This plan, as displayed here, is perfect for a person who wants to pair an individual health plan with a health savings account (HSA). With Prestige Bronze 20 HDHP, once your deductible is met, you will be responsible for 20 percent coinsurance on additional in-network services you need. Preventive care is covered 100 percent. In addition, you get a $0 annual vision exam and two dental exams for each covered member. The below chart details the benefits of this plan.
Prestige Bronze 20 HDHP Plan Highlights |
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DEDUCTIBLE |
Individual |
$6,500 |
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Family |
$13,000 |
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COINSURANCE |
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20% |
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OUT-OF- |
Individual |
$7,500 |
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Family |
$15,000 |
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BENEFITS |
Preventive Care |
$0 |
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Routine Vision Exam |
$0 |
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Annual Dental Exam |
$0 |
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Personal Doctor Visit |
20% after deductible |
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Virtual Visit |
0% after deductible |
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Specialist Visit |
20% after deductible |
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Chiropractic |
20% after deductible |
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Hospital Stay |
20% after deductible |
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Emergency Room |
20% after deductible |
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X-ray and Diagnostic Imaging |
20% after deductible |
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All Network Health’s Prestige plans have built-in pharmacy benefits. See the chart below for prescription drug coverage information.
Prestige Bronze 20 HDHP Pharmacy Benefit Highlights |
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Retail |
Preventive Drugs |
$0 |
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Adherence Generics |
0% after deductible |
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Tier 1 Generics |
20% after deductible |
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Tier 2 Preferred Brand Drugs |
20% after deductible |
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Tier 3 Non-Preferred Brand Drugs |
50% after deductible |
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Tier 4 Preferred Specialty Drugs |
40% after deductible |
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Tier 5 Non-Preferred Specialty Drugs |
50% after deductible |
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