![]() ![]() ![]() Vista Healthplan TM, Inc. Summary of Benefits HMO Large Group Plan 0. HOSPITAL SERVICES Hospital Inpatient : Paid in full, Non- network: Hospital charges subject to 1. Non- participating provider charges subject to Basic Medical. More information. SU Pro ( and ) Annual Deductible 1 Coinsurance Cost Sharing Definitions $2. More information. Baltimore City Public Schools Health Plan Comparison Chart Benefits Effective January 1, 2. About this chart: This chart is to be used as a guide only and does not contain all details or exclusions. This is not a contract, it s a summary of the plan highlights and is. More information. PLAN FEATURES Deductible (per calendar year) $3,0. Individual $6,0. 00 Family Unless otherwise indicated, the Deductible must be met prior to benefits being payable. ![]() All covered expenses accumulate separately. More information. PLAN FEATURES Deductible (per calendar year) $1,0. Unless otherwise indicated, the Deductible must be met prior to benefits being payable. All covered expenses accumulate. More information. ![]() ![]() AVMED POS PLAN This Schedule of Benefits reflects the higher provider and prescription copays for 2. This is not a contract, it s a summary of the plan highlights and is subject to change. ![]() Primary Plus Health Center. Wellness Program. Health Matters Newsletters. Retirement Plan. Employee Bulletin Board. Primary Plus Employee Health Center. ![]() For specific. More information. Annual Deductibles, Out- of- Pocket Maximums, Lifetime Maximum Benefits Calendar Year Deductible Calendar Year Out- of- Pocket Maximum Lifetime Maximum Per Individual Physician Office Visits Primary Care. More information. PPO Schedule of Payments (Maryland Small Group) National PPO 1. The benefits outlined in this Schedule are in addition to the benefits offered under Coventry Health & Life Insurance Company Small Employer. More information. Page 1 of 3. 8 Radiology and Imaging Services Ednor Diagnostic Corp 2. W Flagler St #2. 01 Miami, FL 3. Pinnacle Imaging LLC 2. ![]() Insurance/Accepted Plans; Patient Resources; Privacy Policy;. Vista Physician Group. Find A Doctor. A to Z LIST. Vista Healthplan TM, Inc. Summary of Benefits HMO Large Group Plan 0112 ($5/$10/$25) Copayment Maximums (Individual / Family) $1500/$3000 Lifetime Maximum Benefit. Vista Healthplan is a Trademark by Vista Health Plan, Inc., the address on file for this trademark is 300 S. Park Rd., Hollywood, FL 33021. Report on Examination of Vista Healthplan, Inc. Hollywood, Florida as of December 31, 2003 By The State of Florida Office of Insurance Regulation. Or clinic, or call the health plan to ensure that you. Primary Care Physician. Self-Reported accessibility is reported by the provider and Health. NW 7th St #1. 03 Miami, FL 3. Doctors Choice. More information. PLAN FEATURES PARTICIPATING Deductible (per calendar year) $3,0. Individual $9,0. 00 Family $4,0. Individual $1. 2,0. Family Unless otherwise indicated, the Deductible must be met prior to benefits being. More information. Medicare Advantage Plans Comparison Chart This comparison chart is a side- by- side representation of services offered through the Av. Med, Cigna, UHC, and Humana Medicare Advantage Plans for both in- network. More information. Summary of Services and Cost Shares This summary does not describe benefits. For the description of a benefit, including any limitations or exclusions, please refer to the identical heading in the Benefits. More information. PLAN FEATURES Deductible (per calendar year) $2,5. Individual $5,0. 00 Individual $7,5. Individuals per $1. Individuals per Unless otherwise indicated, the Deductible must be met prior to benefits. More information. PLAN FEATURES Deductible (per calendar ) Member Coinsurance * Not Applicable ** Not Applicable Copay Maximum (per calendar ) $3,0. Individual $6,0. 00 per Family All member copays accumulate toward. More information. PLAN FEATURES Deductible (per calendar year) $1,0. Individual $3,0. 00 Family Unless otherwise indicated, the Deductible must be met prior to benefits being payable. Member cost sharing for certain services. More information. The School Board of Broward County, FL Open Enrollment 2. Your Choices. Your Benefits. Your Health. This summary does. More information. Benefits At A Glance Plan C HIGHLIGHTS OF WELFARE FUND BENEFITS WELFARE FUND BENEFITS IN BRIEF Medical and Hospital Benefits Empire Blue. Cross Blue. Shield Plan C- 1 Empire Blue. Cross Blue. Shield Plan C- 2 All. More information. PPO Schedule of Payments (Maryland Large Group) Qualified High Health Plan National QA2. Benefit Year Individual Family (Amounts for Participating and s services are separated in calculating when. More information. Who is eligible to enroll in the Plan? All State of Michigan Employees who reside in the coverage area determined by zip code. All State of Michigan Employees who reside in the coverage area determined. More information. A Ameri. Health EPO Individual Summary of Benefits Value Network IHC EPO $3. Benefit Network Non network Benefit Period+ Calendar year Individual deductible $2,5. Family deductible $5,0. Individual. More information. WHO IS COVERED Requires both Medicare A & B enrollment. Type of Coverage Offered Single only Single only MEDICAL NECESSITY Pre- Certification Requirement None None Medical Benefit Management Program Not. More information. HMO- 1 Primary Care Physician Visits Office Hours After- Hours/Home Specialty Care Office Visits Diagnostic OP Lab/X Ray Testing (at facility) with PCP referral. Diagnostic OP Lab/X Ray Testing (at specialist). More information. PLAN FEATURES Deductible (per calendar year) $2,5. Individual $4,0. 