extraction up to
|
114 |
+
unlimited per year.
|
115 |
+
• $3000 maximum benefit coverage amount per year for preventive
|
116 |
+
and comprehensive benefits.
|
117 |
+
Dental services are subject to our standard claims review procedures
|
118 |
+
which could include dental history to approve coverage. Dental benefits
|
119 |
+
under this plan may not cover all American Dental Association
|
120 |
+
procedure codes. Information regarding each plan is available at
|
121 |
+
Humana.com/sb . Network dentists have agreed to provide services at contracted fees
|
122 |
+
(the in-network fee schedules, of INFS). If a member visits a
|
123 |
+
participating network dentist, the member will not receive a bill for
|
124 |
+
charges more than the negotiated fee schedule on covered services
|
125 |
+
(coinsurance payment still applies).
|
126 |
+
Use the HumanaDental Medicare network for the Mandatory
|
127 |
+
Supplemental Dental. The provider locator can be found at
|
128 |
+
Humana.com > Find a Doctor > from the Search Type drop down select
|
129 |
+
Dental > under Coverage Type select All Dental Networks > enter zip
|
130 |
+
code > from the network drop down select HumanaDental Medicare.
|
131 |
+
Vision • Medicare-covered vision services: $15 copay
|
132 |
+
• Medicare-covered diabetic eye exam: $0 copay
|
133 |
+
• Medicare-covered glaucoma screening: $0 copay
|
134 |
+
• Medicare-covered eyewear (post-cataract): $0 copay
|
135 |
+
Routine vision:
|
136 |
+
In-Network:
|
137 |
+
VIS733
|
138 |
+
• $0 copay for routine exam up to 1 per year.
|
139 |
+
• $300 maximum benefit coverage amount per year for contact
|
140 |
+
lenses or eyeglasses-lenses and frames, fitting for eyeglasses-lenses
|
141 |
+
and frames.
|
142 |
+
• Eyeglass lens options may be available with the maximum benefit
|
143 |
+
coverage amount up to 1 pair per year.
|
144 |
+
• Maximum benefit coverage amount is limited to one time use per
|
145 |
+
year.
|
146 |
+
You do not need a referral to receive covered services from plan providers. Certain procedures, services and drugs
|
147 |
+
may need advance approval from your plan. This is called a "prior authorization" or "preauthorization." Please
|
148 |
+
contact your PCP or refer to the Evidence of Coverage (EOC) for services that require a prior authorization from the
|
149 |
+
plan . c
|
150 |
+
10 Summary of Benefits H1036236000SB23
|
151 |
+
H1036236000
|
152 |
+
Covered Medical and Hospital Benefits (cont.)
|
153 |
+
The provider locator for routine vision can be found at Humana.com >
|
154 |
+
Find a Doctor > select Vision care icon > Vision coverage through
|
155 |
+
Medicare Advantage plans.
|
156 |
+
Mental health services Inpatient:
|
157 |
+
• $250 copay per day for days 1-6
|
158 |
+
• $0 copay per day for days 7-90
|
159 |
+
• Your plan covers up to 190 days in a lifetime for inpatient mental
|
160 |
+
health care in a psychiatric hospital.
|
161 |
+
Outpatient (group and individual therapy visits): $15 to $65 copay
|
162 |
+
Cost share may vary depending on where service is provided.
|
163 |
+
Skilled nursing facility (SNF) • $0 copay per day for days 1-20
|
164 |
+
• $196 copay per day for days 21-100
|
165 |
+
• Your plan covers up to 100 days in a SNF
|
166 |
+
Physical Therapy • $15 copay
|
167 |
+
ADDITIONAL BENEFITS
|
168 |
+
Ambulance $270 copay per date of service
|
169 |
+
Transportation $0 copay for plan approved location up to 48 one-way trip(s) per year.
|
170 |
+
This benefit is not to exceed 25 miles per trip.
|
171 |
+
The member must contact transportation vendor to arrange
|
172 |
+
transportation and should contact Customer Care to be directed to
|
173 |
+
their plan's specific transportation provider.
|
174 |
+
Medicare Part B drugs • Chemotherapy drugs: 19% of the cost
|
175 |
+
• Other Part B drugs: 19% of the cost
|
176 |
+
H1036236000SB23 Summary of Benefits 11
|
177 |
+
H1036236000
|
178 |
+
Prescription Drug Benefits
|
179 |
+
PRESCRIPTION DRUGS
|
180 |
+
Important Message About What You Pay for Vaccines
|
181 |
+
Our plan covers most Part D vaccines at no cost to you, no matter what cost-sharing tier it’s on .
