AdventHealth GYM ACCESS Bronze HMO 70 1657

Plan Type: HMO
Plan Tier: Expanded Bronze
Medical Deductible - Individual: $8100
Medical Deductible - Family: $800
Drug Deductible - Individual: $8100
Drug Deductible - Family: $1600
Out of Pocket Max - Individual: $8150
Out of Pocket Max - Family: $8150
Primary Care Visit: $70
Specialist Visit: $160
Emergency Room: 30% Coinsurance after deductible
Hospital - Physician: 30% Coinsurance after deductible
Hospital - Facility: 30% Coinsurance after deductible
Link to Full SBC: http://myAHplan.com/2020_sbc_1657
Plan Brochure:

Other Coverage:

Child Dental: Yes
Adult Dental No

Prescription Drug Pricing:

Generic Drugs: $15
Non-Preferred Brand Drugs: $50 Copay after deductible
Preferred Brand Drugs: $30 Copay after deductible
Specialty Drugs: 30% 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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