AdventHealth Silver HMO 80 1762

Plan Type: HMO
Plan Tier: Silver
Medical Deductible - Individual: $4650
Medical Deductible - Family: $500
Drug Deductible - Individual: $4650
Drug Deductible - Family: $1000
Out of Pocket Max - Individual: $8150
Out of Pocket Max - Family: $8150
Primary Care Visit: $30
Specialist Visit: $65
Emergency Room: 20% Coinsurance after deductible
Hospital - Physician: 20% Coinsurance after deductible
Hospital - Facility: 20% Coinsurance after deductible
Link to Full SBC: http://myAHplan.com/2020_sbc_1762
Plan Brochure:

Other Coverage:

Child Dental: Yes
Adult Dental No

Prescription Drug Pricing:

Generic Drugs: $15
Non-Preferred Brand Drugs: $100
Preferred Brand Drugs: $50
Specialty Drugs: 40% 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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