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Summary Of Benefits And Coverage.pdf

2021_Neighborhood-PRIME-SHOP-Market-Platinum-SBC.pdf
Preview of Summary of Benefits and Coverage
🔗 Source: nhpri.org
📊 Size: 745 KB
👤 Author: DOL Comments
⬇️ Downloads: 48

Summary

Neighborhood PRIME plan covers various health services with specific copays and coinsurance. The overall deductible is $500 individual/$1,000 family, and out-of-pocket limit is $1,500 individual/$3,000 family. Preventive care, primary care, specialist visits, urgent care, emergency room care, and prescription drugs are covered before meeting the deductible. The plan uses a provider network, and using a network provider results in lower costs. There is no need for a referral to see a specialist. The plan excludes certain services, and preauthorization may be required for some services.

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Description

Neighborhood PRIME plan covers various health services with specific copays and coinsurance.

Technical Information

  • File Format: PDF
  • File Size: 745 KB
  • Pages: 5
  • Language: EN
  • Author: DOL Comments
  • Total Downloads: 48
  • Last Updated: 1 week ago

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

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