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ADVANTAGE OF USING IN NETWORK DOCTORS

Doctors agree to a fee schedule which may lower your out of pocket cost

Pay only a $15 co-pay

 for office visits

Requires PCP Selection

Limits out of pocket cost

No out of Pocket for In Network doctors visits $15 co-pay for specialists

Requires PCP Selection

Pay only a $10 co-pay

 for office visits

Pay only a $10 co-pay

for office visits.

Pay only a $10 co-pay

for office visits.

CHIROPRACTIC COVERAGE

Same as Medical Coverage Out-of-Network

In-Network agrees to managed care limits

80% covered fees after deductible for both In and Out of Network with  medical necessity and fees subject to limits

$10 co-pay

Limited number of visits both in and out of network  Preauthorization and

 $1500 Annual Max.

Only limited in-network coverage with

 managed care  limits

Limited number of visits

in-network $10 co-pay

Limited number of visits

in-network $10 co-pay

OUT PATIENT MENTAL HEALTH

Good Plan Most Providers Accept In- Out Network

Good Plan Most Providers Accept In-Out Network

Approved Services

in-network $10 co-pay

Authorization Required

$15 in network 50% out

Approved Services

in-network $10 co-pay

60 visits limit

in-network $10 co-pay

Approved Services

in-network $10 co-pay