WebHorizon Advantage EPO Silver •$25 copayment per visit when member pre-selects and utilizes a PCP. •$50 copayment when member does not pre-select a PCP and/or when member visits a specialist. •For most services rendered at a hospital, member pays 40% coinsurance after satisfaction of $2,000 individual/$4,000 family deductible. WebUPMC Advantage Silver HRA - Benefit Band A, EPO: UPMC Health Plan Coverage for: Individual, Individual + Spouse, Family Plan Type: EPO REA22_EPO_RX1L64_0122_1222 1 of 7 The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. The SBC shows you how you and the plan would share the cost for covered …
Summary of Benefits and Coverage: What this Plan Covers …
WebPlatinum. SEH Platinum EPO National Access $10/$30; SEH Platinum EPO Regional Preferred $10/$30; Gold. SEH Gold EPO Local Value $30/$60; SEH Gold EPO National Access $30/$60 WebValley Advantage EPO plan options An EPO plan for employers located in Lehigh and Northampton counties. Is your group a different size? Shop for group plans. For groups of 1-50 employees Valley Advantage EPO combines the flexibility of a PPO with the carefully designed St. Luke’s University Heath Network of providers and hospitals. malek allibhai notary public
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WebHorizon BCBSNJ : Advantage EPO Silver Coverage for: All Coverage Types Plan Type: EPO (G3550;P2166) 1 of 8 The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. The SBC shows you how you and the plan. would share the cost for covered health care services. NOTE: Information about the cost of this plan … WebIf you are enrolled in the UPMC Advantage Silver HSA $4,000/$0, UPMC Advantage Gold HSA $3,000/$0, or UPMC Advantage Catastrophic $9,100/$0 plans, UPMC AnywhereCare virtual visits will be covered at 100 percent after you meet your deductible. This information is not a complete description of benefits. Contact the plan for more information. WebIHC Silver EPO AmeriHealth Advantage $25/$60. IHC Silver EPO HSA AmeriHealth Hospital Advantage $50/$75. IHC Silver HMO Local Value $50/$75. IHC Silver EPO … malekal live cd windows 10