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CARE+ Copay

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CARE FOR WHAT'S

MOST IMPORTANT

Care+ Copay combines value and quality to provide you with affordable access to health care. The plan features low copay amounts and a deductible waiver for all copay services. Even everyday prescriptions are available for low copays.


The plan's reference-based pricing, no-network approach, allows you to choose any provider you prefer. And, there are three deductible options to choose from.


Spend less time worrying about health care and more time cherishing the moments that truly matter.

BEtter Care best value

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No Network Restrictions

Experience the freedom of accessing the care you need when you need it, without the hassle of referrals.

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100% Covered Preventive Care

Your routine care is fully covered so you can stay healthy and catch medical concerns early.

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ACA-Compliant Health Coverage

Provide employees with coverage as outlined by the ACA, and help your business avoid costly tax penalties.

Preventive care covered
at 100% without
deductible.

Prescription
benefits

ACA
Compliant

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Deductible Waiver

Common services like lab work and office visits are accessible with nothing more than an affordable copay.

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Coinsurance After Deductible

With Care+ Copay, you will have affordable coinsurance for plan covered services.

For plan details please read the plan outline and Summary of Benefits and Coverage (SBC).

AFFORDABLE COPAYs

MEDICAL COPAY

Service Copay Limitations
Primary Care Visit $50 No plan year limit
Specialist Care Visit $100 No plan year limit
Urgent Care Visit $100 No plan year limit
Emergency Care $500 No plan year limit

RX COPAY

Prescription Tier 30-Day Supply 90-Day Supply
Tier 1: Generic $10 $20
Tier 2: Preferred Brand $50 $100
Tier 3: Non-Preferred Brand $100 $100

*Tier 4: Specialty subject to prescription deductible and coinsurance. See plan outline for details.

CARE+ COPAY HEATH PLAN Options

Care+ Copay 1500

Care+ Copay 3500

Care+ Copay 2500

Household Deductible Coinsurance Out-of-Pocket Max
Individual $1,500 30% $3,100
Family $3,000 30% $6,500
Household Deductible Coinsurance Out-of-Pocket Max
Individual $2,500 30% $5,100
Family $5,000 30% $10,500
Household Deductible Coinsurance Out-of-Pocket Max
Individual $3,500 30% $7,100
Family $7,000 30% $14,500

OUTLINE

the Perfect Fit: Customize Your Benefits Package

THE SECOND WAY

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ACCIDENT

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The Occupational Accident plan has a per-accident limit of $1,000,000 and no deductible. With this plan, you’ll receive coverage for accident-related medical expenses, in addition to accidental death and dismemberment benefits

DENTAL

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Planstin administers a dental plan that utilizes the GEHA Connection Dental Network, which includes 100% coverage for preventive services, 80% for basic services, and 50% for major services. Everything you need to keep smiling.

VISION

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Planstin administers a vision plan with low copays for eye exams and other eye-health services. The plan includes yearly allowances for frames or contact lenses and vision services. Copays are waived for services at wholesale clubs.

To add any of these options to your benefits package, please contact a Benefit Advocate at 888-920-7526.

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