Family Member – Age 28 – $3000 Initial Unshareable Amount

$507.60/ month with a $100.00 sign-up fee. on the 1st of each month with a 14-day free trial and a $100.00 sign-up fee

  • All your medical needs are met by this plan.
  • The out-of-pocket limit is the IUA you chose: $3,000, $5,000 or $10,000.
  • There’s no lifetime maximum.
  • For an emergency room visit, you’ll pay a $200 Copay. 100% coverage after IUA met.
Doctor visits will cost you:-

Primary Doctor: Network: $50 Copay, 100% coverage after IUA met.
Specialist: Network: $50 Copay, 100% coverage after IUA met.
Other practitioner: Network:$50 Copay, 100% coverage after IUA met.

Hospital services will cost you:-

Inpatient Hospital Services:
Network: $100 Copay per Day, 100% coverage after IUA met.
Inpatient Physician and Surgical Services:
Network: $100 Copay, 100% coverage after IUA met.

Explanation: All member cost sharing varies based upon Place of Service. Please refer to plan documents for additional information.

First payment: November 1, 2020

Description

  • Coverage for a Family member household covering all your medical needs
    • Members Age at enrollment =28 Years Old
    • Initial Unshareable Amount = $3,000 per Year

    You need a doctor, we got you covered.*

  • Additional information

    Age

    28

    Initial Unshareable Amount

    $3,000 per Year

    Coverage

    Medical Needs

    Household Size

    Family Household. Coverage for the Primary Member, his/her Spouse or Life Partner, and all household Dependents.