IAFN Bronze HSA 7000 POS – POS

Network type: POS
Coverage tier: Expanded Bronze
Primary care visit: 50% after deductible
Specialist visit: 50% after deductible
Urgent care visit: 50% after deductible

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Description

Health Care Plan Details

Network type POS
Deductible $7,000 per person $7,000 per person
Out-of-pocket max $8,050 per person $16,100 per family
Metal tier Expanded Bronze

Visit Copay

Primary care visit 50% after deductible
Specialist visit 50% after deductible
Preventive care visit No charge

Urgent, Emergency Care, and Hospital Care

Urgent care 50% after deductible
Emergency room 50% after deductible
Ambulance 50% after deductible
Hospital stay (facility) 50% after deductible
Hospital stay (physician) 50% after deductible
Outpatient procedure (facility) 50% after deductible
Outpatient procedure (physician) 50% after deductible
Physical rehabilitation 50% after deductible

Maternitowny and Pregnancy

Labor, delivery, hospital stay 50% after deductible

Pharmacy, Drugs, and Medication

Generic 20% after deductible
Brand 40% after deductible
Non-preferred Brand 50% after deductible
Specialty 50% after deductible

Lab Tests and Diagnostic Procedures

X-rays 50% after deductible
Imaging (CT/PET/MRI) 50% after deductible
Blood work 50% after deductible

Mental and Psychiatric Health Care

Mental Health outpatient services 50% after deductible
Psychiatric hospital stay 50% after deductible

Health Plan Provider Information

Health Plan Benefits https://d2ed110nmrd591.cloudfront.net/blobs/6TWVJ9vimwyz1oUX9NbKnY9g.pdf