Gym Access IND Essential Plus Gold HMO 63

Plan Type: HMO
Plan Tier: Gold
Medical Deductible - Individual: $1600
Medical Deductible - Family: No
Drug Deductible - Individual: $1600
Drug Deductible - Family: No
Out of Pocket Max - Individual: $5000
Out of Pocket Max - Family: $5000
Primary Care Visit: $20
Specialist Visit: $50
Emergency Room: 20% Coinsurance after deductible
Hospital - Physician: 20% Coinsurance after deductible
Hospital - Facility: 20% Coinsurance after deductible
Link to Full SBC: http://www.fhcp.com/documents/ISBC/2020/56503FL1390001-01.pdf
Plan Brochure: http://www.fhcp.com/documents/ISOB/2020/56503FL1390001-01.pdf

Other Coverage:

Adult Dental No

Prescription Drug Pricing:

Generic Drugs: $10
Non-Preferred Brand Drugs: $75
Preferred Brand Drugs: $40
Specialty Drugs: $0.30
Link to Full Policy Formulary: http://fm.formularynavigator.com/FBO/126/2020_QHP_Formulary_Member_Doc.pdf

This Carrier Offers:



About The Carrier

Florida Health Care Plan, Inc. (FHCP) provides health care services. The Company offers health insurance, medicare plans, and other related services. FHCP serves members in the State of Florida.

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