1 / 4

Comprehensive Health Plan Benefits Overview with Low Copays and Exclusive Wellness Discounts

Explore our alternative health benefit plan designed to provide valuable services at low copays. Enjoy a primary care physician (PCP) copay of just $35 and specialist visits at $50. Diagnostic lab tests and X-rays are free, while specialized imaging costs $200. The plan features a $1,000 copay for hospitalization and a $200 copay for emergency room visits, with an out-of-pocket maximum of $2,500/$5,000. Benefit from affordable prescription options, direct access to HMO specialists, a free basic health club membership, and various wellness discounts.

colton
Download Presentation

Comprehensive Health Plan Benefits Overview with Low Copays and Exclusive Wellness Discounts

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Alternative Benefit Plan Information PCP Copay: $35 Specialist Copay: $50 Diagnostic Lab & Xray: $0 Specialized Imaging & Scanning: $200 (i.e. MRI, CAT, PET) Hospitalization: $1,000 Copay/Admit Outpatient Surgery: $500 Copay Emergency Room: $200 Copay Out of Pocket Max: $2,500/$5,000 Prescription Benefits: $5/$30/$60

  2. Prescription Benefit Plan Information Generic Prescriptions on our Formulary: $5* Brand Named Prescriptions on our Formulary: $30* Generic or Brand Prescriptions NOT on our Formulary: $60* *Only a 30 day supply of medication may be obtained for one copayment Note: Certain medications have restricted quantity limits

  3. What makes us different from other carriers Direct Access(NO REFERRAL NEEDED) to contracted HMO Specialists – Member must still choose PCP FREEBasic Health Club Membership to Participating facilities through PRIME (enroll at www.primemember.com or call 877-238-6240) Discountsfor: Weight Loss Program discounts (i.e. Weight Watchers) Vision Materials & Lasik Surgery On-line Fitness and Wellness help which includes set up of a personal diet and exercise program Home & Personal Safety

  4. What makes us different from other carriers 24/7 Nurseline Disease Management Programs: Taking Charge of Diabetes Taking Charge of your Heart Health Taking Charge of Asthma Stop Smoking Pacificare.com – Look up providers E-mail customer service On-line wellness tools and discount information

More Related