00 Individual $7,5. Family $1. 2,0. 00 Family 3 Individuals per Family 3 Individuals per Family Unless otherwise indicated, the Deductible. More information. PLAN FEATURES PREFERRED CARE NON- PREFERRED CARE Deductible (per calendar year; applies to all covered services) $1,0. Individual $3,0. 00 Family $2,0. Individual $6,0. 00 Family Plan Coinsurance ** 8. More information. HEALTHFUND PLAN FEATURES Health. Fund Amount (Per plan year. Fund changes between tiers requires a life status change qualifying event.) Fund Coinsurance (Percentage at which the Fund will reimburse) Fund. More information. PLAN FEATURES Deductible (per calendar year) $1,0. Individual $2,0. 00 Family Unless otherwise indicated, the Deductible must be met prior to benefits being payable. Member cost sharing for certain services. More information. PLAN FEATURES Deductible (per calendar year) $2,5. Individual $7,5. 00 Family Unless otherwise indicated, the Deductible must be met prior to benefits being payable. Member cost sharing for certain services. More information. PLAN FEATURES Deductible (per calendar year) Individual $7. Individual $1,5. 00 Family $2,2. Family $4,5. 00 All covered expenses accumulate simultaneously toward both the preferred and non- preferred Deductible. This summary does. More information. Benefit Type Plan Year Type Calendar Year Annual Medical Out of (for certain services) Employee Employee + 1 Family Annual Prescription Drug Out of Employee Employee + 1 Family The MITRE Corporation Plan. More information. Network Providers Non Network Providers** DEDUCTIBLE (Per Calendar Year) None $2. OUT- OF- POCKET MAXIMUM (When the out- of- pocket maximum is reached, benefits are paid at 1. More information. Home Office: Bloomfield, Connecticut Mailing Address: Hartford, Connecticut 0. CIGNA HEALTH AND LIFE INSURANCE COMPANY, a Cigna company (hereinafter called Cigna) CERTIFICATE RIDER No CR7. SI0. 06- 1 Policyholder. More information. Deductible Applies - $1. Single and $2. 00 for Family (Deductible does not apply to any 1. Not Available for Meet & Confer Group) Deductible Out of Network Only - $2. Single and $5. 00. More information. MICHIGAN CATHOLIC CONFERENCE January 2. Benefit Summary This is intended as an easy- to- read summary and provides only a general overview of your benefits. It is not a contract. Additional limitations. More information. Member services 1- 8. Web site www. anthem. More information. Non- Choice of Providers Calendar Year Deductible *The Fund s Calendar Year Deductible is never waived. However, some services are not subject to the Deductible. If you live in Nevada, your network of. More information. PLAN FEATURES OUT- OF- Deductible (per calendar ) $2,5. Individual $5,0. 00 Individual $5,0. Family $1. 0,0. 00 Family Unless otherwise indicated, the Deductible must be met prior to benefits being payable. For more. More information. PLAN FEATURES Network Primary Care Physician Selection Deductible (per calendar year) Member Coinsurance Copay Maximum (per calendar year) Lifetime Maximum Referral Requirement PHYSICIAN SERVICES Primary. More information. HEALTH SAVINGS PPO PLAN (WITH HSA) - COLUMBUS PROVIDED BY AETNA LIFE INSURANCE COMPANY EFFECTIVE JANUARY 1, 2. AETNA INC. CPOS II DEDUCTIBLE, COPAYS/COINSURANCE AND DOLLAR MAXIMUMS and Aligned Deductible. More information. Georgia Health Network Option (POS Open Access) PLAN DESIGN AND BENEFITS Georgia 2- 1. HNOption 1. 3- 1. PLAN FEATURES PARTICIPATING PROVIDERS NON- PARTICIPATING PROVIDERS Deductible (per calendar year). More information. First State Basic Plan (highmark delaware) Description of Benefit Deductible: $5. Out- of- Pocket Max: $2,0. Deductible: $1,0. Out- of- Pocket Max: $4,0. Inpatient Room. More information. Medical Plans Prescription Drugs and Vision Benefits Salaried Employees. You will have a broad choice of doctors and hospitals within Blue Cross Blue Shield of Michigan s unsurpassed statewide PPO network. More information. CENTRAL MICHIGAN UNIVERSITY - Premier Plan (PPO1) 0. Effective Date: July 1, 2. Benefits- at- a- Glance This is intended as an easy- to- read summary and provides only a general overview. More information. PLAN FEATURES Deductible (per plan year) $2,0. Employee $2,0. 00 Employee $3,0. Employee + Spouse $3,0. Employee + Spouse $3,0. Employee + Child(ren) $3,0. Employee + Child(ren) $4,0. Family $4,0. 00. More information. Additional Information Provided by Aetna Life Insurance Company Inquiry Procedure The plan of benefits described in the Booklet- Certificate is underwritten by: Aetna Life Insurance Company (Aetna) 1. More information. Your Plan: Value HMO 2. RX $1. 0/$3. 0/$4. Your Network: Select Plus HMO This summary of benefits is a brief outline of coverage, designed to help you with the selection process. This summary. More information. Dickinson Wright, PLLC 0. Flexible Blue SM Plan 3 Medical Coverage with Preventive Care and Mammography Benefits Benefits- at- a- Glance This is intended as an easy- to- read summary and provides only. More information. Exhibit D- 3 HMO 1. Coverage Schedule ROCKY MOUNTAIN HEALTH PLANS GOOD HEALTH HMO $1. DEDUCTIBLE / 7. 5 PLAN EVIDENCE OF COVERAGE LARGE GROUP Underwritten by Rocky Mountain Health Maintenance Organization. More information. Quick Guide 2. 01. Plan Pre Peoples Health Choices 6.
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