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Benefit Designs & Descriptions - Small Groups

 

AvMed Choice
 No referrals, no Primary Care Physician (PCP) designation required, service available in and out of network, emergency care is always covered.

 


Plan Name
(Click on link to view full benefit summary)
 		  

Deductible

  

Description

  

Summary of Benefit Design
CH-CH-3703 250 Deductible, Co-pay and Coinsurance with added out of network benefit Choice 1BB; Rx $10/25/40/75 OC
CH-CH-3704 500 Deductible, Co-pay and Coinsurance with added out of network benefit Choice 2BB; Rx $15/30/50/75 OC
CH-CH-3706 500 Deductible, Co-pay and Coinsurance with added out of network benefit Choice 5B; Rx $10/25/40/75 OC
CH-CH-3705 750 Deductible, Co-pay and Coinsurance with added out of network benefit Choice 3BB; Rx $15/30/50/75 OC
CD-CH-3702 1000 Coinsurance after deductible is met, out of network benefits Choice CDHP 3A; Rx $15/30/50/75 OC
HD-CH-3692 1500 Co-pay and Coinsurance after deductible is met, out of network benefits, HSA-qualified HDHP CHOICE 1A; Rx $10/20/30/75 OC
HD-CH-3693 1500 100% after deductible is met, out of network benefits, HSA-qualified HDHP CHOICE 1B; Rx - No Charge after Ded 
HD-CH-4079 2000 100% after deductible is met, out of network benefits, HSA-qualified HD-CH-4079 - POS12 - HDHP-CHOICE-1D; RX - NO CHARGE AFTER DED
HD-CH-3694 3000 100% after deductible is met, out of network benefits, HSA-qualified HDHP CHOICE 1C; Rx - No Charge after Ded

 
Last modified January 03, 2008
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