Essential Plan 1 by Independent Health
Scroll down to the Summary of Benefits PDF
Plan Information
- Plan Name
- Essential Plan 1
- Insurance Company
- Independent Health
In Network Benefits
- Office Co-pay
- $15 Copayment
- Specialist Co-pay
- $25 Copayment
- Hospital Co-pay
- $150 Copayment
- Emergency Room
- $75 Copayment
- Referrals Needed
- No
- Rx: Generic/Brand/High Brand
- $6/$15/$30 copayment
- In-Network Deductible (single/family)
- $0
- In-Network Co-Insurance
- Not Applicable
- Max Out of Pocket (single/family)
- $360
Out Of Network Benefits
- Deductible (single/family)
- Not Applicable
- Co-Insurance
- Not Applicable
- Out of Pocket Max (single/family)
- Not Applicable
Other Benefits
- Vision/Dental
- Covered
- Renewal Date
- 12/31/2024
- HSA Eligible
- No
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