Doctor visit | Single M.D. - $20 Specialist - Deductible | Deductible first then 100% covered | $10 | M.D. - $25 Specialist - $45 |
E/R | Deductible first then 100% covered | Deductible first then 100% covered | First $500 covered then Deductible | Deductible |
Prescriptions | Deductible first, then 80% G. 60% Br. covered | Deductible first, then 100% covered | Deductible first, then 100% covered | $500 Deductible first, then 10-50 co-pay 25% of cost |
Deductible (Tests, Outpatient, Hospitalization) | $1000 | $1000 | $1000 | $1000 |
Co-Insurance (owed after deductible) | $3000 (80/20 of next 15,000) after deductible | $0 | $0 | $2000 80/20 of the next 10,000 |
Total Possible 'Out of Pocket' per year | $4000 + 40% of R/X + doc. co-pay(s) | $1000 | $1000 + doc.co-pay(s) | $3000 plus co-pay(s) |