Everyday Family
Friendly Features |
Medical Plan 70/30 |
Medical Plan 80/20 |
Medical Plan 90/10 |
Coverage |
PPO |
PPO |
PPO |
Deductable |
$500 |
$300 |
NONE |
Urgent Care Facility |
$15/Copay (then 100%) |
$15/Copay (then 100%) |
$15/Copay (then 100%) |
Immunizations |
$15/Copay (then 100%) |
$15/Copay (then 100%) |
$15/Copay (then 100%) |
Physical Exams |
$15/Copay (then 100%) |
$15/Copay (then 100%) |
$15/Copay (then 100%) |
Well Child Care |
$15/Copay (then 100%) |
$15/Copay (then 100%) |
$15/Copay (then 100%) |
Mammogram |
100% (professional provider) |
100% (professional provider) |
100% (professional provider) |
Pap Test |
100% (professional provider) |
100% (professional provider) |
100% (professional provider) |
Diagnostic Services |
100% (professional provider) |
100% (professional provider) |
100% (professional provider) |
EKG, Chest X-Ray, Blood Count, Metabolic Panel, Urinalysis |
100% (professional provider) |
100% (professional provider) |
100% (professional provider) |
Prescription Drugs |
|
|
|
30 day |
$10 Generic
$20 Formulary
$40 Non-Formulary |
$10 Generic
$20 Formulary
$40 Non-Formulary |
$10 Generic
$20 Formulary
$40 Non-Formulary |
90 day |
$25 Generic
$50 Formulary
$100 Non-Formulary |
$25 Generic
$50 Formulary
$100 Non-Formulary |
$25 Generic
$50 Formulary
$100 Non-Formulary |
|
PRICES START AS LOW AS |
PRICES START AS LOW AS |
PRICES START AS LOW AS |
Single Rate |
$165.43 |
$185.52 |
$236.31 |
2 Party Rate |
$308.82 |
$346.33 |
$441.36 |
Family |
$475.74 |
$533.53 |
$679.90 |
|
Get Quote! |
Get Quote! |
Get Quote! |
*Prices listed are subject to change based on your personal or business profile.