Plan highlights
Planner Details | In-network only (nationwide network) |
---|---|
Deductible | $100 Individually $200 Family |
Annual out-of-pocket maximum | $1,100 Individuals $3,600 Family |
Office Go | $15 copay – Primary Care Physician $15 copay – Specialist |
Preventive Care | 100% covered, exclusive forgiven |
Inpatient Hospital | 100% covered, after reimbursable |
Urgent Care | $35 copay |
Emergency Room | $75 copay |
Surgical | 100% coverage, deductible surrender |
Chiropractor | $15 copay |
Short-Term Rehab (150 visits per year) |
$15 copay |