AdventHealth GYM ACCESS Gold HMO 90 HSA 1745
| Plan Type: | HMO |
| Plan Tier: | Gold |
| Medical Deductible - Individual: | $1500 |
| Medical Deductible - Family: | Not Applicable |
| Drug Deductible - Individual: | Not Applicable |
| Drug Deductible - Family: | Included in Medical |
| Out of Pocket Max - Individual: | $3000 |
| Out of Pocket Max - Family: | $3000 |
| Primary Care Visit: | 10% Coinsurance after deductible |
| Specialist Visit: | 10% Coinsurance after deductible |
| Emergency Room: | 10% Coinsurance after deductible |
| Hospital - Physician: | 10% Coinsurance after deductible |
| Hospital - Facility: | 10% Coinsurance after deductible |
| Link to Full SBC: | http://myAHplan.com/2020_sbc_1745 |
| Plan Brochure: |
Other Coverage:
| Child Dental: | Yes |
| Adult Dental | No |
Prescription Drug Pricing:
| Generic Drugs: | 10% Coinsurance after deductible |
| Non-Preferred Brand Drugs: | 10% Coinsurance after deductible |
| Preferred Brand Drugs: | 10% Coinsurance after deductible |
| Specialty Drugs: | 10% Coinsurance after deductible |
| Link to Full Policy Formulary: | http://myAHplan.com/MP_formulary_2020 |
This Carrier Offers:
About The Carrier
Health First is Central Florida’s only fully integrated health system. With a mission to positively change the health and wellness of the communities we serve, Health First offers the latest technological advances and quality care at our four hospitals and through our many Outpatient & Wellness Services, as well as the area’s only Trauma and Heart Centers. Health First also offers multiple commercial and Medicare health plans, the largest multi-specialty physician group in Brevard County, and three fitness centers to help members of our community stay healthy.
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