Single Member – Age 22 – $5,000 Initial Unshareable Amount

$166.25/ 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 single member household covering all your medical needs

  • ¬†Members Age at enrollment = 22 Years Old
  • ¬†Annual Initial Unshareable Amount Amount = $5,000 per Year

You need a doctor, we got you covered.*

Additional information

Age

22

Initial Unshareable Amount

$5,000 Per Year

Coverage

Medical Needs