The Prestige Bronze 0 plan is good for an individual who wants no deductible and quality coverage. You will pay $0 for preventive care. In addition, you get a $0 annual vision exam. There are separate copayments and coinsurance for prescription drugs. The below chart details the benefits of this plan.
This plan is also available without dental and vision benefits.
Prestige Bronze $0 Medical Deductible + Dental + Vision |
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MEDICAL DEDUCTIBLE |
Individual |
$0 |
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Family |
$0 |
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PHARMACY DEDUCTIBLE |
Individual |
$1,500 |
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Family |
$3,000 |
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COINSURANCE |
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0% |
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OUT-OF- |
Individual |
$9,200 |
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Family |
$18,400 |
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BENEFITS |
Preventive Care |
$0 |
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Routine Vision Exam |
$0 |
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Annual Dental Exam |
Reimbursement |
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Personal Doctor Visit |
$45 |
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Virtual Visit |
$0 |
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Specialist Visit |
$150 |
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Chiropractic |
$75 |
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Hospital Stay |
$1,500 per day for days 1-2 |
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Emergency Room |
$2,000 |
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X-ray and Diagnostic Imaging |
$150 |
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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 $0 Medical Deductible + Dental + Vision |
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Retail |
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Individual Deductible |
$1,500 |
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Family Deductible |
$3,000 |
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Tier 1 Generic and Adherence Generic Drugs Adherence Generics are limited to specific medications to treat certain conditions and are designated in the comprehensive drug list with the label “$0” and are available at no cost, subject to applicable deductible |
$30 |
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Tier 2 Preferred Brand Drugs |
$160 |
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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 Preferred Specialty Drugs |
50% after deductible |
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