SELECT GOLD I410-01 STANDARD W/DENTAL W/FIXED COPAY – HMO
Network type: HMO
Coverage tier: Gold
Primary care visit: $30 copay
Specialist visit: $60 copay
Urgent care visit: $45 copay
Description
Health Care Plan Details
| Network type | HMO |
| Deductible | $1,500 per person $1,500 per person |
| Out-of-pocket max | $8,700 per person $17,400 per family |
| Metal tier | Gold |
Visit Copay
| Primary care visit | $30 copay |
| Specialist visit | $60 copay |
| Preventive care visit | No charge |
Urgent, Emergency Care, and Hospital Care
| Urgent care | $45 copay |
| Emergency room | 25% after deductible |
| Ambulance | 25% after deductible |
| Hospital stay (facility) | 25% after deductible |
| Hospital stay (physician) | 25% after deductible |
| Outpatient procedure (facility) | 25% after deductible |
| Outpatient procedure (physician) | 25% after deductible |
| Physical rehabilitation | $30 copay |
Maternitowny and Pregnancy
| Labor, delivery, hospital stay | 25% after deductible |
Pharmacy, Drugs, and Medication
| Generic | $15 per script copay |
| Brand | $30 per script copay |
| Non-preferred Brand | $60 per script copay |
| Specialty | $250 per script copay |
Lab Tests and Diagnostic Procedures
| X-rays | 25% after deductible |
| Imaging (CT/PET/MRI) | 25% after deductible |
| Blood work | 25% after deductible |
Mental and Psychiatric Health Care
| Mental Health outpatient services | $30 copay |
| Psychiatric hospital stay | 25% after deductible |
Health Plan Provider Information
| Health Plan Benefits | https://d2ed110nmrd591.cloudfront.net/blobs/VzxPdkceGUMGg7RKftCYHNcM.pdf |
| Drug and medication plan formulary | https://quartzbenefits.com/members/pharmacy-program/covered-drugs/standard-formularies/ |