|
182 |
+
Important Message About What You Pay for Insulin
|
183 |
+
You won’t pay more than $35 for a one-month (up to 30-day) supply of each Part D insulin product
|
184 |
+
covered by our plan, no matter what cost-sharing tier it’s on . This applies to all Part D covered insulins,
|
185 |
+
including the Select Insulins covered under the Insulin Savings Program as described below. If you receive
|
186 |
+
"Extra Help", you will still pay no more than $35 for a one-month supply for each Part D covered insulin.
|
187 |
+
Please see your Prescription Drug Guide to find all Part D insulins covered by your plan.
|
188 |
+
If you don't receive Extra Help for your drugs, you'll pay the following:
|
189 |
+
Deductible This plan does not have a deductible.
|
190 |
+
Initial coverage
|
191 |
+
You pay the following until your total yearly drug costs reach $4,660 . Total yearly drug costs are the total
|
192 |
+
drug costs paid by both you and our plan. Once you reach this amount, you will enter the Coverage Gap.
|
193 |
+
Mail Order Cost-Sharing
|
194 |
+
Pharmacy options Standard
|
195 |
+
Walmart Mail , PillPack
|
196 |
+
Other pharmacies are
|
197 |
+
available in our network. To find
|
198 |
+
pharmacy mail order options go to
|
199 |
+
Humana.com/pharmacyfinder
|
200 |
+
Preferred
|
201 |
+
CenterWell Pharmacy ™
|
202 |
+
N/A 30-day supply 90-day supply* 30-day supply 90-day supply*
|
203 |
+
Tier 1: Preferred Generic $10 $30 $0 $0
|
204 |
+
Tier 2: Generic $20 $60 $0 $0
|
205 |
+
Tier 3: Preferred Brand $47 $141 $42 $116
|
206 |
+
Tier 4: Non-Preferred
|
207 |
+
Drug
|
208 |
+
$100 $300 $100 $290
|
209 |
+
Tier 5: Specialty Tier 33% N/A 33% N/A
|
210 |
+
12 Summary of Benefits H1036236000SB23
|
211 |
+
H1036236000
|
212 |
+
Retail Cost-Sharing
|
213 |
+
Pharmacy options Retail All network retail pharmacies. To find the retail pharmacies near
|
214 |
+
you, go to Humana.com/pharmacyfinder
|
215 |
+
N/A 30-day supply 90-day supply*
|
216 |
+
Tier 1: Preferred Generic $0 $0
|
217 |
+
Tier 2: Generic $0 $0
|
218 |
+
Tier 3: Preferred Brand $42 $126
|
219 |
+
Tier 4: Non-Preferred
|
220 |
+
Drug
|
221 |
+
$100 $300
|
222 |
+
Tier 5: Specialty Tier 33% N/A
|
223 |
+
Your plan participates in the Insulin Savings Program. You will pay no more than $35 for a one-month (up
|
224 |
+
to a 30-day) supply for Select Insulins, no matter what cost-sharing tier it’s on . To identify which Select
|
225 |
+
Insulins are included within the Insulin Savings Program, look for the ISP indicator in your Prescription
|
226 |
+
Drug Guide. You are not eligible for this program if you receive "Extra Help".
|
227 |
+
Your plan also provides enhanced insulin coverage which means you will pay no more than $35 for a
|
228 |
+
one-month (up to 30-day) supply for all Part D insulins covered by our plan, including Select Insulins, no
|
229 |
+
matter what cost-sharing tier it’s on . The enhanced insulin coverage is available, even if you receive "Extra
|
230 |
+
Help".
|
231 |
+
Your share of the cost for Select Insulins:
|
232 |
+
Mail Order Cost-Sharing for Select Insulins
|
233 |
+
Pharmacy
|
234 |
+
options
|
235 |
+
Standard
|
236 |
+
Walmart Mail , PillPack
|
237 |
+
Other pharmacies are available in
|
238 |
+
our network. To find pharmacy mail
|
239 |
+
order options, go to
|
240 |
+
Humana.com/pharmacyfinder
|
241 |
+
Preferred
|
242 |
+
CenterWell Pharmacy ™
|
243 |
+
- 30-day supply 90-day supply* 30-day supply 90-day supply*
|
244 |
+
Tier 3: Preferred Brand $35 $105 $35 $95
|
245 |
+
Retail Cost-Sharing for Select Insulins
|
246 |
+
Pharmacy
|
247 |
+
options
|
248 |
+
Retail
|
249 |
+
All network retail pharmacies. To find the retail pharmacies near you, go
|
250 |
+
to Humana.com/pharmacyfinder
|
251 |
+
- 30-day supply 90-day supply*
|
252 |
+
Tier 3: Preferred Brand $35 $105
|
253 |
+
H1036236000SB23 Summary of Benefits 13
|
254 |
+
H1036236000
|
255 |
+
If you receive Extra Help for your drugs, you'll pay the following:
|
256 |
+
Deductible This plan does not have a deductible.
