Virtual Visits
Find a Doctor
Find a Pharmacy
Look Up Medications
Prestige Silver
This plan is good for an individual who wants a reasonable deductible along with low copayments for common medical services, but no dental or vision benefits. As with all Network Health plans, preventive services are $0. The below chart details the benefits of this plan.
Prestige Silver Plan Highlights |
|||
|
DEDUCTIBLE |
Individual |
$5,900 |
|
|
Family |
$11,800 |
||
|
COINSURANCE |
|
40% |
|
|
OUT-OF- |
Individual |
$9,100 |
|
|
Family |
$18,200 |
||
|
BENEFITS |
Preventive Care |
$0 |
|
|
Routine Vision Exam |
Not covered |
||
|
Annual Dental Exam |
Not covered |
||
|
Personal Doctor Visit |
$40 per visit |
||
|
Virtual Visit |
$0 per visit |
||
|
Specialist Visit |
$80 per visit |
||
|
Chiropractic |
40% after deductible |
||
|
Hospital Stay |
40% after deductible |
||
|
Emergency Room |
40% after deductible |
||
|
X-ray and Diagnostic Imaging |
40% after deductible |
||
Prescription drug coverage
All Network Health’s Prestige plans have built-in pharmacy benefits. See the chart below for prescription drug coverage information.
Prestige Silver Pharmacy Benefit Highlights |
||
|
Retail |
Preventive Drugs |
$0 |
|
Adherence Generics |
$0 |
|
|
Tier 1 Generics |
$20 |
|
|
Tier 2 Preferred Brand Drugs |
$40 |
|
|
Tier 3 Non-Preferred Brand Drugs |
$80 after deductible |
|
|
Tier 4 Preferred Specialty Drugs |
$350 after deductible |
|
|
Tier 5 Non-Preferred Specialty Drugs |
$350 after deductible |
|
