Health Net HMO 40 NG and 40 NG Plus

These plans have a specific dollar amount for copayments so you know in advance how much services will cost.

Health Net HMO 40 NG and HMO 40 NG Plus Plans

Now here are two plans that are reliable and predictable! These plans have a specific dollar amount for copayments so you know in advance how much services will cost. If you choose the HMO 40 NG Plus plan,Cigna health insurance
it includes all the great comprehensive benefits found in the HMO 40 NG plan plus dental and vision coverage! You can even purchase supplemental life insurance for an additional premium. The medical plan highlights for in-network services include:

 

Annual Deductible:

$1,500 per calendar year deductible for inpatient hospital services only up to the out of pocket maximum
   

Out of Pocket Maximum:

$3,000 per individual / $6,000 for family
   

Physician Visit:

$40 per visit for unlimited number of visits
   

Annual Routine Exam:

No Charge (pap smear, mammogram, psa, well baby etc.)
   

X-Ray and Laboratory:

No Charge
   

Prescriptions:

$100 annual deductible per member per calendar year then $15 generic, $25 brand, and $50 non formulary drugs
   

Emergency Room Services:

$100 per visit (waived if admitted) up to the out of pocket maximum
   

Ambulance:

$80 per trip (ground or air)
   

Outpatient Surgery:

$250 (hospital or outpatient surgery center charges only) Outpatient facility services (other than surgery) covered in full
   

Inpatient Hospital:

$1,500 per calendar year deductible applies up to the out of pocket maximum
   

Maternity care in Hospital:

$1,500 inpatient hospital services deductible applies then covered in full
   

Mental Health Visits:

$40 for outpatient – Non severe mental disorders is limited to 20 outpatient visits and 30 inpatient days per calendar year
   

Physical Therapy:

$40 per visit
   

Chiropractic:

Not Covered
   

Acupuncture:

Not Covered
   

Click here for Dental & Vision Summary Benefits for HMO 40 NG Plus plans only.

If you need assistance with individual and family plan options and enrollment, call us to day at
(800) 560-2443

 Apply Now

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