Health First GYM ACCESS Silver HMO 70 1720

Plan Type: HMO
Plan Tier: Silver
Medical Deductible - Individual: $2000
Medical Deductible - Family: $500
Drug Deductible - Individual: $2000
Drug Deductible - Family: $1000
Out of Pocket Max - Individual: $7750
Out of Pocket Max - Family: $7750
Primary Care Visit: 30% Coinsurance after deductible
Specialist Visit: 30% Coinsurance after deductible
Emergency Room: 30% Coinsurance after deductible
Hospital - Physician: 30% Coinsurance after deductible
Hospital - Facility: 30% Coinsurance after deductible
Link to Full SBC: http://myHFHP.org/2020_sbc_1720
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: 30% Coinsurance after deductible
Link to Full Policy Formulary: http://myHFHP.org/MP_formulary_2020
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