|
257 |
+
Pharmacy cost-sharing
|
258 |
+
For generic drugs
|
259 |
+
(including
|
260 |
+
30-day supply 90-day supply*
|
261 |
+
brand drugs treated as
|
262 |
+
generic), either:
|
263 |
+
$0 copay; or
|
264 |
+
$1.45 copay; or
|
265 |
+
$4.15 copay ; or
|
266 |
+
15% of the cost
|
267 |
+
$0 copay; or
|
268 |
+
$1.45 copay; or
|
269 |
+
$4.15 copay ; or
|
270 |
+
15% of the cost
|
271 |
+
For all other drugs,
|
272 |
+
either:
|
273 |
+
$0 copay; or
|
274 |
+
$4 .30 copay; or
|
275 |
+
$10.35 copay ; or
|
276 |
+
15% of the cost
|
277 |
+
$0 copay; or
|
278 |
+
$4 .30 copay; or
|
279 |
+
$10.35 copay ; or
|
280 |
+
15% of the cost
|
281 |
+
Other pharmacies are available in our network.
|
282 |
+
*Some drugs are limited to a 30-day supply
|
283 |
+
ADDITIONAL DRUG COVERAGE
|
284 |
+
Erectile dysfunction (ED)
|
285 |
+
drugs
|
286 |
+
Covered at Tier 1 cost-share amount.
|
287 |
+
Anti-Obesity drugs Covered at Tier 2 cost-share amount.
|
288 |
+
Prescription Vitamins Covered at Tier 1 cost-share amount.
|
289 |
+
Cost sharing may change depending on the pharmacy you choose, when you enter another phase of the
|
290 |
+
Part D benefit and if you qualify for "Extra Help." To find out if you qualify for "Extra Help," please contact
|
291 |
+
the Social Security Office at 1-800-772-1213 Monday — Friday, 7 a.m. — 7 p.m. TTY users should call
|
292 |
+
1-800-325-0778. For more information on your prescription drug benefit, please call us or access your
|
293 |
+
"Evidence of Coverage" online.
|
294 |
+
If you reside in a long-term care facility, you pay the same as at a retail pharmacy.
|
295 |
+
You may get drugs from an out-of-network pharmacy but may pay more than you pay at an in-network
|
296 |
+
pharmacy.
|
297 |
+
Coverage Gap
|
298 |
+
After you enter the coverage gap, you pay 25 percent of the plan's cost for covered brand name drugs
|
299 |
+
and 25 percent of the plan's cost for covered generic drugs until your out-of-pocket costs total $7,400 — which is the end of the coverage gap. Not everyone will enter the coverage gap.
|
300 |
+
Under this plan, you may pay even less for the following:
|
301 |
+
Tier 1 (Preferred Generic) - All Drugs
|
302 |
+
Tier 2 (Generic) - All Drugs
|
303 |
+
Tier 3 (Preferred Brand) - Select Insulin Drugs
|
304 |
+
For more information on cost sharing in the coverage gap, please call us or access your Evidence of
|
305 |
+
Coverage online.
