Our best selling plan, it is designed for individuals looking for low monthly premiums and quality coverage. Signature Prestige Bronze $0 Deductible provides preventive services for $0. In addition, you get a $0 annual vision exam and two dental exams for each covered member. This plan also features copayments without deductibles.
Signature Prestige Bronze Medical Copay Plan Highlights |
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DEDUCTIBLE |
Individual |
$0 |
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Family |
$0 |
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COINSURANCE |
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0% |
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OUT-OF- |
Individual |
$9,100 |
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Family |
$18,200 |
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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 |
$55 per visit |
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Virtual Visit |
$0 per visit |
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Specialist Visit |
$150 per visit |
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Chiropractic |
$75 per visit |
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Hospital Stay |
$1,500 per day for days 1 and 2 |
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Emergency Room |
$2,000 per visit |
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X-ray and Diagnostic Imaging |
$150 per visit |
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All Network Health’s Prestige plans have built-in pharmacy benefits. See the chart below for prescription drug coverage information.
Signature Prestige Bronze Medical Copay 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 |
$30 |
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Tier 2 Preferred Brand Drugs |
$160 |
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Tier 3 Non-Preferred Brand Drugs |
50% coinsurance |
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Tier 4 Preferred Specialty Drugs |
40% coinsurance |
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Tier 5 Non-Preferred Specialty Drugs |
50% coinsurance |
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