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Healthcare Plans

Annual Costs/Services

  • Deductable
  • Coinsurance
  • Out-of-Pocket Maximum
  • Primary Care Provider(PCP) Office Visit
  • Specialist Office Visit with a Referral
  • Preventative Care
  • Emergency Room
  • Lab/X-Rays
  • Outpatient Services
  • Inpatient Hospital Services
  • Advanced Imaging Services
  • Preventive Drugs
  • Preferred Generic Drugs
  • Non-Preferred Generic Drugs
  • Preferred Name-Brand Drugs
  • Non-Preferred Name-Brand Drugs
  • Preferred Specialty Drugs
  • Non-Preferred Specialty Drugs

In-Network

  • $6,000 individual $12,000 family
  • 20%
  • $6,550 individual $13,100 family
  • 20% after deductible
  • 20% after deductible
  • $0
  • Deductible, then $350 copay
  • 20% after deductible
  • 20% after deductible
  • 20% after deductible
  • $250 copay, then 20% after deductible
  • $0
  • $0 after deductible
  • $10 after deductible
  • $30 after deductible
  • $50 after deductible
  • 20% after deductible
  • 30% after deductible

Out-of-Network

  • $50,000 individual $100,000 family
  • 80%
  • $75,000 individual $150,000 family
  • 80% after deductible
  • 80% after deductible
  • 80% after deductible
  • Deductible, then $350 copay
  • 80% after deductible
  • 80% after deductible
  • 80% after deductible
  • $250 copay, then 80% after deductible
  • $0
  • $0 after deductible
  • $10 after deductible
  • $30 after deductible
  • $50 after deductible
  • 20% after deductible
  • 30% after deductible

Annual Costs/Services

  • Deductable
  • Coinsurance
  • Out-of-Pocket Maximum
  • Primary Care Provider(PCP) Office Visit
  • Specialist Office Visit with a Referral
  • Preventative Care
  • Emergency Room
  • Lab/X-Rays
  • Outpatient Services
  • Inpatient Hospital Services
  • Advanced Imaging Services
  • Preventive Drugs
  • Preferred Generic Drugs
  • Non-Preferred Generic Drugs
  • Preferred Name-Brand Drugs
  • Non-Preferred Name-Brand Drugs
  • Preferred Specialty Drugs
  • Non-Preferred Specialty Drugs

In-Network

  • $6,550 individual $13,100 family
  • 0%
  • $6,550 individual $13,100 family
  • $0 after deductible
  • $0 after deductible
  • $0
  • $0 after deductible
  • $0 after deductible
  • $0 after deductible
  • $0 after deductible
  • $0 after deductible
  • $0
  • $0 after deductible
  • $0 after deductible
  • $0 after deductible
  • $0 after deductible
  • $0 after deductible
  • $0 after deductible

Out-of-Network

  • $50,000 individual $100,000 family
  • 80%
  • $75,000 individual $150,000 family
  • 80% after deductible
  • 80% after deductible
  • 80% after deductible
  • 80% after deductible
  • 80% after deductible
  • 80% after deductible
  • 80% after deductible
  • 80% after deductible
  • $0
  • $0 after deductible
  • $0 after deductible
  • $0 after deductible
  • $0 after deductible
  • $0 after deductible
  • $0 after deductible

Annual Costs/Services

  • Deductable
  • Coinsurance
  • Out-of-Pocket Maximum
  • Primary Care Provider(PCP) Office Visit
  • Specialist Office Visit with a Referral
  • Preventative Care
  • Emergency Room
  • Lab/X-Rays
  • Outpatient Services
  • Inpatient Hospital Services
  • Advanced Imaging Services
  • Preventive Drugs
  • Preferred Generic Drugs
  • Non-Preferred Generic Drugs
  • Preferred Name-Brand Drugs
  • Non-Preferred Name-Brand Drugs
  • Preferred Specialty Drugs
  • Non-Preferred Specialty Drugs

In-Network

  • $4,000 individual $8,000 family
  • 30%
  • $7,150 individual $14,300 family
  • $20
  • $50
  • $0
  • Deductible, then $350 copay
  • 30% after deductible
  • 30% after deductible
  • 30% after deductible
  • $250 copay, then 30% after deductible
  • $0
  • $0
  • $10 copay after $1,000 pharmacy(Rx) deductible
  • $30 copay after $1,000 pharmacy(Rx) deductible
  • $50 copay after $1,000 pharmacy(Rx) deductible
  • 20% copay after $1,000 pharmacy(Rx) deductible
  • 30% copay after $1,000 pharmacy(Rx) deductible

Out-of-Network

  • $50,000 individual $100,000 family
  • 80%
  • $75,000 individual $150,000 family
  • 80% after deductible
  • 80% after deductible
  • 80% after deductible
  • Deductible, then $350 copay
  • 80% after deductible
  • 80% after deductible
  • 80% after deductible
  • $250 copay, then 80% after deductible
  • $0
  • $0
  • $10 copay after $1,000 pharmacy(Rx) deductible
  • $30 copay after $1,000 pharmacy(Rx) deductible
  • $50 copay after $1,000 pharmacy(Rx) deductible
  • 20% copay after $1,000 pharmacy(Rx) deductible
  • 30% copay after $1,000 pharmacy(Rx) deductible

