This plan offers quality coverage with the lowest deductible of all our gold-level plans. It also has the lowest out-of-pocket maximum and you'll be responsible for 50 percent coinsurance on covered-in network services once the deductible has been met. In addition, you get a $0 annual vision exam and two dental exams for each covered member. This plan is ideal for a person who is comfortable paying a higher monthly premium and receiving lower medical bills throughout the year. The below chart details the benefits of this plan.
Prestige Gold 50 Plan Highlights |
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DEDUCTIBLE |
Individual |
$1,000 |
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Family |
$2,000 |
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COINSURANCE |
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50% |
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OUT-OF- |
Individual |
$4,300 |
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Family |
$8,600 |
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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 |
$0 for first visit per family member, then 50% after deductible |
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Virtual Visit |
$0 per visit |
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Specialist Visit |
50% after deductible |
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Chiropractic |
50% after deductible |
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Hospital Stay |
50% after deductible |
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Emergency Room |
50% after deductible |
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X-ray and Diagnostic Imaging |
50% 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 Gold 50 Pharmacy Benefit Highlights |
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Retail |
Preventive Drugs |
$0 |
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Adherence Generics |
$0 |
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Tier 1 Generics |
$15 |
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Tier 2 Preferred Brand Drugs |
$50 |
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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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