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免赔额 - $ 3,000 $ 6,000 $ 1,300 $ 3,900无无抵扣额，$ 6,000 $ 6,000 $ 12,000 $ 12,000 $ 3,900 $ 3,900 $ 11,700 $ 11,700无无货物最大最高货物$ 4,700 $ 4,700 $ 9,400 $ 2,850 $ 2,850 $ 8,5,555 $ 6,3,3,3500 $ 5,5,00,5,00,5,00 00,5,00,500 00,5,00,500 00,5,00 00,500 00,5,00 $ 9,5,00,5my-Famy-fam tam-famy-5,5,00 00,5,000 00,5,00 $17,100 $9,900 $12,700 Coinsurance (% network rate) 80% 60% 90% 60% 100% 100% Preventative Care Visits 100% Coin (no ded) 100% Coin after ded 100% 100% Physicians Office Visit Coin after ded Coin after ded $25 copay Coin after ded $40 copay $40 copay Specialist Office Visit Coin after ded Coin after ded $50 copay Coin after ded $90 copay $75 copay Outpatient Hospital Services Coin after ded Coin after ded Coin after ded Coin after ded $400 copay $400 copay Inpatient Hospital Services Coin after ded Coin after ded Coin after ded Coin after ded $750 copay $600 copay Urgent Care Coin after ded Coin after ded $50 copay Coin after ded $90 copay $75 copay Emergency Care Coin after ded Coin after ded $300 copay, then 90% after ded $ 500 COPAY $ 400 COPAY ABA覆盖范围覆盖有覆盖有覆盖的覆盖
2024医疗计划设计 - USG福利
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