G653CHC
Benefits at a Glance
Network: | Blue Choice PPO |
HSA Compatible? | No |
Doctor | $20 Primary / $40 Specialist |
Prescription | $10 / $30 / $50 |
Deductible | $2,000 |
Coinsurance | 20% |
Out-of-Pocket Limit | $5,000 |
Benefits at a Glance
Network: | Blue Choice PPO |
HSA Compatible? | No |
Doctor | $20 Primary / $40 Specialist |
Prescription | $10 / $30 / $50 |
Deductible | $2,000 |
Coinsurance | 20% |
Out-of-Pocket Limit | $5,000 |