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About this plan.
Health Maintenance Organization (HMO) plans
Health Maintenance Organization (HMO) plans provide benefits through a network of contracted health care providers. Your medical care will be coordinated by your chosen Primary Care Physician (PCP). Should you require the care of specialists, your PCP will refer you to specialists within the HMO network.
HSA-Eligible
All about this plan:
None
Annual Deductible
$30 copay
Specialist Visit
$1,500 (I) / $3,200 (F)
Out-of-Pocket Maximum
$0 copay
Preventive Care
Coinsurance
$35 copay
Urgent Care Visit
$15 copay
Office Visit (Primary Care)
$150 copay (waived if admitted)
Emergency Room Visit