Health Net HMO 50 & 50 Plus

This plan has a specific dollar amount for copayments so you know in advance how much services will cost.

Health Net HMO 50 Plan

Now here is a plan that is reliable and predictable! This plan has a specific dollar amount for copayments so you know in advance how much services will cost. If you choose the HMO 50 Plus plan, Cigna health insurance
it includes all the great comprehensive benefits found in the HMO 50 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:

None.
   

Out of Pocket Maximum:

$5,500 per individual / $11,000 for family.
   

Physician Visit:

$50 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:

$400 brand deductible per member per calendar year then $35 brand and $15 generic. 50% non formulary drugs to a maximum copayment of $300.
   

Emergency Room Services:

$300 per visit (waived if admitted) up to the out of pocket maximum.
   

Ambulance:

$100 per trip (ground or air).
   

Outpatient Surgery:

Hospital charges 50%. Outpatient surgery center charges 45%.
   

Inpatient Hospital:

Hospital charges 50%. Outpatient surgery center charges 45% maximum.
   

Maternity care in Hospital:

50% applies to the out of pocket maximum.
   

Mental Health Visits:

$40 for outpatient – Inpatient 50%.
   

Physical Therapy:

$50 per visit.
   

Chiropractic:

Not Covered.
   

Acupuncture:

Not Covered.
   

Click here for an overview of the HMO Value 50

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

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