Coinsurance PPO Plan with Office Visit Copay

• $2,250 family deductible
• $7,500 family out-of-pocket max
• $25 Office Visit Copay
• $10/$35/$50 MAC A Prescription Drug Plan
• Most services covered at 80%/20% coinsurance after deductible

Coinsurance PPO Plan with Office Visit Copay covers:

• Physician & Specialist office visits - 100% after $25 copay
• Preventive office visits - 100% after $25 copay
• Inpatient/Outpatient services - 80% after deductible
• ER/Ambulance -- 80% after deductible
• Home Health & Hospice - 80% after deductible (limited visits)
• Behavioral Health & Therapy - 80% after deductible (limited visits)
• Prescription Drugs - $10 for generic drugs, $35 for preferred brands, $50 for non-preferred brands.
• BluePerks discounts of up to 30% on certain non-covered services.

Suzanne's able to compare drug costs by brand name of classification with our online Drug Calculator. This helpful tool also provides suggestions for less expensive, lower tier and generic drug options for each drug when applicable. Plus, she can use the Preferred Drug List to determine which drugs are covered at the $35 copay amount.

She can get a better understanding of the value and risk of medical technologies, services and procedures with the Treatment Information available in Consumer Health Tools. This information is intended to complement other sources of research, including your doctor's advice. And, since each person's health condition is unique, this information is not medical advice or opinion regarding your condition, health or treatment.

Suzanne was also able to learn more about her own health by completing the Personal Health Analysis online questionnaire. This secure tool asks specific family history and lifestyle habits in order to determine a baseline health status and generate appropriate educational materials aimed at improving areas of weakness.