|
306 |
+
14 Summary of Benefits H1036236000SB23
|
307 |
+
H1036236000
|
308 |
+
Catastrophic Coverage
|
309 |
+
After your yearly out-of-pocket drug costs (including drugs purchased through your retail pharmacy and
|
310 |
+
through mail order) reach $7,4 00 you pay the greater of:
|
311 |
+
• 5% of the cost, or
|
312 |
+
• $4.15 copay for generic (including brand drugs treated as generic) and a $10.35 copay for all other
|
313 |
+
drugs
|
314 |
+
Additional Benefits
|
315 |
+
Medicare-covered foot care
|
316 |
+
(podiatry)
|
317 |
+
$15 copay
|
318 |
+
Medicare-covered chiropractic
|
319 |
+
services
|
320 |
+
$20 copay
|
321 |
+
Medical equipment/ supplies
|
322 |
+
Cost share may vary depending
|
323 |
+
on the service and where service
|
324 |
+
is provided
|
325 |
+
• Durable medical equipment (like wheelchairs or oxygen): 16% of
|
326 |
+
the cost
|
327 |
+
• Medical supplies: 20% of the cost
|
328 |
+
• Prosthetics (artificial limbs or braces): 20% of the cost
|
329 |
+
• Diabetic monitoring supplies: $0 copay or 10% to 20% of the cost
|
330 |
+
Rehabilitation services • Occupational and speech therapy: $15 copay
|
331 |
+
• Cardiac rehabilitation: $10 copay
|
332 |
+
• Pulmonary rehabilitation: $10 copay
|
333 |
+
Telehealth services
|
334 |
+
(in addition to Original
|
335 |
+
Medicare)
|
336 |
+
• Primary care provider (PCP): $0 copay
|
337 |
+
• Specialist: $15 copay
|
338 |
+
• Urgent care services: $0 copay
|
339 |
+
• Substance abuse and behavioral health services: $0 copay
|
340 |
+
H1036236000SB23 Summary of Benefits 15
|
341 |
+
H1036236000
|
342 |
+
More benefits with your plan
|
343 |
+
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
|
344 |
+
every limitation or exclusion. The Evidence of Coverage (EOC) provides a complete list of
|
345 |
+
coverage and services. Visit Humana.com/medicare to view a copy of the EOC or call
|
346 |
+
1-800-833-2364 .
|
347 |
+
Humana Flex Allowance
|
348 |
+
$1000 annual allowance on a prepaid
|
349 |
+
card to use toward out of pocket costs
|
350 |
+
for the plan's preventive and
|
351 |
+
comprehensive dental, vision, or hearing
|
352 |
+
services including copays.
|
353 |
+
Members can use this benefit at
|
354 |
+
participating providers where the
|
355 |
+
primary business is Dental Care, Vision
|
356 |
+
Services, or Hearing Services and Visa®
|
357 |
+
is accepted.
|
358 |
+
Cannot be used for procedures such as
|
359 |
+
cosmetic dentistry and teeth whitening.
|
360 |
+
Unused amount expires at the end of
|
361 |
+
the plan year.
|
362 |
+
Allowance amounts cannot be
|
363 |
+
combined with other benefit allowances.
|
364 |
+
Limitations and restrictions may apply.
|
365 |
+
Over-the-Counter (OTC) Allowance
|
366 |
+
$50 maximum benefit coverage
|
367 |
+
amount per month for over-the-counter
|
368 |
+
(OTC) prepaid card to purchase eligible
|
369 |
+
OTC health and wellness products at
|
370 |
+
participating retailers.
|
371 |
+
Unused funds carry over to the next
|
372 |
+
month and expire at the end of the plan
|
373 |
+
year.
|
374 |
+
Allowance amounts cannot be
|
375 |
+
combined with other benefit allowances.
|
376 |
+
Limitations and restrictions may apply.
|
377 |
+
Humana Spending Account Card
|
378 |
+
The allowances listed below will be
|
379 |
+
loaded onto this prepaid card. Each
|
380 |
+
allowance is separate from any other
|
381 |
+
allowance listed. Allowances shown are
|
382 |
+
accessed by using this card. Allowance
|
383 |
+
amounts cannot be combined with
|
384 |
+
other benefit allowances. Limitations
|
385 |
+
and restrictions may apply.
|
386 |
+
*Humana Flex Allowance
|
387 |
+
*OTC Allowance
|
388 |
+
Special Supplemental Benefits for
|
389 |
+
the Chronically Ill (SSBCI) Humana
|
390 |
+
Flexible Care Assistance
|
391 |
+
Humana Flexible Care Assistance is
|
392 |
+
available to members with chronic
|
393 |
+
health conditions, who are participating
|
394 |
+
in care management services, and meet
|
395 |
+
program criteria. Eligible members may
|
396 |
+
receive medical expense assistance and
|
397 |
+
other additional benefits, either
|
398 |
+
primarily health related or non-primarily
|
399 |
+
health related, to address the member's
|
400 |
+
unique individual needs. Benefits are
|
401 |
+
limited up to $1,000 per year and must
|
402 |
+
be coordinated and authorized by a care
|
403 |
+
manager. There is no cost to participate.
|
404 |
+
Chiropractic services
|
405 |
+
Routine chiropractic:
|
406 |
+
$0 copay per visit for unlimited visits.
