Description
Health Care Plan Details
| Network type | PPO |
| Deductible | See brochure See brochure |
| Out-of-pocket max | N/A per person N/A per family |
| Metal tier | Silver |
Visit Copay
Urgent, Emergency Care, and Hospital Care
Maternitowny and Pregnancy
Pharmacy, Drugs, and Medication
Lab Tests and Diagnostic Procedures
Mental and Psychiatric Health Care
Health Plan Provider Information
| Health Plan Benefits | https://d2ed110nmrd591.cloudfront.net/blobs/85zkt53hxvNy7RSSgWBVTEMk.pdf |
| Drug and medication plan formulary | https://www.harvardpilgrim.org/2024Value5T |