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Smiling Nurse

Gold Plan

Personal Responsibility (PR)  $1,000

per year

Sharing Limit

$125,00 per  illness

Sharing limit with Brother's Keeper

Unlimited covered amount per illness

Urgent Care / ER visit

Included

Hospitalization (in/out patient)

Included

Surgery (in and out patient)

Included

Doctor's Office/Specialist visits

Incident-related

Prescriptions

Incident-related

Physical therapy / Home Health care

Up to 45 visits per incident

Maternity

Unlimited coverage with Brother's Keeper

or $125,000 without Brother's Keeper

Alternative care

Not covered

Cost, per month

$240 You

$480 You + spouse

$720 Both of you + kids

Checking Blood Pressure

Silver Plan

Personal Responsibility (PR)  $2,500

per year

Sharing Limit

$125,00 per  illness

Sharing limit with Brother's Keeper

An additional $100,000 per illness, per year, up to 1 million dollars

 

Urgent Care / ER visit

UC NOT Included, ER included

Hospitalization (in/out patient)

Included

Surgery in and out patient

Included

Doctor's Office/Specialist visits

NOT included

Prescriptions

NOT included

Physical therapy / Home Health care

NOT included

Maternity

Only hospital treatment (up to $125,000 per pregnancy) or up to $2,500 for midwife services per pregnancy

Alternative care

Not covered

Cost, per month

$138 You

$276 You + spouse

$414 Both of you + kids

Nurse And Patient In Waiting Room

Bronze Plan

Personal Responsibility (PR)  $5,000

per year

Sharing Limit

$125,00 per  illness

Sharing limit with Brother's Keeper

An additional $100,000 per illness, per year, up to 1 million dollars

Urgent Care / ER visit

UC NOT Included, ER included

Hospitalization (in/out patient)

Included

Surgery in and out patient

Included

Doctor's Office/Specialist visits

NOT included

Prescriptions

NOT included

Physical therapy / Home Health care

NOT included

Maternity

Only hospital treatment (up to $125,000 per pregnancy) is eligible for sharing

 

Alternative345erst care

Not covered

Cost, per month

$92 You

$184 You + spouse

$276 Both of you + kids

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