AdventHealth GYM ACCESS Silver HMO 100 1676

Plan Type: HMO
Plan Tier: Silver
Medical Deductible - Individual: $4650
Medical Deductible - Family: $200
Drug Deductible - Individual: $4650
Drug Deductible - Family: $400
Out of Pocket Max - Individual: $8150
Out of Pocket Max - Family: $8150
Primary Care Visit: $25 Copay after deductible
Specialist Visit: $50 Copay after deductible
Emergency Room: No Charge after Deductible
Hospital - Physician: No Charge after Deductible
Hospital - Facility: No Charge after Deductible
Link to Full SBC: http://myAHplan.com/2020_sbc_1676
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: 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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