This plan is ideal if you or your family will be using medical services often. Prestige Gold 0 HDHP offers broad coverage and you will pay $0 for most services once you meet your deductible. In addition, you get a $0 annual vision exam and dental exam for each covered member. Prestige Gold 0 HDHP, as displayed here, is HSA (Health Savings Account) qualified. The below chart details the benefits of this plan.
Prestige Gold 0 HDHP Plan Highlights |
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DEDUCTIBLE |
Individual |
$2,800 |
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Family |
$5,600 |
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COINSURANCE |
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$0 after deductible |
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OUT-OF- |
Individual |
$5,000 |
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Family |
$10,000 |
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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 |
$0 after deductible |
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Virtual Visit |
$0 after deductible |
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Specialist Visit |
$0 after deductible |
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Chiropractic |
$0 after deductible |
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Hospital Stay |
$0 after deductible |
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Emergency Room |
$0 after deductible |
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X-ray and Diagnostic Imaging |
$0 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 0 HDHP Pharmacy Benefit Highlights |
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Retail |
Preventive Drugs |
$0 |
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Tier 1 Adherence Generics (limited only to categories of select antidiabetics, statins and RAS antagonists) |
$0 after deductible |
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Tier 2 Generics |
$0 after deductible |
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Tier 3 Preferred Brand Drugs |
$0 after deductible |
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Tier 4 Non-Preferred Brand Drugs |
50% after deductible |
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Tier 5 Preferred Specialty Drugs |
40% after deductible |
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Tier 6 Non-Preferred Specialty Drugs |
50% after deductible |
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