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Silver
Health Plan |
Gold
Health Plan |
Diamond
Health Plan |
Health
Max Plus |
Doctor's Office Visits:
For treatment of injury or sickness per covered person per policy year.
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Number of Office Visits:
Per person per policy year. |
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Preventative Care Benefit:
Covers one preventative test per policy year.
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$100 per visit
1 per year |
$100 per visit
1 per year |
$150 per visit
1 per year |
$150 per visit
1 per year |
Diagnostic Testing or X-ray:
Medically necessary diagnostic tests and x-rays performed in a doctor's office or outpatient facility. E.g. MRI, CAT Scan, EKG. |
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$100 per visit
3 per year
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$150 per visit
3 per year
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$400 per visit
5 per year
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Hospital Inpatient Stay:
A maximum of 100 days per year. |
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| ICU/CCU |
None |
None |
$1,000 5 days |
$1,000 15 days |
Hospital Admission:
An extra benefit for the first day admitted in the hospital. |
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Critical Illness Benefit:
Primary insured only
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$5,000 for primary & spouse |
Surgery:
Inpatient/Outpatient
Plan pays as a % of Medicare reimbursement. |
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100% |
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Surgery Maximum:
Maximum annual benefit for surgery. |
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Anesthesia Benefit:
As % of surgery benefit. |
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Accident Coverage:
One accident covered per person per policy year. Costs must be incurred within 90 days of accident or injury. |
$2,500 per year / $100 Ded. / 80% coinsurance
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$5,000 per year / $100 Ded. / 80% coinsurance
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$5,000 per year / $100 Ded. / 80% coinsurance
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AIM Rx Gold Drug Benefit
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Included
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Included
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Included
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Included
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Plan Network
Physician and provider lookup. |
Multiplan PPO Network |
Multiplan PPO Network |
Multiplan PPO Network |
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