Individual Deductible: | $2,500 |
Individual Out of Pocket Maximum: | $3,500 |
Office Visit Copay: | $20 |
Out of Network Coinsurance: | 50%* |
Preferred Generics: | $15 |
Preferred Brand Name: | $40 |
Non-Preferred Brand Name: | $70 |
Specialty: | $160* |
All health plans in the exchanges are required to provide a minimum set of benefits which are termed essential benefits. These benefits include: