Cox HealthPlans Silver Preferred $0 Deductible – EPO
94% cost sharing reduction [Popular Plan]
Network type: EPO
Coverage tier: Silver
Primary care visit: $5 copay
Specialist visit: 20% coinsurance
Urgent care visit: 20% coinsurance
Description
This plan has 94% cost sharing reduction [Popular Plan]
Health Care Plan Details
| Network type | EPO |
| Deductible | Success
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| Out-of-pocket max | $1,500 per person $3,000 per family |
| Metal tier | Silver |
Visit Copay
| Primary care visit | $5 copay |
| Specialist visit | 20% coinsurance |
| Preventive care visit | No charge |
Urgent, Emergency Care, and Hospital Care
| Urgent care | 20% coinsurance |
| Emergency room | 20% coinsurance |
| Ambulance | 20% coinsurance |
| Hospital stay (facility) | 20% coinsurance |
| Hospital stay (physician) | 20% coinsurance |
| Outpatient procedure (facility) | 20% coinsurance |
| Outpatient procedure (physician) | 20% coinsurance |
| Physical rehabilitation | 20% coinsurance |
Maternitowny and Pregnancy
| Well baby care | No charge |
| Labor, delivery, hospital stay | 20% coinsurance |
Pharmacy, Drugs, and Medication
| Generic | No charge |
| Brand | 20% coinsurance |
| Non-preferred Brand | 20% coinsurance |
| Specialty | 20% coinsurance |
Lab Tests and Diagnostic Procedures
| X-rays | 20% coinsurance |
| Imaging (CT/PET/MRI) | 20% coinsurance |
| Blood work | 20% coinsurance |
Mental and Psychiatric Health Care
| Mental Health outpatient services | 20% coinsurance |
| Psychiatric hospital stay | 20% coinsurance |
Health Plan Provider Information
| Health Plan Benefits | https://www.thinkinghealthforward.com/files/96384MO0220016-06%20Silver%20Preferred%2094.pdf |
| Drug and medication plan formulary | https://client.formularynavigator.com/Search.aspx?siteCode=3041785512 |
| Search doctor list | https://www.thinkinghealthforward.com/providers/ |