|
407 |
+
Routine foot care
|
408 |
+
$0 copay per visit for up to 12 visits
|
409 |
+
16 Summary of Benefits H1036236000SB23
|
app.py
ADDED
@@ -0,0 +1,162 @@
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
1 |
+
# -*- coding: utf-8 -*-
|
2 |
+
"""wiki_chat_3_hack.ipynb
|
3 |
+
|
4 |
+
Automatically generated by Colaboratory.
|
5 |
+
|
6 |
+
Original file is located at
|
7 |
+
https://colab.research.google.com/drive/1chXsWeq1LzbvYIs6H73gibYmNDRbIgkD
|
8 |
+
"""
|
9 |
+
|
10 |
+
#!pip install gradio
|
11 |
+
|
12 |
+
#!pip install -U sentence-transformers
|
13 |
+
|
14 |
+
#!pip install datasets
|
15 |
+
|
16 |
+
#!pip install langchain
|
17 |
+
|
18 |
+
#!pip install openai
|
19 |
+
|
20 |
+
#!pip install faiss-cpu
|
21 |
+
|
22 |
+
#import numpy as np
|
23 |
+
import gradio as gr
|
24 |
+
#import random
|
25 |
+
from sentence_transformers import SentenceTransformer, CrossEncoder, util
|
26 |
+
from torch import tensor as torch_tensor
|
27 |
+
from datasets import load_dataset
|
28 |
+
|
29 |
+
"""# import models"""
|
30 |
+
|
31 |
+
bi_encoder = SentenceTransformer('multi-qa-MiniLM-L6-cos-v1')
|
32 |
+
bi_encoder.max_seq_length = 256 #Truncate long passages to 256 tokens
|
33 |
+
|
34 |
+
#The bi-encoder will retrieve top_k documents. We use a cross-encoder, to re-rank the results list to improve the quality
|
35 |
+
cross_encoder = CrossEncoder('cross-encoder/ms-marco-MiniLM-L-6-v2')
|
36 |
+
|
37 |
+
"""# import datasets"""
|
38 |
+
|
39 |
+
dataset = load_dataset("gfhayworth/hack_policy", split='train')
|
40 |
+
mypassages = list(dataset.to_pandas()['psg'])
|
41 |
+
|
42 |
+
dataset_embed = load_dataset("gfhayworth/hack_policy_embed", split='train')
|
43 |
+
dataset_embed_pd = dataset_embed.to_pandas()
|
44 |
+
mycorpus_embeddings = torch_tensor(dataset_embed_pd.values)
|
45 |
+
|
46 |
+
def search(query, passages = mypassages, doc_embedding = mycorpus_embeddings, top_k=20, top_n = 1):
|
47 |
+
question_embedding = bi_encoder.encode(query, convert_to_tensor=True)
|
48 |
+
question_embedding = question_embedding #.cuda()
|
49 |
+
hits = util.semantic_search(question_embedding, doc_embedding, top_k=top_k)
|
50 |
+
hits = hits[0] # Get the hits for the first query
|
51 |
+
|
52 |
+
##### Re-Ranking #####
|
53 |
+
cross_inp = [[query, passages[hit['corpus_id']]] for hit in hits]
|
54 |
+
cross_scores = cross_encoder.predict(cross_inp)
|
55 |
+
|
56 |
+
# Sort results by the cross-encoder scores
|
57 |
+
for idx in range(len(cross_scores)):
|
58 |
+
hits[idx]['cross-score'] = cross_scores[idx]
|
59 |
+
|
60 |
+
hits = sorted(hits, key=lambda x: x['cross-score'], reverse=True)
|
61 |
+
predictions = hits[:top_n]
|
62 |
+
return predictions
|
63 |
+
# for hit in hits[0:3]:
|
64 |
+
# print("\t{:.3f}\t{}".format(hit['cross-score'], mypassages[hit['corpus_id']].replace("\n", " ")))
|
65 |
+
|
66 |
+
def get_text(qry):
|
67 |
+
predictions = search(qry)
|
68 |
+
prediction_text = []
|
69 |
+
for hit in predictions:
|
70 |
+
prediction_text.append("{}".format(mypassages[hit['corpus_id']]))
