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Re: И снова о медицине.
Вопрос к знатокам: как вам такая страховка?
Вот ссылка на детали: https://coventryone.inshealth.com/eh..._1500_8-10.pdf
Вопрос к знатокам: как вам такая страховка?
Компания: Coventry One
Название страховки: Premier 1500
Стоимость в месяц: $155.15
Детали:
Details at a Glance
* Plan Type - PPO
* Office Visit for Primary Doctor - $25 Copay
* Office Visit for Specialist - $45 Copay
* Coinsurance - No Charge after deductible
* Annual Deductible - Individual: $1,500
* Separate Prescription Drugs Deductible - None
* Prescription Drugs
Generic: $10 Copay
Brand: $35 Copay
Non-Formulary: $60 Copay
* Annual Out-of-Pocket Limit - Individual: $1,500. Includes deductible
* Lifetime Maximum - Unlimited
* Health Savings Account (HSA) Eligible - No
* Out-of-Network Coverage - Yes (Details in plan brochure below)
* Out of Country Coverage - Emergency Care Only
* Rate Guarantee - 12 months. View Detail
Physicians
* Primary Care Physician (PCP) Required - No
* Specialist Referrals Required - No
Preventive Care Coverage
* Periodic Health Exam - No Charge
* Periodic OB-GYN Exam - No Charge
* Well Baby Care - No Charge
Prescription Drug Coverage
* Generic Prescription Drugs - $10 Copay
* Brand Prescription Drugs - $35 Copay
* Non-Formulary Prescription Drugs Coverage - $60 Copay
* Mail Order for Prescription Drugs - Generic: $10 Copay; Brand: $70 Copay; Non-Formulary: $180 Copay; Days Supply: 90;
* Separate Prescription Drugs Deductible - None
Hospital Services Coverage
* Emergency Room - $100 Copay (waived if admitted)
* Outpatient Lab/X-Ray - No Charge after deductible
* Outpatient Surgery - No Charge after deductible
* Hospitalization - No Charge after deductible
Maternity Coverage
* Pre & Postnatal Office Visit - Not Covered
* Labor & Delivery Hospital Stay - No charge after deductible, complications only
Additional Coverage
* Chiropractic Coverage - $45 Copay, 20 visits max
* Mental Health Coverage - Not Covered
* Substance Abuse Coverage - Not Covered
Out-of-Network Coverage
* Out-of-Network Authorization Required - Certain Covered Services
* Out-of-Network Deductible - 3000/6000
* Out-of-Network Coinsurance - 30%
* Out-of-Network Out-of-Pocket Limit - 6000/12000
Additional Information
* Application Fee - No
* Electronic Signature for Application Available - Yes
Название страховки: Premier 1500
Стоимость в месяц: $155.15
Детали:
Details at a Glance
* Plan Type - PPO
* Office Visit for Primary Doctor - $25 Copay
* Office Visit for Specialist - $45 Copay
* Coinsurance - No Charge after deductible
* Annual Deductible - Individual: $1,500
* Separate Prescription Drugs Deductible - None
* Prescription Drugs
Generic: $10 Copay
Brand: $35 Copay
Non-Formulary: $60 Copay
* Annual Out-of-Pocket Limit - Individual: $1,500. Includes deductible
* Lifetime Maximum - Unlimited
* Health Savings Account (HSA) Eligible - No
* Out-of-Network Coverage - Yes (Details in plan brochure below)
* Out of Country Coverage - Emergency Care Only
* Rate Guarantee - 12 months. View Detail
Physicians
* Primary Care Physician (PCP) Required - No
* Specialist Referrals Required - No
Preventive Care Coverage
* Periodic Health Exam - No Charge
* Periodic OB-GYN Exam - No Charge
* Well Baby Care - No Charge
Prescription Drug Coverage
* Generic Prescription Drugs - $10 Copay
* Brand Prescription Drugs - $35 Copay
* Non-Formulary Prescription Drugs Coverage - $60 Copay
* Mail Order for Prescription Drugs - Generic: $10 Copay; Brand: $70 Copay; Non-Formulary: $180 Copay; Days Supply: 90;
* Separate Prescription Drugs Deductible - None
Hospital Services Coverage
* Emergency Room - $100 Copay (waived if admitted)
* Outpatient Lab/X-Ray - No Charge after deductible
* Outpatient Surgery - No Charge after deductible
* Hospitalization - No Charge after deductible
Maternity Coverage
* Pre & Postnatal Office Visit - Not Covered
* Labor & Delivery Hospital Stay - No charge after deductible, complications only
Additional Coverage
* Chiropractic Coverage - $45 Copay, 20 visits max
* Mental Health Coverage - Not Covered
* Substance Abuse Coverage - Not Covered
Out-of-Network Coverage
* Out-of-Network Authorization Required - Certain Covered Services
* Out-of-Network Deductible - 3000/6000
* Out-of-Network Coinsurance - 30%
* Out-of-Network Out-of-Pocket Limit - 6000/12000
Additional Information
* Application Fee - No
* Electronic Signature for Application Available - Yes
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