Healthcore Access Benefits Summary
| Financial | |
|---|---|
| Deductible | $1,500 (single) / $3,000 (family) |
| Coinsurance | 80% |
| Member Out-of-pocket | $5,250 (single) / $10,500 (family) |
| Preventative Care | |
| Physical exam (once every 3 years) |
No charge |
| Well child visit | No charge |
| Office Visits | |
| Primary care physician office visit | Deductible and Coinsurance |
| Specialist office visit | Deductible and Coinsurance |
| Hospital Care | |
| Inpatient hospitalization | Deductible and Coinsurance |
| Prescription Drugs (optional coverage) | |
| Annual deductible | $1,500 (single) / $3,000 (family) shared medical and pharmacy deductible |
| Generic drugs | $15 co-payment |
| Brand name drugs | $30 co-payment plus the difference in cost between the brand name drug and its generic equivalent |
Click here to view rates »
Additional Benefits
| Financial | |
|---|---|
| Deductible | $1,500 (single) / $3,000 (family) |
| Coinsurance | 80% |
| Member Out-of-pocket | $5,250 (single) / $10,500 (family) |
| Preventative Care | |
| Physical exam (once every 3 years) |
No charge |
| Well child visit | No charge |
| Child immunizations (0-19 years old) |
No charge |
| Adult immunizations | $20 co-payment |
| Outpatient Care | |
| Primary care physician office visit | Deductible and Coinsurance |
| Specialist office visit | Deductible and Coinsurance |
| Surgery in physician's office | Deductible and Coinsurance |
| MRI, CT scan, and other radiology services | Deductible and Coinsurance |
| Hospital Care | |
| Physician services (non-surgical) |
Deductible and Coinsurance |
| Pre-admission testing | Deductible and Coinsurance |
| Surgeon's services | Deductible and Coinsurance |
| Physician's anesthetic services | Deductible and Coinsurance |
| Blood and blood products | Deductible and Coinsurance |
| Semi-private room and board | Deductible and Coinsurance |
| All drugs and medications | No charge (Included in IP D&C) |
| Emergency Care | |
| Ambulance service | Not covered |
| Emergency room | Deductible and Coinsurance |
| Urgent care center | Deductible and Coinsurance |
| Maternity Care | |
| Prenatal and postnatal care | Deductible and Coinsurance |
| Hospital services for mother and child | Deductible and Coinsurance |
| Other Coverage | |
| Diabetes supplies and education | Deductible and Coinsurance |
| Physical therapy | Deductible and Coinsurance |
| Home healthcare | Deductible and Coinsurance |
| Chiropractic | Not covered |
| Mental Health IP | Not covered |
| Mental Health OP | Not covered |
| Prescription Drugs (optional coverage) | |
| Annual deductible | $1,500 (single) / $3,000 (family) shared medical and pharmacy deductible |
| Generic drugs | $15 co-payment |
| Brand name drugs | $30 co-payment plus the difference in cost between the brand name drug and its generic equivalent |