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Core Plus Plan Benefits.pdf

health_booklet_ppo_silver_plan.pdf

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📊 Size: 1.32 MB

👤 Author: Vinti Chaudhary

⬇️ Downloads: 71

Summary

United Independent School District's health plan has the following provisions:
In-Network Benefits:
- $2,000 calendar year deductible per individual, $4,000 per family
- $8,150 co-share stop-loss amount per individual, $16,300 per family
- Copayment amounts: $35 for primary care, $60 for specialty care, $500 for emergency room visits
- 100% coverage for office visits, radiation therapy, and chemotherapy after copayment
- 70% coverage for infusion therapy and inpatient hospital expenses after copayment or deductible
Out-of-Network Benefits:
- $4,000 calendar year deductible per individual, $8,000 per family
- $17,000 co-share stop-loss amount per individual, $34,000 per family
- 50% coverage for office visits, radiation therapy, and chemotherapy after deductible
- 50% coverage for infusion therapy and inpatient hospital expenses after deductible
- $250 penalty for failure to preauthorize services
Extended Care Expenses:
- 100% coverage for skilled nursing facility, home health care, and hospice care with certain limits and requirements.

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Description

United Independent School District's health plan has the following provisions:
In-Network Benefits:
- $2,000 calendar year deductible per individual, $4,000...

Technical Information

File Format: PDF
File Size: 1.32 MB
Pages: 104
Language: EN
Author: Vinti Chaudhary
Total Downloads: 71
Last Updated: 1 week ago

Document Overview

This PDF document about Core Plus Plan Benefits provides comprehensive information and guidance. Whether you're a beginner or advanced user, this resource offers valuable insights into Core Plus Plan Benefits.