Silver Value D 2018 by EmblemHealth
Scroll down to the Summary of Benefits PDF
Plan Information
- Plan Name
- Silver Value D 2018
- Insurance Company
- EmblemHealth
In Network Benefits
- Office Co-pay
- $35 ($0 first 3 visits)
- Specialist Co-pay
- $55
- Hospital Co-pay
- $0 after deductible
- Emergency Room
- $0 after deductible
- Referrals Needed
- Yes
- Rx: Generic/Brand/High Brand
- $10(deductible waived)/$0/$0 after deductible
- In-Network Deductible (single/family)
- $5,800/$11,600
- In-Network Co-Insurance
- 0%
- Max Out of Pocket (single/family)
- $5,800/$11,600
Out Of Network Benefits
- Deductible (single/family)
- N/A
- Co-Insurance
- N/A
- Out of Pocket Max (single/family)
- N/A
Other Benefits
- Vision/Dental
- Vision and Dental
- Renewal Date
- Annual
- HSA Eligible
- No
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