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Company

Plan Type

Plan ID

Plan Name

Deductibles

PCP Office Visit

Specialist Office Visit

ObGyn Wellness

Lifetime Max

Application

Aetna HMO - details 30822 Bronze $40 Copay HNOnly PD 6800.0000 / 13600 $40 copay, deductible waived $40 copay after deductible No Charge application
HMO - details 30823 Bronze Deductible Only HSA Eligible HNOnly PD 6450.0000 / 12900 Covered in full after deductible Covered in full after deductible No Charge application
HMO - details 30821 Catastrophic HNOnly PD 6850.0000 / 13700 $20 copay, deductible waived for the first 3 visits, then covered in full after deductible Covered in full after deductible No Charge application
HMO - details 30825 Gold $10 Copay HNOnly PD 1400.0000 / 2800 $10 copay, deductible waived $40 copay, deductible waived No Charge application
HMO - details 30824 Silver $10 Copay HNOnly PD 3900.0000 / 7800 $10 copay, deductible waived $75 copay, deductible waived No Charge application
Anthem PPO - details 30576 Anthem Bronze Pathway PPO 0% for HSA 6300.0000 / 12600 0% coinsurance 0% coinsurance No Charge application
PPO - details 30577 Anthem Bronze Pathway PPO 20% for HSA 4400.0000 / 8800 20% coinsurance 20% coinsurance No Charge application
PPO - details 30578 Anthem Bronze Pathway PPO 4500/20% 4500.0000 / 9000 $35 copay for the first 2 visits, then 20% coinsurance 20% coinsurance No Charge application
PPO - details 30579 Anthem Bronze Pathway PPO 5900/20% 5900.0000 / 11800 $50 copay for the first 2 visits, then 20% coinsurance 20% coinsurance No Charge application
PPO - details 30580 Anthem Bronze Pathway PPO 6000/30% 6000.0000 / 12000 $45 copay for the first 2 visits, then 30% coinsurance 30% coinsurance No Charge application
PPO - details 30581 Anthem Catastrophic Pathway PPO 6850/0% 6850.0000 / 13700 $40 copay for the first 3 visits, then 0% coinsurance 0% coinsurance No Charge application
PPO - details 30612 Anthem Gold Pathway PPO 1000/10% 1000.0000 / 2000 $30 copay Deductible, then 10% coinsurance No Charge application
PPO - details 30611 Anthem Gold Pathway PPO 1500/10% 1500.0000 / 3000 $30 copay Deductible, then 10% coinsurance No Charge application
PPO - details 30584 Anthem Silver Pathway PPO 10% for HSA 3200.0000 / 6400 10% coinsurance 10% coinsurance No Charge application
PPO - details 30585 Anthem Silver Pathway PPO 2000/20% 2000.0000 / 4000 $35 copay for the first 3 visits, then 20% coinsurance 20% coinsurance No Charge application
PPO - details 30586 Anthem Silver Pathway PPO 2500/10% 2500.0000 / 5000 $40 copay for the first 3 visits, then 10% coinsurance 10% coinsurance No Charge application
PPO - details 30610 Anthem Silver Pathway PPO 3750/0% 3750.0000 / 7500 $45 copay Deductible, then 0% coinsurance No Charge application
PPO - details 30587 Anthem Silver Pathway PPO 4000/10% 4000.0000 / 8000 $40 copay $60 copay No Charge application
Humana PPO - details 12386 Humana Basic 6350/ChoiceCare PPO + Children's Dental 6350.0000 / 12700 For the first 3 visits, $35 Copay before deductible, then No Charge after deductible No charge after deductible No charge application
HMO - details 12381 Humana Basic 6350/Lexington UK HealthCare HMOx + Children's Dental 6350.0000 / 12700 For the first 3 visits, $35 Copay before deductible, then No Charge after deductible No charge after deductible No charge application
PPO - details 12388 Humana Bronze 4850/ChoiceCare PPO + Children's Dental 4850.0000 / 9700 For the first 3 visits, $55 copay before deductible, then 20% after deductible For the first 3 visits, $80 copay before deductible, then 20% after deductible No charge application
PPO - details 12387 Humana Bronze 6300/ChoiceCare PPO + Children's Dental 6300.0000 / 12600 No charge after deductible No charge after deductible No charge application
HMO - details 12382 Humana Bronze 6300/Lexington UK HealthCare HMOx + Children's Dental 6300.0000 / 12600 No charge after deductible No charge after deductible No charge application
HMO - details 12384 Humana Gold 2500/Lexington UK HealthCare HMOx + Children's Dental 2500.0000 / 5000 $25 copay $35 copay No charge application
HMO - details 12385 Humana Platinum 1000/Lexington UK HealthCare HMOx + Children's Dental 1000.0000 / 2000 $25 copay $35 copay No charge application
PPO - details 12389 Humana Silver 3650/ChoiceCare PPO + Children's Dental 3650.0000 / 7300 No charge after deductible No charge after deductible No charge application
PPO - details 24379 Humana Silver 4250/ChoiceCare PPO + Children's Dental 4250.0000 / 8500 $35 copay $60 copay No Charge application
HMO - details 12383 Humana Silver 4600/Lexington UK HealthCare HMOx + Children's Dental 4600.0000 / 9200 $25 copay $35 copay No charge application
UnitedHealthcare Life Insurance Company PPO - details 29888 Bronze Copay Select 1 5000.0000 / 10000 $100 copay $100 copay No Charge application
PPO - details 29889 Bronze Copay Select 2 6000.0000 / 12000 $75 copay $75 copay No Charge application
PPO - details 29887 Bronze HSA 100 6500.0000 / 13000 No charge, after deductible No charge, after deductible No Charge application
PPO - details 29886 Select Saver 6850.0000 / N/A $35 copay for first 3 visits No charge, after deductible No Charge application
PPO - details 29891 Silver Copay Select 1 5000.0000 / 10000 $30 copay $30 copay No Charge application
PPO - details 29892 Silver Copay Select 2 2500.0000 / 5000 $40 copay for first 4 visits $40 copay No Charge application
PPO - details 29893 Silver Copay Select 3 3500.0000 / 7000 $35 copay $35 copay No Charge application
PPO - details 29890 Silver HSA 100 4000.0000 / 8000 No charge, after deductible No charge, after deductible No Charge application