Begin Primary Care Cost-Sharing After Number Of Visits
0
Child-Only Offering
Allows Adult and Child-Only
Composite Rating Offered
No
Drug EHB Deductible, Combined In/Out of Network, Family Per Group
$0 per group
Drug EHB Deductible, Combined In/Out of Network, Family Per Person
$0 per person
Drug EHB Deductible, Combined In/Out of Network, Individual
$0
Drug EHB Deductible, In Network (Tier 1), Family Per Group
$0 per group
Drug EHB Deductible, In Network (Tier 1), Family Per Person
$0 per person
Drug EHB Deductible, In Network (Tier 1), Individual
$0
Drug EHB Deductible, Out of Network, Family Per Group
$0 per group
Drug EHB Deductible, Out of Network, Family Per Person
$0 per person
Drug EHB Deductible, Out of Network, Individual
$0
Design Type
Not Applicable
Disease Management Programs Offered
Asthma, Depression, Diabetes, Heart Disease, High Blood Pressure & High Cholesterol, Low Back Pain, Pain Management, Pregnancy, Weight Loss Programs
EHB Percent of Total Premium
1
First Tier Utilization
100%
Limited Cost Sharing Plan Variation - Estimated Advanced Payment
$0.00
New/Existing Plan
Existing
Notice Required for Pregnancy
No
Is a Referral Required for Specialist?
No
Medical EHB Deductible, Combined In/Out of Network, Family Per Group
$0 per group
Medical EHB Deductible, Combined In/Out of Network, Family Per Person
$0 per person
Medical EHB Deductible, Combined In/Out of Network, Individual
$0
Medical EHB Deductible, In Network (Tier 1), Family Per Group
$0 per group
Medical EHB Deductible, In Network (Tier 1), Family Per Person
$0 per person
Medical EHB Deductible, In Network (Tier 1), Individual
$0
Medical EHB Deductible, Out of Network, Family Per Group
$0 per group
Medical EHB Deductible, Out of Network, Family Per Person
$0 per person
Medical EHB Deductible, Out of Network, Individual
$0
Plan Effective Date
1/1/2026
Plan Expiration Date
12/31/2026
Plan Level Exclusions
Abortions/Termination of Pregnancy (except to save the life of the mother or when caused by rape/incest); Acupuncture/Acupressure; Administrative Services/Charges; Certain Allergy Tests; Bariatric Surgery; Biofeedback/Neurofeedback; Certain Cancer Therapies; Certain Illegal Activities; Claims After One Year; Complementary/Alternative Medicine; Complications of a Non-Covered Service; Custodial Care; Debarred Providers; Dental Anesthesia where criteria is not met; Duplication of Coverage; Exercise Equipment/Fitness Training; Experimental/Investigational Services (except for approved clinical trials); Refractive Eye Surgery; Food Supplements; Gene Therapy; Hearing Aids; Home Health Aides; Certain Immunizations; Certain Pain Management Services; Certain Prescription/Injectable Drugs and Specialty Medications; Reconstructive, Corrective, and Cosmetic Services; Respite Care; Robot-Assisted Surgery; Sexual Dysfunction; Certain Specialty Services; Travel-Related Expenses; computer-assisted interpretation of X-rays; Computer-assisted navigation for orthopedic procedures; Home A1C testing; Magnetic Source Imaging (MSI); Manipulation under anesthesia; Oncofertility; Radiofrequency ablation for lateral epicondylitis; Virtual colonoscopy screening; and certain DME items.
Wellness Program Offered
No