WebAfter $900 per admission copay and deductible, you pay 40% coinsurance 2: After $600 or $700 per admission copay 3 and deductible, you pay 10% coinsurance: After $900 per admission copay and deductible, you pay 30% coinsurance 2: Deductible does not apply to office visits for primary care and specialist. WebDeductible, $150 per admission copay, then 40% of allowed benefit : Emergency Room ; Deductible, then $250 copay, plus 10% of allowed benefit (copay waived if admitted) Other Professional Charges : $40, after deductible : Deductible, then 40% of allowed benefit *This is a summary of benefits. Please refer to the Plan Booklet for full details.
OMNIA℠ EPO Plan - Inspira - Horizon Blue Cross Blue Shield of …
Web(i.e. MRI’s, MRAs, CAT Scans and PET Scans, etc.) Inpatient Facility No charge after $250 per admission copay Outpatient Facility $150 scan copay, then No charge Emergency Room/Urgent Care Facility (billed by the facility as part of the ER visit) $150 scan copay, then No charge Physician's Office $150 scan copay, then No charge Web$250 per admission copay for Non-PPO inpatient hospital benefits. Pre -certification required. If you are pregnant Prenatal and postnatal care $30 copay 40% coinsurance Copay applies to the first prenatal visit. Diagnostic test (x-ray, blood work) will be covered at 80% after deductible for PPO and 60% after deductible for Non-PPO. citi bank wire fees
Coinsurance vs. Copays: What Are the Differences?
Web† Subject to the calendar year deductible: $350 per person or $700 in total for Self + One or Self & Family contracts. ^ What you’ll pay for a 30-day supply of covered drugs. 1 If you … WebWhat is a copay? A copay is a fixed amount you pay for a health care service, usually when you receive the service. The amount can vary by the type of service. How it works: Your plan determines what your copay is for different types of services, and when you have one. You may have a copay before you’ve finished paying toward your deductible. WebNothing 35% after $450 per admission copay* $350 copay per admission 35% after $450 per admission copay* 15% after $300 deductible 35% after $300 deductible* diapers for swimming infant