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Plan Options
Plan - PPO HRA 2000
Plan - PPO HRA 2000
Weekly Cost: $40.00
Employee Only CostWeekly Cost: $40.00
In-Network Benefits:
Deductible: Single/Family - $6,000/$12,000
Employee Deductible: $2000.00
Office Visits: PCP/Specialist -$20/$40
Outpatient Surgery: after ded $0
Emergency Room: $150 copay, waived if admitted
Urgent Care: Copay- $20
Rx Coverage: $15/$30/$50
Plan - PPO HRA 4000
Plan - PPO HRA 4000
Weekly Cost: $25.00
Employee Only CostWeekly Cost: $25.00
In-Network Benefits:
Deductible: Single/Family - $8,000/$16,000
Employee Deductible: $4000.00
Office Visits: PCP/Specialist - $40/$75
Outpatient Surgery : after ded $0
Emergency Room : $300 copay, waived if admitted
Urgent Care: Copay - $40
Rx Coverage: $15/$30/$50
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