|
71 |
+
return prediction_text
|
72 |
+
|
73 |
+
# def prt_rslt(qry):
|
74 |
+
# rslt = get_text(qry)
|
75 |
+
# for r in rslt:
|
76 |
+
# print(r)
|
77 |
+
|
78 |
+
# prt_rslt("What is the name of the plan described by this summary of benefits?")
|
79 |
+
|
80 |
+
"""# new LLM based functions"""
|
81 |
+
|
82 |
+
import os
|
83 |
+
os.environ["OPENAI_API_KEY"] = "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"
|
84 |
+
|
85 |
+
from langchain.llms import OpenAI
|
86 |
+
from langchain.embeddings.openai import OpenAIEmbeddings
|
87 |
+
from langchain.embeddings import HuggingFaceEmbeddings
|
88 |
+
|
89 |
+
from langchain.text_splitter import CharacterTextSplitter
|
90 |
+
#from langchain.vectorstores.faiss import FAISS
|
91 |
+
from langchain.docstore.document import Document
|
92 |
+
from langchain.prompts import PromptTemplate
|
93 |
+
from langchain.chains.question_answering import load_qa_chain
|
94 |
+
from langchain.chains.qa_with_sources import load_qa_with_sources_chain
|
95 |
+
from langchain.chains import VectorDBQAWithSourcesChain
|
96 |
+
|
97 |
+
chain_qa = load_qa_with_sources_chain(OpenAI(temperature=0), chain_type="stuff")
|
98 |
+
|
99 |
+
def get_text_fmt(qry, passages = mypassages, doc_embedding=mycorpus_embeddings):
|
100 |
+
predictions = search(qry, passages = passages, doc_embedding = doc_embedding, top_n=5, )
|
101 |
+
prediction_text = []
|
102 |
+
for hit in predictions:
|
103 |
+
page_content = passages[hit['corpus_id']]
|
104 |
+
metadata = {"source": hit['corpus_id']}
|
105 |
+
result = Document(page_content=page_content, metadata=metadata)
|
106 |
+
prediction_text.append(result)
|
107 |
+
return prediction_text
|
108 |
+
|
109 |
+
#mypassages[0]
|
110 |
+
|
111 |
+
#mycorpus_embeddings[0][:5]
|
112 |
+
|
113 |
+
# query = "What is the name of the plan described by this summary of benefits?"
|
114 |
+
# mydocs = get_text_fmt(query)
|
115 |
+
# print(len(mydocs))
|
116 |
+
# for d in mydocs:
|
117 |
+
# print(d)
|
118 |
+
|
119 |
+
# chain_qa.run(input_documents=mydocs, question=query)
|
120 |
+
|
121 |
+
def get_llm_response(message):
|
122 |
+
mydocs = get_text_fmt(message)
|
123 |
+
responses = chain_qa.run(input_documents=mydocs, question=message)
|
124 |
+
return responses
|
125 |
+
|
126 |
+
"""# chat example"""
|
127 |
+
|
128 |
+
def chat(message, history):
|
129 |
+
history = history or []
|
130 |
+
message = message.lower()
|
131 |
+
|
132 |
+
response = get_llm_response(message)
|
133 |
+
history.append((message, response))
|
134 |
+
return history, history
|
135 |
+
|
136 |
+
css=".gradio-container {background-color: lightgray}"
|
137 |
+
|
138 |
+
with gr.Blocks(css=css) as demo:
|
139 |
+
history_state = gr.State()
|
140 |
+
gr.Markdown('# Hack QA')
|
141 |
+
title='Benefit Chatbot'
|
142 |
+
description='chatbot with search on Health Benefits'
|
143 |
+
with gr.Row():
|
144 |
+
chatbot = gr.Chatbot()
|
145 |
+
with gr.Row():
|
146 |
+
message = gr.Textbox(label='Input your question here:',
|
147 |
+
placeholder='What is the name of the plan described by this summary of benefits?',
|
148 |
+
lines=1)
|
149 |
+
submit = gr.Button(value='Send',
|
150 |
+
variant='secondary').style(full_width=False)
|
151 |
+
submit.click(chat,
|
152 |
+
inputs=[message, history_state],
|
153 |
+
outputs=[chatbot, history_state])
|
154 |
+
gr.Examples(
|
155 |
+
examples=["What is the name of the plan described by this summary of benefits?",
|
156 |
+
"How much is the monthly premium?",
|
157 |
+
"How much do I have to pay if I am admitted to the hospital?"],
|
158 |
+
inputs=message
|
159 |
+
)
|
160 |
+
|
161 |
+
demo.launch()
|
162 |
+
|
requirements.txt
ADDED
@@ -0,0 +1,4 @@
|
|
|
|
|
|
|
|
|
|
|
1 |
+
sentence-transformers
|
2 |
+
datasets
|
3 |
+
langchain
|
4 |
+
openai
|