Plan 20/20 members do not have to pay a deductible. Many services have a $20 copay, including office visits, prenatal care, and speech therapy. Other services covered include hospitalization at $500 per admission and outpatient surgery with a $100 copay. Maximum out of pocket, or the most that a member must pay on a yearly basis before services are covered, is $2,000. Prescription drugs are also included.
Plan 25/100 members do not have a deductible except for a $100 deductible on prescription drugs. Services for a $25 copay include office visits, prenatal care, and eye exams for glasses. Other services covered are speech therapy with a 50% coinsurance, hospitalization with a 30% coinsurance, and outpatient surgery with a $250 copay.
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Plan 500 has a $500 deductible with an annual out of pocket of $3,000. Office visits, prenatal care, and generic prescription drugs all have a $15 copay. Other services covered include hospitalization and outpatient surgery both with 20% coinsurance after the deductible has been met.
Plan 750 has a $750 deductible with a $3,000 annual out of pocket. Doctor visits and prenatal care have a $25 copay. Generic prescription drugs have a $15 copay. Almost all other covered services, including hospitalization and outpatient care, have a 20% coinsurance after the deductible has been met.
Plan 1000 has a $1,000 deductible with a $4,000 annual out of pocket. Office visits, prenatal care and eye exams for glasses have a $25 copay. Almost all other services covered, including hospitalization and outpatient services, have a 20% coinsurance after the deductible has been met. Prescription drugs are covered.
All above plans are HMOs.
All above plans are available to families.
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