AdventHealth GYM ACCESS Silver HMO 100 1668

Plan Type: HMO
Plan Tier: Silver
Medical Deductible - Individual: $5750
Medical Deductible - Family: $200
Drug Deductible - Individual: $5750
Drug Deductible - Family: $400
Out of Pocket Max - Individual: $8150
Out of Pocket Max - Family: $8150
Primary Care Visit: $50
Specialist Visit: $100
Emergency Room: No Charge after Deductible
Hospital - Physician: No Charge after Deductible
Hospital - Facility: No Charge after Deductible
Link to Full SBC:
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: 20% Coinsurance after deductible
Link to Full Policy Formulary:

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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