Annual Costs/Services

  • Deductable
  • Coinsurance
  • Out-of-Pocket Maximum
  • Primary Care Provider(PCP) Office Visit
  • Specialist Office Visit with a Referral
  • Preventative Care
  • Emergency Room
  • Lab/X-Rays
  • Outpatient Services
  • Inpatient Hospital Services
  • Advanced Imaging Services
  • Preventive Drugs
  • Preferred Generic Drugs
  • Non-Preferred Generic Drugs
  • Preferred Name-Brand Drugs
  • Non-Preferred Name-Brand Drugs
  • Preferred Specialty Drugs
  • Non-Preferred Specialty Drugs

In-Network

  • $6,850 individual $13,700 family
  • 20%
  • $7,150 individual $14,300 family
  • $20
  • $50
  • $0
  • 20% after deductible
  • 20% after deductible
  • 20% after deductible
  • 20% after deductible
  • $250 copay, then 20% after deductible
  • $0
  • $10
  • $10
  • $30
  • $50 copay after deductible
  • 20% deductible
  • 30% deductible

Out-of-Network

  • $50,000 individual $100,000 family
  • 80%
  • $75,000 individual $150,000 family
  • 80% after deductible
  • 80% after deductible
  • 80% after deductible
  • Deductible, then $350 copay
  • 80% after deductible
  • 80% after deductible
  • 80% after deductible
  • $250 copay, then 80% after deductible
  • $0
  • $10
  • $10
  • $30
  • $50 copay after deductible
  • 20% after deductible
  • 30% after deductible

Annual Costs/Services

  • Deductable
  • Coinsurance
  • Out-of-Pocket Maximum
  • Primary Care Provider(PCP) Office Visit
  • Specialist Office Visit with a Referral
  • Preventative Care
  • Emergency Room
  • Lab/X-Rays
  • Outpatient Services
  • Inpatient Hospital Services
  • Advanced Imaging Services
  • Preventive Drugs
  • Preferred Generic Drugs
  • Non-Preferred Generic Drugs
  • Preferred Name-Brand Drugs
  • Non-Preferred Name-Brand Drugs
  • Preferred Specialty Drugs
  • Non-Preferred Specialty Drugs

In-Network

  • $1,200 individual $2,400 family
  • 20%
  • $7,150 individual $14,300 family
  • $20
  • $50
  • $0
  • Deductible, then $350 copay
  • 20% after deductible
  • 20% after deductible
  • 20% after deductible
  • $250 copay, then 20% after deductible
  • $0
  • $0
  • $10 copay after $1,000 pharmacy(Rx) deductible
  • $30 copay after $1,000 pharmacy(Rx) deductible
  • $50 copay after $1,000 pharmacy(Rx) deductible
  • 20% deductible after $1,000 pharmacy(Rx) deductible
  • 30% deductible after $1,000 pharmacy(Rx) deductible

Out-of-Network

  • $50,000 individual $100,000 family
  • 80%
  • $75,000 individual $150,000 family
  • 80% after deductible
  • 80% after deductible
  • 80% after deductible
  • Deductible, then $350 copay
  • 80% after deductible
  • 80% after deductible
  • 80% after deductible
  • $250 copay, then 80% after deductible
  • $0
  • $0
  • $10 copay after $1,000 pharmacy(Rx) deductible
  • $30 copay after $1,000 pharmacy(Rx) deductible
  • $50 copay after $1,000 pharmacy(Rx) deductible
  • 20% copay after $1,000 pharmacy(Rx) deductible
  • 30% copay after $1,000 pharmacy(Rx) deductible

Annual Costs/Services

  • Deductable
  • Coinsurance
  • Out-of-Pocket Maximum
  • Primary Care Provider(PCP) Office Visit
  • Specialist Office Visit with a Referral
  • Preventative Care
  • Emergency Room
  • Lab/X-Rays
  • Outpatient Services
  • Inpatient Hospital Services
  • Advanced Imaging Services
  • Preventive Drugs
  • Preferred Generic Drugs
  • Non-Preferred Generic Drugs
  • Preferred Name-Brand Drugs
  • Non-Preferred Name-Brand Drugs
  • Preferred Specialty Drugs
  • Non-Preferred Specialty Drugs

In-Network

  • $7,150 individual $14,300 family
  • 0%
  • $7,150 individual $14,300 family
  • $30 copay(3 visits), then deductible
  • $0 after deductible
  • $0
  • $0 after deductible
  • $0 after deductible
  • $0 after deductible
  • $0 after deductible
  • $0 after deductible
  • $0
  • $0 after deductible
  • $0 after deductible
  • $0 after deductible
  • $0 after deductible
  • $0 after deductible
  • $0 after deductible

Out-of-Network

  • $50,000 individual $100,000 family
  • 80%
  • $75,000 individual $150,000 family
  • 80% after deductible
  • 80% after deductible
  • 80% after deductible
  • Deductible, then $350 copay
  • 80% after deductible
  • 80% after deductible
  • 80% after deductible
  • 80% after deductible
  • $0
  • $0 after deductible
  • $0 after deductible
  • $0 after deductible
  • $0 after deductible
  • $0 after deductible
  • $0 after deductible

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