PARTNER | Collective health
The HDHP (high deductible health plan) plan is designed with the flexibility for you to choose a doctor both in- and out-of-network with a higher deductible. The key difference between this plan and others is the cost structure - when and how much you pay for eligible medical expenses in the form of premiums, deductibles, coinsurance, and copayments.
Collective Health HDHP Plan Network: Anthem Network
Group/Policy #: 282016
*Plan Design Subject to the Deductible
- Deductible | $3,375 Individual ($6,750 Family) The amount you owe for health care services before your health insurance or plan begins to pay.
- Maximum Out of Pocket | $6,750 Individual ($13,500 Family) The money you pay for covered medical and pharmacy services counts toward your out of pocket maximum. Once you meet your designated out of pocket maximum, the plan will pay for all of your covered healthcare costs for the rest of the plan year.
- Primary Care Doctor | 20% Coinsurance* A PCP is the person your child should see for a routine checkup or non-emergency medical care
- Specialist | 20% Coinsurance* A physician specialist focuses on a specific area of medicine or a group of patients to diagnose, manage, prevent or treat a certain types of symptoms and conditions
- Telemedicine | 20% Coinsurance* Telemedicine refers to the practice of caring for patients remotely when the provider and patient are not physically present with each other. Modern technology has enabled doctors to consult patients by using HIPAA compliant video-conferencing tools.
- Urgent Care | 20% Coinsurance* Care for an illness, injury or condition serious enough that a reasonable person would seek care right away, but not so severe as to require emergency room care.
- Hospital | 20% Coinsurance* The portion of eligible expenses that plan members are responsible paying, most often after the deductible is met. It's usually determined as a percentage of the total cost.
- X-Ray and Labs | 20% Coinsurance* The portion of eligible expenses that plan members are responsible paying, most often after the deductible is met. It's usually determined as a percentage of the total cost.
- Emergency Room | 20% Coinsurance* The Emergency Room (ER) provides care for these critical or life-threatening conditions and not for routine health care.