Gym Access IND Platinum HMO 91

Plan Type: HMO
Plan Tier: Platinum
Medical Deductible - Individual: $250
Medical Deductible - Family: No
Drug Deductible - Individual: $250
Drug Deductible - Family: No
Out of Pocket Max - Individual: $2500
Out of Pocket Max - Family: $2500
Primary Care Visit: $15
Specialist Visit: $30
Emergency Room: $150
Hospital - Physician: No Charge
Hospital - Facility: $250 Copay per Day
Link to Full SBC:
Plan Brochure:

Other Coverage:

Child Dental: No
Adult Dental No

Prescription Drug Pricing:

Generic Drugs: $3
Non-Preferred Brand Drugs: $55
Preferred Brand Drugs: $30
Specialty Drugs: $0.50
Link to Full Policy Formulary:

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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